What is the dosage of Tivdak?

Tivdak is available in 1 dosages, including 40 mg Injection

What does Tivdak treat?

Tivdak treats Uterine Cervical Neoplasms

What is Tivdak made of?

Tivdak contains tisotumab which is a undefined

How is Tivdak administered?

Tivdak is administered as a Injectable

Dosage & Administration Drug label Samples Prior authorization Financial assistance

Patient education

Tivdak

(tisotumab)

tisotumab vedotin-tftv 40 MG Injection [Tivdak]

BLACK BOX WARNING

Dosage & administration

* For intravenous infusion only. Do not administer TIVDAK as an intravenous push or bolus. Do not mix with, or administer as an infusion with, other medicinal products.
* The recommended dose of TIVDAK is 2 mg/kg (up to a maximum of 200 mg) given as an intravenous infusion over 30 minutes every 3 weeks until disease progression or unacceptable toxicity. ( 2.1)

drug label

Tivdak prescribing information

Have more Tivdak questions?

Submit MSL Request

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Need to report a Tivdak issue?

ONLINE FORMReport adverse event

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samples

Request Tivdak samples

NOT PROVIDED BY BRANDView Online Sample Form

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prior authorization

Tivdak Prior authorization resources

NOT PROVIDED BY BRANDComplete Letter of Medical Necessity

Coverage Authorization Request

Coverage Authorization Appeals

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Benefits investigation

Healthcare Provider Request Form For Tivdak (Form1/2)

Patient Authorization Form For Tivdak (Form2/2)

Healthcare Provider Request Form For Tivdak (Form1/2) - Spanish

Patient Authorization Form For Tivdak (Form2/2) - Spanish

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Reimbursement help (FRM)

NOT PROVIDED BY BRANDReimbursement help (FRM) resources

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financial assistance

Tivdak Financial assistance options

Co-pay savings program

commercial only

Healthcare Provider Request Form For Tivdak (Form1/2)

Patient Authorization Form For Tivdak (Form2/2)

Healthcare Provider Request Form For Tivdak (Form1/2) - Spanish

Patient Authorization Form For Tivdak (Form2/2) - Spanish

Enroll in Patient Assistance 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

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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+

Healthcare Provider Request Form For Tivdak (Form1/2)

Patient Authorization Form For Tivdak (Form2/2)

Healthcare Provider Request Form For Tivdak (Form1/2) - Spanish

Patient Authorization Form For Tivdak (Form2/2) - Spanish

Patient Assistance Program

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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

Tivdak Patient education