Uplizna

(inebilizumab-cdon)
UPLIZNA 3 Vial KitUPLIZNA 100 MG in10 ML Injection
NO BOXED WARNING

Dosage & administration


drug label

Uplizna prescribing information

prior authorization

Uplizna prior authorization resources

Most recent Uplizna 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
Complete Letter of Medical Necessity
Coverage Authorization Appeals
PA Considerations
PA Checklist
Appeals Checklist
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Benefits investigation

Uplinza Patient Enrollment Form
Uplinza Patient Enrollment Form - Online
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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information
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pharmacy

Uplizna preferred pharmacy

Pharmacy List

financial assistance

Uplizna financial assistance options

Co-pay savings program

commercial only
Uplinza Patient Enrollment Form
Uplinza Patient Enrollment Form - Online
Enroll in Patient Savings Program
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Bridge program

commercial only
Uplinza Patient Enrollment Form
Uplinza Patient Enrollment Form - Online
Starter Bridge Program
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PubMed™ | Uplizna

Uplizna PubMed™ News

patient education

Uplizna 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 Uplinza
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Receiving Uplinza
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
Patient Stories
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure
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
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people also ask

Uplizna FAQs

How is the dosage of Uplizna?Uplizna is available in 2 dosages, including 10 mg/ml Injection 10 ml and mixed Pack
What does Uplizna treat?Uplizna treats Neuromyelitis Optica
What is Uplizna made of?Uplizna contains inebilizumab which is a CD19-directed Cytolytic Antibody
How Is Uplizna Administered?Uplizna is administered as a Injectable or Pack
What Are The Uplizna Mechanism Of Action?Uplizna mechanism of action is CD19-directed Antibody Interactions
FAQ Data Source