Dosage & Administration Drug label Prior authorization Pharmacy Financial assistance Patient education People also ask

Reblozyl(luspatercept-aamt)

Reblozyl 25 MG Injection

NO BOXED WARNING

Dosage & Administration

* The recommended starting dose is 1 mg/kg once every 3 weeks by subcutaneous injection .
* Review hemoglobin (Hgb) results prior to each administration .
* See full prescribing information for preparation and administration instructions .

drug label

Reblozyl Prescribing Information

Contact Medical Science Liaison

Report Adverse Event

prior authorization

Reblozyl Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Jul 26, 2024Arizona - Uniform Prior Authorization Form

Verified: Jul 26, 2024Colorado - Uniform Prior Authorization Form

Verified: Jul 26, 2024Hawaii - Uniform Prior Authorization Form

Verified: Jul 26, 2024Illinois - Uniform Prior Authorization Form

Verified: Jul 26, 2024Indiana - Uniform Prior Authorization Form

Verified: Jul 26, 2024Louisiana - Uniform Prior Authorization Form

Verified: Jul 26, 2024Minnesota - Uniform Prior Authorization Form

Verified: Jul 26, 2024New Hampshire - Uniform Prior Authorization Form

Verified: Jul 26, 2024New Mexico - Uniform Prior Authorization Form

Verified: Jul 26, 2024Oregon - Uniform Prior Authorization Form

Verified: Jul 26, 2024Texas - Uniform Prior Authorization Form

Verified: Jul 07, 2024Washington - Uniform Prior Authorization Form

Verified: Jul 07, 2024Wisconsin - Uniform Prior Authorization Form

Complete Letter of Medical Necessity

Coverage Authorization Appeals

Commercial Claim Denial Appeal/Redetermination Letter

Medically Unlikely Edit (MUE) Appeal Letter

Benefits investigation

Reblozyl Enrollment Form

Reblozyl Enrollment Form - Spanish

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

pharmacy

Reblozyl Preferred Pharmacy

Pharmacy List

Financial Assistance

Financial Assistance Programs

Reblozyl retails for $4,091 per dose without insurance or financial assistance.Depending on your patient's insurance situation and other eligibility criteria, they may be able to get Reblozyl for significantly less. Review the program information below to determine what program can offer your patient the most benefits.

Copay Card Program$0 Copay

Available for

commercial

Program Details