Zynlonta

(loncastuximab tesirine)
loncastuximab tesirine-lpyl 10 MG Injection [Zynlonta]
NO BOXED WARNING

Dosage & administration

drug label

Zynlonta prescribing information

prior authorization

Zynlonta prior authorization resources

Most recent Zynlonta prior authorization forms

View By Payer
Verified: Feb 07, 2024Kaiser Foundation Health Plan - Chronic High-Dose Opioid Therapy Prior Authorization Form Washington
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Medicare Prescription Drug Medication Request Form
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Short Acting Opioid Prior Authorization Form
Verified: Feb 01, 2024Highmark BCBS Western NY - Specialty Drug Prior Authorization Form
Verified: Feb 01, 2024Highmark BCBS Western NY - Non-Formulary Drug Coverage Prior Authorization Form

Most recent state uniform prior authorization forms

Verified: Feb 27, 2024Arizona - Uniform Prior Authorization Form
Verified: Feb 27, 2024Colorado - Uniform Prior Authorization Form
Verified: Feb 27, 2024Hawaii - Uniform Prior Authorization Form
Verified: Feb 27, 2024Illinois - Uniform Prior Authorization Form
Verified: Feb 27, 2024Indiana - Uniform Prior Authorization Form
Verified: Feb 27, 2024Louisiana - Uniform Prior Authorization Form
Verified: Feb 27, 2024Michigan - Uniform Prior Authorization Form
Verified: Feb 27, 2024Minnesota - Uniform Prior Authorization Form
Verified: Feb 27, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Feb 27, 2024New Mexico - Uniform Prior Authorization Form
Verified: Feb 27, 2024Oregon - Uniform Prior Authorization Form
Verified: Feb 27, 2024Texas - Uniform Prior Authorization Form
Complete Letter of Medical Necessity
Coverage Authorization Appeals
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Benefits investigation

Zynlonta Patient Enrollment Form
Zynlonta Patient Enrollment Form - Online
Patient Authorization
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pharmacy

Zynlonta preferred pharmacy

Pharmacy List

financial assistance

Zynlonta financial assistance options

Co-pay savings program

commercial only
Zynlonta Patient Enrollment Form
Zynlonta Patient Enrollment Form - Online
Patient Authorization
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Foundation programs

under insured
no insurance
goverment insurance
65+
Zynlonta Patient Enrollment Form
Zynlonta Patient Enrollment Form - Online
Enroll in Patient Savings Program
Patient Assistance Program
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PubMed™ | Zynlonta

Zynlonta PubMed™ News

patient education

Zynlonta 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

Patient Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Zynlonta
ASK PATIENT TO:
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Scan QR Code & Tap Link
Receiving Zynlonta
ASK PATIENT TO:
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Scan QR Code & Tap Link
Side Effects
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
Doctor Discussion Guide
ASK PATIENT TO:
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Scan QR Code & Tap Link
Caregiver Resources
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
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people also ask

Zynlonta FAQs

How is the dosage of Zynlonta?Zynlonta is available in 1 dosages, including 10 mg Injection
What does Zynlonta treat?Zynlonta treats Diffuse Large B-Cell Lymphoma
How Is Zynlonta Administered?Zynlonta is administered as a Injectable
FAQ Data Source