Dosage & Administration Drug label Prior authorization Pharmacy Financial assistance

Taltz

(ixekizumab)

taltz 80 MG in 1 ML Auto-Injectortaltz 80 MG in 1 ML Prefilled Syringe

NO BLACK BOX WARNING

Dosage & administration

Administer by subcutaneous injection.

Adult Plaque Psoriasis

* Recommended dosage is 160 mg (two 80 mg injections) at Week 0, followed by 80 mg at Weeks 2, 4, 6, 8, 10, and 12, then 80 mg every 4 weeks.

Pediatric Plaque Psoriasis

* For patients weighing greater than 50 kg, recommended dosage is 160 mg (two 80 mg injections) at Week 0, followed by 80 mg every 4 weeks.
* For patients weighing 25-50 kg, recommended dosage is 80 mg at Week 0, followed by 40 mg every 4 weeks.
* For patients weighing less than 25 kg, recommended dosage is 40 mg at Week 0, followed by 20 mg every 4 weeks.

Psoriatic Arthritis

* Recommended dosage is 160 mg by subcutaneous injection (two 80 mg injections) at Week 0, followed by 80 mg every 4 weeks.
* For psoriatic arthritis patients with coexistent moderate-to-severe plaque psoriasis, use the dosing regimen for adult plaque psoriasis.
* TALTZ may be administered alone or in combination with a conventional DMARD (e.g., methotrexate).

Ankylosing Spondylitis

* Recommended dosage is 160 mg by subcutaneous injection (two 80 mg injections) at Week 0, followed by 80 mg every 4 weeks.

Non-radiographic Axial Spondyloarthritis

* Recommended dosage is 80 mg by subcutaneous injection every 4 weeks.

drug label

Taltz prescribing information

Contact Medical Science Liaison Report Adverse Event

prior authorization

Taltz prior authorization resources

Most recent Taltz prior authorization forms

View By Payer

Updated: Jun 01, 2023Cigna - Taltz Prior Authorization Form Mid-Atlantic States

Updated: May 31, 2023CareFirst - Taltz Prior Authorization Form

Updated: May 31, 2023Blue Cross Blue Shield of North Carolina - Pediatric Plaque Psoriasis Prior Authorization Form

Updated: May 31, 2023Paramount - Taltz Prior Authorization Form

Updated: May 31, 2023Amerigroup - Taltz Prior Authorization Form

Updated: May 31, 2023Caremark - Taltz Prior Authorization Request

Updated: May 31, 2023Cigna - Taltz Prior Authorization Form

Updated: May 25, 2023Independence Health - Value Formulary Immune Modulating Therapy Prior Authorization Form

Updated: May 25, 2023Independence Health - Select Formulary Immune Modulating Therapy Prior Authorization Form

PDFComplete Letter of Medical Necessity

PDFCoverage Authorization Request

PDFCoverage Authorization Appeals

LETTER OF MEDICAL NECESSITYLetter of Medical Necessity - Taltz Loading Dose

LETTER OF MEDICAL NECESSITYLetter of Medical Necessity - Taltz Loading Dose (Editable)

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Benefits investigation

PDFAdult Dermatology - Taltz Together Enrollment & Prescription Form

PDFPediatric Dermatology - Taltz Together Enrollment & Prescription Form

PDFAdult Rheumatology - Taltz Together Enrollment & Prescription Form

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pharmacy

Taltz preferred pharmacy

PDFPharmacy List

financial assistance

Taltz financial assistance options

Co-pay savings program

commercial only

PDFAdult Dermatology - Taltz Together Enrollment & Prescription Form

PDFPediatric Dermatology - Taltz Together Enrollment & Prescription Form

PDFAdult Rheumatology - Taltz Together Enrollment & Prescription Form

Enroll in Patient Savings Program

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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

BRAND PAGEDigital Enrollment - Lilly Patient Support Provider Portal

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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+

OTHERLilly Cares Patient Assistance Program Eligibility Check

BRAND PAGEDigital Enrollment - Lilly Patient Support Provider Portal

PDFLilly Cares Enrollment Form - Spanish

PDFLilly Cares Enrollment Form - English

Lilly Cares - Online Enrollment

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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

