Tezspire

(tezepelumab)

1.91 ML tezepelumab-ekko 110 MG/ML Injection [Tezspire]1.91 ML tezepelumab-ekko 110 MG/ML Prefilled Syringe [Tezspire]

NO BLACK BOX WARNING

Dosage & administration

* Administer by subcutaneous injection.
* Recommended dosage is 210 mg administered once every 4 weeks.
* See full prescribing information for preparation and administration instructions.

Most viewed Tezspire resources

Enroll in Patient Savings Program

drug label

Tezspire prescribing information

Report Adverse Event

samples

Request Tezspire samples

Online Sample Form

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prior authorization

Tezspire prior authorization resources

Most recent Tezspire prior authorization forms

View By Payer

Updated: Jun 06, 2023Highmark BCBS Northeastern NY - Outpatient Medical Injectable Prior Authorization Form - Medical Benefit (Monoclonal Antibodies for the Treatment of Asthma and Eosinophilic Conditions)

Updated: Jun 06, 2023Highmark BCBS Western NY - Outpatient Outpatient Medical Injectable Prior Authorization Form - Medical Benefit (Monoclonal Antibodies for the Treatment of Asthma and Eosinophilic Conditions)

Updated: Jun 05, 2023Highmark BCBS West Virginia - Outpatient Medical Injectable Drug Prior Authorization Form - Medical Benefit (Monoclonal Antibodies for the Treatment of Asthma and Eosinophilic Conditions)

Updated: Jun 05, 2023Highmark BCBS Delaware - Outpatient Medical Injectable Drug Prior Authorization Form -Medical Benefit (Monoclonal Antibodies for the Treatment of Asthma and Eosinophilic Conditions)

Updated: Jun 05, 2023Highmark BCBS Central PA - Outpatient Injectable Drug Prior Authorization Form - Medical Benefit (Monoclonal Antibodies for the Treatment of Asthma and Eosinophilic Conditions)

Updated: Jun 04, 2023Highmark BCBS Western PA - Outpatient Injectable Drug Prior Authorization Form - Medical Benefit (Monoclonal Antibodies for the Treatment of Asthma and Eosinophilic Conditions)

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

Updated: May 29, 2023Blue Cross Blue Shield of Michigan - Tezspire Prior Authorization Form (Medical Benefit)

Updated: May 24, 2023Aetna - Tezspire Prior Authorization Form

Complete Letter of Medical Necessity

Coverage Authorization Request

Coverage Authorization Appeals

Tezspire Together Enrollment Form

Tezpire Together Enrollment Form Guide

Billing and Coding Guide

Prior Authorization and Appeals Checklist

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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

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pharmacy

Tezspire preferred pharmacy

Pharmacy List

financial assistance

Tezspire financial assistance options

Co-pay savings program

commercial only

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

patient education

Tezspire patient education

Getting started on Tezspire

To share resource; ask patient to:

1.Pull out phone

2.Open camera

3.Scan QR code with camera

4.Tap link