Zepzelca

(lurbinectedin)
lurbinectedin 4 MG Injection [Zepzelca]
NO BLACK BOX WARNING

Dosage & administration

drug label

Zepzelca prescribing information

Have more Zepzelca questions?

Submit MSL Request
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Need to report a Zepzelca issue?

ONLINE FORM
Report adverse event
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samples

Request Zepzelca samples

NOT PROVIDED BY BRAND
View Online Sample Form
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prior authorization

Zepzelca Prior authorization resources

NOT PROVIDED BY BRAND
Complete Letter of Medical Necessity

NOT PROVIDED BY BRAND
Coverage Authorization Request

NOT PROVIDED BY BRAND
Coverage Authorization Appeals
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Benefits investigation

JazzCares Patient Authorization Form
JazzCares Patient Authorization Form - Online
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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information
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financial assistance

Zepzelca Financial assistance options

Co-pay savings program

commercial only
JazzCares Patient Authorization Form
JazzCares Patient Authorization Form - Online
Enroll in Patient Savings Program
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Bridge program

commercial only
Learn More

Foundation programs

under insured
no insurance
goverment insurance
65+
JazzCares Patient Authorization Form
JazzCares Patient Authorization Form - Online
Patient Assistance Program
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patient education

Zepzelca Patient education

Getting started on Zepzelca

NOT PROVIDED BY BRAND
Instructions For Use: SCLC

Patient toolkit

Patient Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Zepzelca
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Side Effects
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
View How to Take Zepzelca
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
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.