Vizimpro Prescribing & Dosing Schedule | PrescriberPoint

Last Update: Oct, 21 2024

Vizimpro(dacomitinib)

Vizimpro 15 MG Oral Tablet

NO BOXED WARNING

Dosage & Administration

Recommended Dosage: 45 mg orally once daily with or without food.

Most viewed Vizimpro resources

Enroll in Patient Savings Program

Get Your Patient on Vizimpro

See your patient's specific prior authorization requirements including coverage restrictions and step therapies

Or select your Insurance from the list below:

Vizimpro Prescribing Information

Contact Medical Science Liaison

Report Adverse Event

Request Vizimpro Samples

Online Sample Form

Vizimpro Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Sep 24, 2024Arizona - Uniform Prior Authorization Form

Verified: Sep 24, 2024Colorado - Uniform Prior Authorization Form

Verified: Sep 24, 2024Hawaii - Uniform Prior Authorization Form

Verified: Sep 24, 2024Illinois - Uniform Prior Authorization Form

Verified: Sep 24, 2024Indiana - Uniform Prior Authorization Form

Verified: Sep 24, 2024Louisiana - Uniform Prior Authorization Form

Verified: Sep 24, 2024Minnesota - Uniform Prior Authorization Form

Verified: Sep 24, 2024New Hampshire - Uniform Prior Authorization Form

Verified: Sep 24, 2024New Mexico - Uniform Prior Authorization Form

Verified: Sep 24, 2024Oregon - Uniform Prior Authorization Form

Verified: Sep 24, 2024Texas - Uniform Prior Authorization Form

Verified: Oct 05, 2024Washington - Uniform Prior Authorization Form

Verified: Oct 05, 2024Wisconsin - Uniform Prior Authorization Form

Appeals Checklist

Coverage Authorization Appeals

Formulary Exception Letter

Complete Letter of Medical Necessity

Benefits investigation

Pfizer Oncology Together Form

Pfizer Oncology Together Form - Spanish

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

Vizimpro Preferred Pharmacy

Vizimpro Financial Assistance Options

Copay savings program

Enroll in Patient Savings Program

HCP Office : Attest & Print Co-Pay Card

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

Foundation programs

Pfizer Oncology Together Form

Pfizer Oncology Together Form - Spanish

Pfizer Patient Assistance Program

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 copays) 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

Vizimpro PubMed™ News

Vizimpro 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

Pfizer Oncology Patient Access Guide

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

Pfizer Oncology Patient Access Guide - Spanish

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

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

View How to Take Vizimpro

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

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 Brochure

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

What To Expect With Vizimpro Brochure

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

Vizimpro FAQs