Rituxan

(rituximab)
10 ML rituximab 10 MG/ML Injection [Rituxan]50 ML rituximab 10 MG/ML Injection [Rituxan]

Dosage & administration

drug label

Rituxan prescribing information

prior authorization

Rituxan prior authorization resources

Most recent Rituxan prior authorization forms

View By Payer
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Outpatient Rituximab and Biosimilars Prior Authorization Form (Medical Benefit)
Verified: Feb 01, 2024Highmark BCBS Western NY - Outpatient Rituximab and Biosimilars Prior Authorization Form (Medical Benefit)
Verified: Jan 31, 2024Highmark BCBS West Virginia - Outpatient Rituximab & Biosimilars Prior Authorization Form (Medical Benefit)
Verified: Jan 31, 2024Highmark BCBS Delaware - Outpatient Rituximab & Biosimilars Prior Authorization Form (Medical Benefit)
Verified: Jan 31, 2024Highmark BCBS Central PA - Outpatient Rituximab & Biosimilars Prior Authorization Form (Medical Benefit)

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
Coverage Authorization Appeals: Rheumatoid Arthritis (RA)
Letter of Medical Necessity: Rheumatoid Arthritis (RA)
Coverage Authorization Appeals: Granulomatosis with Polyangiitis (GPA) & Microscopic Polyangiitis (MPA) or Pemphigus Vulgaris (PV)
Letter of Medical Necessity: Granulomatosis with Polyangiitis (GPA) & Microscopic Polyangiitis (MPA) or Pemphigus Vulgaris (PV)
Coverage Authorization Appeals: Non Hogkin's Lymphoma (NHL) & Chronic Lymphocytic Leukemia (CLL)
Letter of Medical Necessity: Non Hogkin's Lymphoma (NHL) & Chronic Lymphocytic Leukemia (CLL)
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Benefits investigation

Prescriber Service Form: RA, GPA & MPA or PV
Prescriber Service From (Online): All Indications
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pharmacy

Rituxan preferred pharmacy

Pharmacy List

financial assistance

Rituxan financial assistance options

Co-pay savings program

commercial only
Enroll in Patient Savings Program: Non Hogkin's Lymphoma (NHL) & Chronic Lymphocytic Leukemia (CLL)
Enroll in Patient Savings Program: Rheumatoid Arthritis (RA), Granulomatosis with Polyangiitis (GPA) & Microscopic Polyangiitis (MPA) or Pemphigus Vulgaris (PV)
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Foundation programs

under insured
no insurance
goverment insurance
65+
Genentech Patient Assitance Program Application Prescriber Form
Learn More

PubMed™ | Rituxan

Rituxan PubMed™ News

patient education

Rituxan 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

About Rituxan: Pemphigus Vulgaris (PV)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Resources: Pemphigus Vulgaris (PV)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Receiving Rituxan: Pemphigus Vulgaris (PV)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Preparing for Treatment: Pemphigus Vulgaris (PV)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure: Pemphigus Vulgaris (PV)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Rituxan: Rheumatoid Arthritis (RA)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Stories: Rheumatoid Arthritis (RA)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Receiving Rituxan: Rheumatoid Arthritis (RA)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Preparing For Treatment: Rheumatoid Arthritis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure: Rheumatoid Arthritis (RA)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Rituxan: Granulomatosis with Polyangiitis (GPA) and Microscopic Polyangiitis (MPA)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Stories: Granulomatosis with Polyangiitis (GPA) and Microscopic Polyangiitis (MPA)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Receiving Rituxan: Granulomatosis with Polyangiitis (GPA) and Microscopic Polyangiitis (MPA)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Preparing For Treatment: Granulomatosis with Polyangiitis (GPA) and Microscopic Polyangiitis (MPA)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure: Granulomatosis with Polyangiitis (GPA) and Microscopic Polyangiitis (MPA)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Rituxan: Non Hodkins Lymphoma (NHL)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Side Effects: Non Hodkins Lymphoma (NHL)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Receiving Rituxan: Non Hodkins Lymphoma (NHL)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Rituxan Infusion Process: Non Hodkins Lymphoma (NHL)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link