Tivdak

(tisotumab)
tivdak 40 MG Injection

Dosage & administration

drug label

Tivdak prescribing information

prior authorization

Tivdak prior authorization resources

Most recent Tivdak prior authorization forms

View By Payer
Verified: Feb 07, 2024Kaiser Foundation Health Plan - Chronic High-Dose Opioid Therapy Prior Authorization Form Washington
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Medicare Prescription Drug Medication Request Form
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Short Acting Opioid Prior Authorization Form
Verified: Feb 01, 2024Highmark BCBS Western NY - Specialty Drug Prior Authorization Form
Verified: Feb 01, 2024Highmark BCBS Western NY - Non-Formulary Drug Coverage Prior Authorization Form

Most recent state uniform prior authorization forms

Verified: Feb 27, 2024Arizona - Uniform Prior Authorization Form
Verified: Feb 27, 2024Colorado - Uniform Prior Authorization Form
Verified: Feb 27, 2024Hawaii - Uniform Prior Authorization Form
Verified: Feb 27, 2024Illinois - Uniform Prior Authorization Form
Verified: Feb 27, 2024Indiana - Uniform Prior Authorization Form
Verified: Feb 27, 2024Louisiana - Uniform Prior Authorization Form
Verified: Feb 27, 2024Michigan - Uniform Prior Authorization Form
Verified: Feb 27, 2024Minnesota - Uniform Prior Authorization Form
Verified: Feb 27, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Feb 27, 2024New Mexico - Uniform Prior Authorization Form
Verified: Feb 27, 2024Oregon - Uniform Prior Authorization Form
Verified: Feb 27, 2024Texas - Uniform Prior Authorization Form
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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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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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
Learn More

PubMed™ | Tivdak

Tivdak PubMed™ News

patient education

Tivdak patient education

To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

Patient toolkit

Patient Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Tivdak Wallet Card
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Eye Drop Tracker
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Eye Care Guide for Patients
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Tivdak
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Receiving Tivdak
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Side Effects
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Caring For Your Eyes
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Resources
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Doctor Discussion Guide
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Learn More

people also ask

Tivdak FAQs

How is the dosage of Tivdak?Tivdak is available in 1 dosages, including 40 mg Injection
What does Tivdak treat?Tivdak treats Uterine Cervical Neoplasms
How Is Tivdak Administered?Tivdak is administered as a Injectable
FAQ Data Source