Xolair

(omalizumab)

0.5 ML omalizumab 150 MG/ML Prefilled Syringe [Xolair]1 ML omalizumab 150 MG/ML Prefilled Syringe [Xolair]

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Dosage & administration

For subcutaneous (SC) administration only.

Divide doses of more than 150 mg among more than one injection site to limit injections to not more than 150 mg per site.

* Asthma: XOLAIR 75 to 375 mg SC every 2 or 4 weeks. Determine dose (mg) and dosing frequency by serum total IgE level (IU/mL), measured before the start of treatment, and body weight (kg). See the dose determination charts.
* Nasal Polyps: XOLAIR 75 to 600 mg SC every 2 or 4 weeks. Determine dose (mg) and dosing frequency by serum total IgE level (IU/mL), measured before the start of treatment, and body weight (kg). See the dose determination charts.
* Chronic Spontaneous Urticaria: XOLAIR 150 or 300 mg SC every 4 weeks. Dosing in CSU is not dependent on serum IgE level or body weight.

drug label

Xolair prescribing information

Contact Medical Science Liaison Report Adverse Event

samples

Request Xolair samples

Online Sample Form

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prior authorization

Xolair prior authorization resources

Most recent Xolair prior authorization forms

View By Payer

Verified: Oct 02, 2023Blue Cross Blue Shield of Michigan - FEP Xolair Prior Authorization Form (Medical Benefit)

Verified: Sep 28, 2023Cigna - Xolair Prior Authorization Form

Verified: Sep 26, 2023Blue Cross Blue Shield of Michigan - Xolair Prior Authorization Form (Medical Benefit)

Verified: Sep 21, 2023Aetna - Medicare Part B Xolair Prior Authorization Form

Verified: Sep 21, 2023Aetna - Xolair Prior Authorization Form

OTHERComplete Letter of Medical Necessity

OTHERCoverage Authorization Appeals

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Benefits investigation

PDFXolair Prescriber Service Form

PDFPatient Consent Form - English

PDFPatient Consent Form - Spanish

Prescriber Service Form - Online Portal

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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

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pharmacy

Xolair preferred pharmacy

OTHERPharmacy List

financial assistance

Xolair financial assistance options

Co-pay savings program

commercial only

PDFXolair Prescriber Service Form

PDFPatient Consent Form - English

PDFPatient Consent Form - Spanish

Prescriber Service Form - Online Portal

Enroll in Patient Savings Program

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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

OTHERBridge Program

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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+

PDFXolair Prescriber Service Form

PDFPatient Consent Form - English

PDFPatient Consent Form - Spanish

Prescriber Service Form - Online Portal

PDFGenentech Patient Assistance Foundation Application: Prescriber Form

Learn More

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

Xolair patient education

Getting started on Xolair

BRAND PAGEInstructions For Use: Allergic Asthma

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

BRAND PAGEInstructions For Use: Nasal Polyps

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

BRAND PAGEInstructions For Use: Chronic Spontaneous Urticaria

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

To share resource; ask patient to:

1.Pull out phone

2.Open camera

3.Scan QR code with camera

4.Tap link

Patient toolkit

PDFProgress Tracker: Allergic Asthma

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

PDFPatient Brochure: Allergic Asthma

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

PDFDoctor Discussion Guide: Allergic Asthma

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

PDFPatient Brochure: Chronic Spontaneous Urticaria

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

BRAND PAGEAbout Xolair: Allergic Asthma

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

VIDEOPatient Stories: Allergic Asthma

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

OTHERView How to Take Xolair: Allergic Asthma

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

BRAND PAGEAbout Xolair: Chronic Spontaneous Urticaria

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

VIDEOPatient Stories: Chronic Spontaneous Urticaria

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

OTHERView How to Take Xoliar: Chronic Spontaneous Urticaria

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

BRAND PAGEAbout Xolair: Nasal Polyps

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

Learn More

Other resources

Comprehensive Support Program

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

Learn More

Xolair FAQs

How is the dosage of Xolair?Xolair is available in 3 dosages, including 150 mg Injection, 150 mg/ml Prefilled Syringe 0.5 ml and 150 mg/ml Prefilled Syringe 1 ml

What does Xolair treat?Xolair treats Asthma

What is Xolair made of?Xolair contains omalizumab which is a Anti-IgE

How Is Xolair Administered?Xolair is administered as a Injectable

What Are The Xolair Mechanism Of Action?Xolair mechanism of action is IgE-directed Antibody Interactions

FAQ Data Source

Xolair

Dosage & administration

drug label

Xolair prescribing information

samples

Request Xolair samples

Is my patient elegible for Xolair samples?

How do I find out who my Xolair rep is?

prior authorization

Xolair prior authorization resources

Most recent Xolair prior authorization forms

Benefits investigation

Reimbursement help (FRM)

pharmacy

Xolair preferred pharmacy

financial assistance

Xolair 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

Xolair patient education

Getting started on Xolair

Patient toolkit

Other resources

people also ask

Xolair FAQs