Zolgensma

(onasemnogene abeparvovec)

5.5 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]8.3 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]

BLACK BOX WARNING

Dosage & administration

ZOLGENSMA is for single-dose intravenous infusion only .

* The recommended dosage of ZOLGENSMA is 1.1 × 1014 vector genomes (vg) per kg of body weight.
* Administer ZOLGENSMA as an intravenous infusion over 60 minutes.
* Postpone ZOLGENSMA in patients with infections until the infection has resolved and the patient is clinically stable. Clinical signs or symptoms of infection should not be evident at the time of ZOLGENSMA infusion.
* Starting one day prior to ZOLGENSMA infusion, administer systemic corticosteroids equivalent to oral prednisolone at 1 mg/kg of body weight per day for a total of 30 days.
* At the end of the 30-day period of systemic corticosteroid treatment, check liver function by clinical examination and by laboratory testing. For patients with unremarkable findings, taper the corticosteroid dose gradually over the next 28 days. If liver function abnormalities persist, continue systemic corticosteroids (equivalent to oral prednisolone at 1 mg/kg/day) until findings become unremarkable, and then taper the corticosteroid dose gradually over the next 28 days or longer if needed. Do not stop systemic corticosteroids abruptly.
* If liver function abnormalities continue to persist ≥ 2 × ULN after the 30-day period of systemic corticosteroids, promptly consult a pediatric gastroenterologist or hepatologist.

drug label

Zolgensma prescribing information

Contact Medical Science Liaison Report Adverse Event

prior authorization

Zolgensma prior authorization resources

Most recent Zolgensma prior authorization forms

View By Payer

Updated: Jun 04, 2023Blue Cross Blue Shield of Michigan - FEP Zolgensma Prior Authorization Form (Medical Benefit)

Updated: May 31, 2023Cigna - Zolgensma Prior Authorization Form

Updated: May 29, 2023Blue Cross Blue Shield of Michigan - Zolgensma Prior Authorization Form (Medical Benefit)

Updated: May 24, 2023Aetna - Medicare Part B Zolgensma Prior Authorization Form

Updated: May 24, 2023Aetna - Zolgensma Prior Authorization Form

Learn More

Benefits investigation

PDFZolgensma Prescription and Patient Consent Form

Learn More

pharmacy

Zolgensma preferred pharmacy

PDFPharmacy List

patient education

Zolgensma patient education

Getting started on Zolgensma

To share resource; ask patient to:

1.Pull out phone

2.Open camera

3.Scan QR code with camera

4.Tap link