What is the dosage of Vistogard?

Vistogard is available in 1 dosages, including 10 g Granules

What is Vistogard made of?

Vistogard contains uridine triacetate which is a undefined

How is Vistogard administered?

Vistogard is administered as a Oral Granules

What is Vistogard mechanism of action?

Vistogard mechanism of action is

Dosage & Administration Drug label Samples Prior authorization Financial assistance

Patient education

Vistogard

(uridine triacetate)

uridine triacetate 10000 MG Oral Granules [Vistogard]

NO BLACK BOX WARNING

Dosage & administration

Recommended Dosage

* Adults: 10 grams (1 packet) orally every 6 hours for 20 doses, without regard to meals.
* Pediatric: 6.2 grams/m2 of body surface area (not to exceed 10 grams per dose) orally every 6 hours for 20 doses, without regard to meals. See the full prescribing information for body surface area-based dosing.

Preparation and Administration

* Pediatric: Measure the dose using either a scale accurate to at least 0.1 gram, or a graduated teaspoon accurate to ¼ teaspoon.
* Mix each VISTOGARD dose with 3 to 4 ounces of soft foods such as applesauce, pudding or yogurt and ingest within 30 minutes of mixing. Do not chew the VISTOGARD granules. Drink at least 4 ounces of water.
* If a patient vomits within 2 hours of taking a dose of VISTOGARD, initiate another complete dose as soon as possible after the vomiting episode. Administer the next dose at the regularly scheduled time.
* If a patient misses a dose at the scheduled time, administer that dose of VISTOGARD as soon as possible. Administer the next dose at the regularly scheduled time.
* Administer VISTOGARD via a nasogastric tube (NG tube) or gastrostomy tube (G-Tube) when necessary (e.g., severe mucositis or coma).

drug label

Vistogard prescribing information

Have more Vistogard questions?

Submit MSL Request

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Need to report a Vistogard issue?

ONLINE FORMReport adverse event

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samples

Request Vistogard samples

NOT PROVIDED BY BRANDView Online Sample Form

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prior authorization

Vistogard Prior authorization resources

NOT PROVIDED BY BRANDComplete Letter of Medical Necessity

NOT PROVIDED BY BRANDCoverage Authorization Request

NOT PROVIDED BY BRANDCoverage Authorization Appeals

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Benefits investigation

Vistogard Prescription Referral Form

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Reimbursement help (FRM)

NOT PROVIDED BY BRANDReimbursement help (FRM) resources

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financial assistance

Vistogard Financial assistance options

Co-pay savings program

commercial only

Enroll in Patient Savings Program

Vistogard Prescription Referral Form

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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+

Patient Assistance Program

Vistogard Prescription Referral Form

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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

Vistogard Patient education

Getting started on Vistogard

NOT PROVIDED BY BRANDInstructions For Use: 5-FU Toxicity

Patient toolkit

About Vistogard

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Vistogard Patient Poster

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Learn More

Can't find what you're looking for?

Our trained staff can help you:

Please note:

Access to a Field Reimbursement Manager (FRM) or Medical Science Liaison (MSL) varies by brand and may require talking with your rep first.
Samples are provided at the discretion of the brand.
We are unable to collect Protected Health Information (PHI), fill out forms, or submit them on your behalf.

Vistogard

Dosage & administration

drug label

Vistogard prescribing information

Have more Vistogard questions?

Need to report a Vistogard issue?

samples

Request Vistogard samples

Is my patient elegible for Vistogard samples?

How do I find out who my Vistogard rep is?

prior authorization

Vistogard Prior authorization resources

Benefits investigation

Reimbursement help (FRM)

financial assistance

Vistogard Financial assistance options

Co-pay savings program

Overview

Patient benefit

Patient eligibility

How to sign up

Bridge program

Overview

Patient benefit

Patient eligibility

How to sign up

Foundation programs

Overview

Patient benefit

Patient eligibility

How to sign up

patient education

Vistogard Patient education

Getting started on Vistogard

Patient toolkit

Can't find what you're looking for?