Tepezza

(teprotumumab)

TEPEZZA 500 MG Injection

NO BLACK BOX WARNING

Dosage & administration

* Initiate dosing with 10 mg/kg for first infusion, followed by 20 mg/kg every 3 weeks for 7 additional infusions
* Administer TEPEZZA by intravenous infusion over 60 to 90 minutes

drug label

Tepezza prescribing information

Contact Medical Science Liaison Report Adverse Event

prior authorization

Tepezza prior authorization resources

Most recent Tepezza prior authorization forms

View By Payer

Verified: Sep 28, 2023Cigna - Tepezza Prior Authorization Form

Verified: Sep 26, 2023Blue Cross Blue Shield of Michigan - Tepezza Prior Authorization Form (Medical Benefit)

Verified: Sep 21, 2023Aetna - Tepezza Prior Authorization Form

Verified: Sep 21, 2023Aetna - Medicare Part B Tepezza Prior Authorization Form

OTHERComplete Letter of Medical Necessity

OTHERCoverage Authorization Appeals

PDFPA Guide

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Benefits investigation

PDFTepezza Patient Enrollment Form

Tepezza Enrollment Form - Online

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pharmacy

Tepezza preferred pharmacy

PDFPharmacy List

financial assistance

Tepezza financial assistance options

Co-pay savings program

commercial only

PDFTepezza Patient Enrollment Form

Tepezza Enrollment Form - Online

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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

patient education

Tepezza patient education

Getting started on Tepezza

To share resource; ask patient to:

1.Pull out phone

2.Open camera

3.Scan QR code with camera

4.Tap link