Trodelvy

(sacituzumab)
sacituzumab govitecan-hziy 180 MG Injection [Trodelvy]

Dosage & administration

drug label

Trodelvy prescribing information

prior authorization

Trodelvy prior authorization resources

Most recent Trodelvy 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 - Medical Injectable Specialty Drug Prior Authorization Form
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Outpatient Chemotherapy Prior Authorization Form (Medical Benefit)
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Specialty Drug Prior Authorization Form
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Non-Formulary Drug Coverage Prior Authorization Form

Most recent state uniform prior authorization forms

Verified: Jan 28, 2024Oregon - Uniform Prior Authorization Form
Verified: Jan 28, 2024Colorado - Uniform Prior Authorization Form
Verified: Jan 28, 2024Michigan - Uniform Prior Authorization Form
Verified: Jan 28, 2024Hawaii - Uniform Prior Authorization Form
Verified: Jan 28, 2024Minnesota - Uniform Prior Authorization Form
Verified: Jan 28, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Jan 28, 2024New Mexico - Uniform Prior Authorization Form
Verified: Jan 28, 2024Texas - Uniform Prior Authorization Form
Verified: Jan 28, 2024Louisiana - Uniform Prior Authorization Form
Verified: Jan 28, 2024Arizona - Uniform Prior Authorization Form
Verified: Jan 28, 2024Indiana - Uniform Prior Authorization Form
Verified: Jan 28, 2024Illinois - Uniform Prior Authorization Form
Complete Letter of Medical Necessity
Annotated CMS-1500 Claim Form
Annotated CMS-1450 Claim Form
Claims Submission Checklist
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Benefits investigation

Trodelvy Access Suuport - Patient Enrollment Form
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financial assistance

Trodelvy financial assistance options

Co-pay savings program

commercial only
Enroll in Patient Savings Program
Trodelvy Access Suuport - Patient Enrollment Form
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Foundation programs

under insured
no insurance
goverment insurance
65+
Gilead Patient Assistance Program Enrollment Form
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PubMed™ | Trodelvy

Trodelvy PubMed™ News

patient education

Trodelvy 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

About Trodelvy: Metastatic Triple Negative Breast Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Receiving Trodelvy: Metastatic Triple Negative Breast Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Side Effects: Metastatic Triple Negative Breast Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure: Metastatic Triple Negative Breast Cancer - English
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure: Metastatic Triple Negative Breast Cancer - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Doctor Discussion Guide: Metastatic Triple Negative Breast Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Trodelvy Factsheet - English
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Trodelvy Fact Sheet- Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Trodelvy: Advanced Bladder Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Receiving Trodelvy: Advanced Bladder Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Side Effects: Advanced Bladder Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Resources: Advanced Bladder Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure: Advanced Bladder Cancer
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Learn More

people also ask

Trodelvy FAQs

How is the dosage of Trodelvy?Trodelvy is available in 1 dosages, including 180 mg Injection
What does Trodelvy treat?Trodelvy treats Triple Negative Breast Neoplasms
How Is Trodelvy Administered?Trodelvy is administered as a Injectable
FAQ Data Source