What is the dosage of Relpax?

Relpax is available in 2 dosages, including 20 mg Tab and 40 mg Tab

What does Relpax treat?

Relpax treats Migraine Disorders

What is Relpax made of?

Relpax contains eletriptan which is a Serotonin-1b and Serotonin-1d Receptor Agonist

How is Relpax administered?

Relpax is administered as a Oral Pill

What is Relpax mechanism of action?

Relpax mechanism of action is Serotonin 1b Receptor Agonists or Serotonin 1d Receptor Agonists

Dosage & Administration Drug label Samples Prior authorization Financial assistance

Patient education

Relpax

(eletriptan)

eletriptan 20 MG Oral Tablet [Relpax]eletriptan 40 MG Oral Tablet [Relpax]

NO BLACK BOX WARNING

Dosage & administration

* Single dose: 20 mg or 40 mg
* Maximum single dose: 40 mg
* May repeat dose after 2 hours if needed; not to exceed 80 mg in any 24-hour period

Relpax prescribing information

Have more Relpax questions?

Submit MSL Request

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Need to report a Relpax issue?

ONLINE FORMReport adverse event

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samples

Request Relpax samples

NOT PROVIDED BY BRANDView Online Sample Form

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prior authorization

Relpax Prior authorization resources

NOT PROVIDED BY BRANDComplete Letter of Medical Necessity

NOT PROVIDED BY BRANDCoverage Authorization Request

NOT PROVIDED BY BRANDCoverage Authorization Appeals

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Benefits investigation

NOT PROVIDED BY BRANDBenefits investigation resources

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Reimbursement help (FRM)

NOT PROVIDED BY BRANDReimbursement help (FRM) resources

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financial assistance

Relpax Financial assistance options

Co-pay savings program

commercial only

Enroll in Patient Savings Program

Activate Patient Savings Card ( if already have one)

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Overview

Reduce patient OOP costs for drug (and occasionally for drug administration/infusion costs or drug-related test costs)

Patient benefit

A portion (or all) of patient OOP (deductible, copay), typically up to monthly and/or annual max

Patient eligibility

Patient must enroll or activate (may permit HCPs to enroll on patient’s behalf for HCP-administered drugs)
Generally, must have commercial insurance (rarely, may permit uninsured patients to use)
May never be used with government insurance

How to sign up

Cards may be downloadable digital cards or hard copies
Some pharmacos offer debit cards with pre-loaded copay benefit
Typically, available through multiple channels (e.g., rep to HCP to patient; pharmacy to patient; patient via website, Hub live agent, or copay vendor (live agent or IVR); patient and HCP via Hub enrollment form)
Some HCP-administered product programs permit HCPs to enroll on a patient’s behalf through via Hub form

Bridge program

commercial only

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Overview

Provide patient immediate access to therapy during an insurance delay (typically new starts; some may cover change in insurance)
Limited time/ fill (typically 7-30 days; some may offer additional fill for continued delay up to certain limit)

Patient benefit

100% free (outside of insurance)

Patient eligibility

HCP must enroll patient
May be limited to commercially insured patients (i.e., no government beneficiaries); some programs may allow government beneficiaries

How to sign up

Typically HCP assisted enrollment (via form)

Foundation programs

under insured

no insurance

goverment insurance

65+

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Overview

Charitable 501(c)(3) organizations provide direct cost-sharing and other support (e.g., travel, counseling) through disease-state funds to indigent patients on first-come first-served basis
These organizations may receive financial contributions from drug manaufacturers for particular disease-state funds that cannot provide funds directly to patients - the foundation must be independent/unaligned

Patient benefit

Patients apply for grants that cover a portion (or all) of their out-of-pocket costs (deductibles and co-pays) until the grant is exhausted

Patient eligibility

Patients must apply and meet eligibility criteria including income level (typically a multiple of federal poverty line), specific diagnosis, insurance status, etc.

How to sign up

Patients submit proof of out-of-pocket drug costs to charities for reimbursement

patient education

Relpax Patient education

Getting started on Relpax

NOT PROVIDED BY BRANDInstructions For Use - Acute Migraine Headaches

Patient toolkit

About Relpax

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Patient Resources

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Learn More

Can't find what you're looking for?

Our trained staff can help you:

Please note:

Access to a Field Reimbursement Manager (FRM) or Medical Science Liaison (MSL) varies by brand and may require talking with your rep first.
Samples are provided at the discretion of the brand.
We are unable to collect Protected Health Information (PHI), fill out forms, or submit them on your behalf.

Relpax

Dosage & administration

Most viewed Relpax resources

drug label

Relpax prescribing information

Have more Relpax questions?

Need to report a Relpax issue?

samples

Request Relpax samples

Is my patient elegible for Relpax samples?

How do I find out who my Relpax rep is?

prior authorization

Relpax Prior authorization resources

Benefits investigation

Reimbursement help (FRM)

financial assistance

Relpax Financial assistance options

Co-pay savings program

Overview

Patient benefit

Patient eligibility

How to sign up

Bridge program

Overview

Patient benefit

Patient eligibility

How to sign up

Foundation programs

Overview

Patient benefit

Patient eligibility

How to sign up

patient education

Relpax Patient education

Getting started on Relpax

Patient toolkit

Can't find what you're looking for?