Soliris(eculizumab)
Soliris 300 MG in 30 ML Injection

Dosage & Administration

Dosage & Administration

For intravenous infusion only

drug label

Soliris Prescribing Information

prior authorization

Soliris Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Jun 26, 2024Arizona - Uniform Prior Authorization Form
Verified: Jun 26, 2024Colorado - Uniform Prior Authorization Form
Verified: Jun 26, 2024Hawaii - Uniform Prior Authorization Form
Verified: Jul 26, 2024Illinois - Uniform Prior Authorization Form
Verified: Jun 26, 2024Indiana - Uniform Prior Authorization Form
Verified: Jun 26, 2024Louisiana - Uniform Prior Authorization Form
Verified: Jun 26, 2024Minnesota - Uniform Prior Authorization Form
Verified: Jun 26, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Jun 26, 2024New Mexico - Uniform Prior Authorization Form
Verified: Jun 26, 2024Oregon - Uniform Prior Authorization Form
Verified: Jun 26, 2024Texas - Uniform Prior Authorization Form
Verified: Jul 07, 2024Washington - Uniform Prior Authorization Form
Verified: Jul 07, 2024Wisconsin - Uniform Prior Authorization Form
Coverage Authorization Appeal: AChR Antibody Positive Generalized Myasthenia Gravis (gMG)
Letter of Medical Necessity: AChR Antibody Positive Generalized Myasthenia Gravis (gMG)
PA Criteria: AChR Antibody Positive Generalized Myasthenia Gravis (gMG)
Coverage Authorization Appeal: AQP4 Antibody-Positive Neuromyelitis Optica Spectrum Disorder (NMOSD)
Letter of Medical Necessity: AQP4 Antibody-Positive Neuromyelitis Optica Spectrum Disorder (NMOSD)
Letter of Medical Necessity: Atypical Hemolytic Uremic Syndrome (aHUS)
Coverage Authorization Appeals: Paroxysmal Nocturnal Hemoglobinuria (PNH)
Letter of Medical Necessity: Paroxysmal Nocturnal Hemoglobinuria (PNH)

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

financial assistance

Soliris Financial Assistance Options

Copay savings program

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patient education

Soliris Patient Education

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4.Tap link

Patient toolkit

Soliris Infusion Locator
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About Soliris: AQP4 Antibody-Positive Neuromyelitis Optica Spectrum Disorder (NMOSD)
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Patient Resources: AQP4 Antibody-Positive Neuromyelitis Optica Spectrum Disorder (NMOSD)
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Patient Brochure: AQP4 Antibody-Positive Neuromyelitis Optica Spectrum Disorder (NMOSD)
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Patient Brochure (Spanish): AQP4 Antibody-Positive Neuromyelitis Optica Spectrum Disorder (NMOSD)
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Doctor Discussion Guide: AQP4 Antibody-Positive Neuromyelitis Optica Spectrum Disorder (NMOSD)
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Patient Safety Card: AQP4 Antibody-Positive Neuromyelitis Optica Spectrum Disorder (NMOSD)
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Other resources

Soliris Infusion Locator
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people also ask

Soliris FAQs

What is the risk of using Soliris during pregnancy?Limited data on outcomes of pregnancies that have occurred following Soliris use in pregnant women have not identified a concern for specific adverse developmental outcomes. However, there are risks to the mother and fetus associated with untreated paroxysmal nocturnal hemoglobinuria (PNH) and atypical hemolytic uremic syndrome (aHUS) in pregnancy. Animal studies using a mouse analogue of the Soliris molecule (murine anti-C5 antibody) showed increased rates of developmental abnormalities and an increased rate of dead and moribund offspring at doses 2-8 times the human dose. The estimated background risk of major birth defects and miscarriage for the indicated populations is unknown. All pregnancies have a background risk of birth defect, loss, or other adverse outcomes.
What are the risks associated with PNH and aHUS in pregnancy?PNH in pregnancy is associated with adverse maternal outcomes, including worsening cytopenias, thrombotic events, infections, bleeding, miscarriages and increased maternal mortality, and adverse fetal outcomes, including fetal death and premature delivery. aHUS in pregnancy is associated with adverse maternal outcomes, including pre-eclampsia and preterm delivery, and adverse fetal/neonatal outcomes, including intrauterine growth restriction (IUGR), fetal death and low birth weight.
What data is available on the use of Soliris during pregnancy?A pooled analysis of prospectively (50.3%) and retrospectively (49.7%) collected data in more than 300 pregnant women with live births following exposure to Soliris have not suggested safety concerns. However, these data cannot definitively exclude any drug-associated risk during pregnancy because of the limited sample size.
What is the risk of using Soliris during lactation?Although limited published data does not report detectable levels of eculizumab (active ingredient in Soliris) in human milk, maternal IgG is known to be present in human milk. Available information is insufficient to inform the effect of eculizumab on the breastfed infant. There are no data on the effects of eculizumab on milk production. The developmental and health benefits of breastfeeding should be considered along with the mother’s clinical need for Soliris and any potential adverse effects on the breastfed child from eculizumab or from the underlying maternal condition.
Is Soliris safe and effective for pediatric patients?Soliris has not been established as safe and effective for the treatment of PNH, gMG, or NMOSD in pediatric patients. However, Soliris has been established as safe and effective for the treatment of aHUS in pediatric patients based on four adequate and well-controlled clinical studies, which included 47 pediatric patients between the ages of 2 months and 17 years. The safety and effectiveness of Soliris for the treatment of aHUS appears similar in pediatric and adult patients.
What vaccines should be administered to pediatric patients receiving Soliris?Pediatric patients receiving Soliris should be administered vaccinations for the prevention of infection due to Neisseria meningitidis, Streptococcus pneumoniae, and Haemophilus influenzae type b (Hib) according to ACIP guidelines.
What is the experience with Soliris in geriatric patients?Fifty-one patients aged 65 years or older were treated with Soliris in clinical trials in the approved indications, including PNH, aHUS, gMG, and NMOSD. Although there were no apparent age-related differences observed in these studies, the number of patients aged 65 and over is not sufficient to determine whether they respond differently from younger patients.
FAQ Data Source