Taltz patient education

Getting started on Taltz

BRAND PAGEInstructions For Use: Psoriasis

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

BRAND PAGEInstructions For Use: Psoriatic Arthritis

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

BRAND PAGEInstructions For Use: Ankylosing Spondylitis

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

BRAND PAGEInstructions For Use: Non-radiographic Axial Spondyloarthritis (nr-axSpA)

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

To share resource; ask patient to:

1.Pull out phone

2.Open camera

3.Scan QR code with camera

4.Tap link

Patient toolkit

BRAND PAGEAbout Taltz: Plaque Psoriasis

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

VIDEOPatient Stories: Plaque Psoriasis

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

IMAGEBefore & After: Plaque Psoriasis

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

OTHERGenital Plaque Psoriasis

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

BRAND PAGEAbout Taltz (Pediatric): Plaque Psoriasis

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

IMAGEBefore & After (Pediatric): Plaque Psoriasis

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

BRAND PAGEAbout Taltz: Psoriatic Arthritis

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

VIDEOPatient Stories: Psoriatic Arthritis

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

BRAND PAGEAbout Taltz: Ankylosing Spondylitis (AS) & Non-radiographic Axial Spondyloarthritis (nr-axSpA)

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

OTHERView How to Take Taltz: Plaque Psoriasis

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

OTHERView How to Take Taltz (Pediatrics): Plaque Psoriasis

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

OTHERView How to Take Taltz: Psoriatic Arthritis

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

OTHERView How to Take Taltz: Ankylosing Spondylitis (AS)

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

OTHERView How to Take Taltz: Non-radiographic Axial Spondyloarthritis (nr-axSpA)

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

OTHERTaltz Cost Information

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

Taltz Together Program

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

Learn More

Other resources

APPApp Download

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

OTHERSharps Disposal

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

Learn More

Taltz FAQs

What is the Pregnancy Exposure Registry?It is a registry that monitors pregnancy outcomes in women exposed to TALTZ during pregnancy.

How can pregnant women enroll in the TALTZ Pregnancy Registry?Pregnant women exposed to TALTZ can enroll in the registry by calling 1-800-284-1695. Contact information for the registry is also available on https://www.taltz.com.

What is the risk associated with TALTZ use in pregnant women?Available data from the published literature and the pharmacovigilance database with TALTZ use in pregnant women are insufficient to evaluate for a drug-associated risk of major birth defects, miscarriage or other adverse maternal or fetal outcomes.

Is there a risk of harm to the developing fetus with TALTZ use in pregnant women?An embryofetal development study conducted in pregnant monkeys during organogenesis at doses up to 19 times the maximum recommended human dose (MRHD) revealed no evidence of harm to the developing fetus. When dosing was continued until parturition, neonatal deaths were observed at 1.9 times the MRHD. However, the clinical significance of these nonclinical findings is unknown.

What is the background risk of major birth defects and miscarriage in the U.S. general population?The estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies in the U.S. general population is 2 to 4% and 15 to 20%, respectively.

Is TALTZ present in human milk and what are its effects on breastfed infants?There are no available data on the presence of ixekizumab (TALTZ) in human milk, the effects on the breastfed infant, or the effects on milk production. However, ixekizumab was detected in the milk of lactating cynomolgus monkeys. The developmental and health benefits of breastfeeding should be considered along with the mother's clinical need for TALTZ and any potential adverse effects on the breastfed infant from TALTZ or from the underlying maternal condition.

Is TALTZ safe and effective for use in pediatric patients?TALTZ is approved for use in pediatric patients aged 6-18 years with moderate-to-severe plaque psoriasis. Its safety and effectiveness have not been established in other pediatric indications or in patients less than 6 years of age.

FAQ Data Source

Taltz

Dosage & administration

drug label

Taltz prescribing information

prior authorization

Taltz prior authorization resources

Most recent Taltz prior authorization forms

Benefits investigation

pharmacy

Taltz preferred pharmacy

financial assistance

Taltz financial assistance options

Co-pay savings program

Bridge program

Foundation programs

patient education

Taltz patient education

Getting started on Taltz

Patient toolkit

Other resources

people also ask

Taltz FAQs