Reblozyl

(luspatercept-aamt)
Reblozyl 25 MG InjectionReblozyl 75 MG Injection
NO BOXED WARNING

Dosage & administration

drug label

Reblozyl prescribing information

prior authorization

Reblozyl prior authorization resources

Most recent Reblozyl prior authorization forms

View By Payer
Verified: Feb 07, 2024Kaiser Foundation Health Plan - Chronic High-Dose Opioid Therapy Prior Authorization Form Washington
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Medical Injectable Specialty Drug Prior Authorization Form
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Outpatient Chemotherapy Prior Authorization Form (Medical Benefit)
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Specialty Drug Prior Authorization Form
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Non-Formulary Drug Coverage Prior Authorization Form

Most recent state uniform prior authorization forms

Verified: Jan 28, 2024Oregon - Uniform Prior Authorization Form
Verified: Jan 28, 2024Colorado - Uniform Prior Authorization Form
Verified: Jan 28, 2024Michigan - Uniform Prior Authorization Form
Verified: Jan 28, 2024Hawaii - Uniform Prior Authorization Form
Verified: Jan 28, 2024Minnesota - Uniform Prior Authorization Form
Verified: Jan 28, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Jan 28, 2024New Mexico - Uniform Prior Authorization Form
Verified: Jan 28, 2024Texas - Uniform Prior Authorization Form
Verified: Jan 28, 2024Louisiana - Uniform Prior Authorization Form
Verified: Jan 28, 2024Arizona - Uniform Prior Authorization Form
Verified: Jan 28, 2024Indiana - Uniform Prior Authorization Form
Verified: Jan 28, 2024Illinois - Uniform Prior Authorization Form
Complete Letter of Medical Necessity
Coverage Authorization Appeals
Commercial Claim Denial Appeal/Redetermination Letter
Medically Unlikely Edit (MUE) Appeal Letter
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Benefits investigation

Reblozyl Enrollment Form
Reblozyl Enrollment Form - Spanish
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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information
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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 Co Pay
Available for
commercial
Program Details
  • $4091 for Powder
  • Program Expires Calendar Year
Forms
Reblozyl Enrollment Form
Reblozyl Enrollment Form - Spanish
Enroll in Patient Savings Program

PubMed™ | Reblozyl

Reblozyl PubMed™ News

patient education

Reblozyl patient education

To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

Patient toolkit

Patient Brochure: MDS-RS
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Caregiver Brochure: MDS-RS
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Reblozyl: MDS-RS
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Receiving Reblozyl: MDS-RS
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Resources: MDS-RS
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Reblozyl Treatment Tracker: MDS-RS
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Questions To Ask Your Healthcare Team: MDS-RS
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure: β-Thalassemia
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Reblozyl: β-Thalassemia
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Receiving Reblozyl: β-Thalassemia
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Resources: β-Thalassemia
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Questions To Ask Your Healthcare Team: β-Thalassemia
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Learn More

people also ask

Reblozyl FAQs

How is the dosage of Reblozyl?Reblozyl is available in 2 dosages, including 25 mg Injection and 75 mg Injection
What does Reblozyl treat?Reblozyl treats Anemia
How Is Reblozyl Administered?Reblozyl is administered as a Injectable
FAQ Data Source