Dosage & AdministrationDrug labelPrior authorizationPharmacyFinancial assistance
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Vimizim

(elosulfase alfa)
Vimizim 5 MG in 5 ML Injection
BLACK BOX WARNING

Dosage & administration

2 mg per kg body weight administered once every week as an intravenous infusion over a minimum of 3.5 to 4.5 hours, based on infusion volume .

drug label

Vimizim prescribing information

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prior authorization

Vimizim prior authorization resources

Most recent Vimizim prior authorization forms

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Updated: Jun 04, 2023Blue Cross Blue Shield of Michigan - FEP Vimizim Prior Authorization Form (Medical Benefit)
Updated: May 31, 2023Cigna - Vimizim Prior Authorization Form
Updated: May 29, 2023Blue Cross Blue Shield of Michigan - ERT Prior Authorization Form (Medical Benefit)
Updated: May 24, 2023Aetna - Medicare Part B Vimizim Prior Authorization Form
Updated: May 24, 2023Aetna - Vimizim Prior Authorization Form

PDFComplete Letter of Medical Necessity

PDFCoverage Authorization Appeals

PDFCoverage Authorization Guide
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Benefits investigation

BioMarin RareConnections Enrollment Form

PDFBioMarin RareConnections Patient Consent Form: To be used along with BioMarin RareConnections
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Reimbursement help (FRM)

OTHERReceive Assistance from an FRM Regarding Reimbursement Information
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pharmacy

Vimizim preferred pharmacy

PDFPharmacy List

patient education

Vimizim patient education

Getting started on Vimizim

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Patient toolkit

PDFAbout Vimizim
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BRAND PAGESide Effects
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OTHERReceiving Vimizim
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OTHERPatient Resources
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VIDEOPatient Stories
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PDFPatient Brochure
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PDFPatient Brochure - Spanish
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PDFInternational Travel Guide
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PDFInternation Travel Guide - Spanish
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Other resources

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people also ask

Vimizim FAQs

How is the dosage of Vimizim?Vimizim is available in 1 dosages, including 1 mg/ml Injection 5 ml
What does Vimizim treat?Vimizim treats Mucopolysaccharidosis IV
What is Vimizim made of?Vimizim contains elosulfase alfa which is a Hydrolytic Lysosomal Glycosaminoglycan-specific Enzyme
How Is Vimizim Administered?Vimizim is administered as a Injectable
FAQ Data Source