Rybrevant(amivantamab-vmjw)
Rybrevant 350 MG in 7 ML Injection
NO BOXED WARNING

Dosage & Administration

Body Weight (at Baseline)DosageRecommended Dose
RYBREVANT in Combination with Carboplatin and Pemetrexed
Less than 80 kgWeeks 1–41,400 mg
Week 7 onwards

1,750 mg

Greater than or equal to 80 kgWeeks 1–41,750 mg
Week 7 onwards

2,100 mg

RYBREVANT in Combination with Lazertinib or RYBREVANT as a Single Agent
Less than 80 kgWeeks 1–5
   Week 7 onwards
1,050 mg
Greater than or equal to 80 kgWeeks 1–5
   Week 7 onwards
1,400 mg

Get Your Patient on Rybrevant

See your patient's specific prior authorization requirements including coverage restrictions and step therapies
Insurance Carrier
Or select your Insurance from the list below:

Rybrevant Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Sep 24, 2024Arizona - Uniform Prior Authorization Form
Verified: Sep 24, 2024Colorado - Uniform Prior Authorization Form
Verified: Sep 24, 2024Hawaii - Uniform Prior Authorization Form
Verified: Sep 24, 2024Illinois - Uniform Prior Authorization Form
Verified: Sep 24, 2024Indiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Louisiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Minnesota - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Mexico - Uniform Prior Authorization Form
Verified: Sep 24, 2024Oregon - Uniform Prior Authorization Form
Verified: Sep 24, 2024Texas - Uniform Prior Authorization Form
Verified: Oct 05, 2024Washington - Uniform Prior Authorization Form
Verified: Oct 05, 2024Wisconsin - Uniform Prior Authorization Form
Letter of Exception
Complete Letter of Medical Necessity

Benefits investigation

Rybrevant Benefits Investigation Form

Rybrevant Preferred Pharmacy

Pharmacy List

Rybrevant Financial Assistance Options

Copay savings program

Rybrevant Benefits Investigation Form
Enroll in Patient Savings Program
Learn More

Foundation programs

J&J Patient Assistance Program - Eligibility Check
Learn More

Rybrevant PubMed™ News

Rybrevant 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

Rybrevant Savings Program Overview
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Rybrevant
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Side Effects
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Receiving Rybrevant
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

Rybrevant FAQs