Zynlonta

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

Dosage & administration

biomarker testing

Zynlonta clinical details

Genetic testing requirements were obtained from the NCCN guidelines for each cancer type.

drug label

Zynlonta prescribing information

prior authorization

Zynlonta prior authorization resources

Most recent Zynlonta prior authorization forms

View By Payer
Updated: May 31, 2023Cigna - Zynlonta Prior Authorization Form
Updated: May 24, 2023Aetna - Medicare Part B Zynlonta Prior Authorization Form
Updated: May 24, 2023Aetna - Zynlonta Prior Authorization Form

OTHER
Complete Letter of Medical Necessity

OTHER
Coverage Authorization Appeals
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Benefits investigation

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

Zynlonta preferred pharmacy

PDF
Pharmacy List

financial assistance

Zynlonta financial assistance options

Co-pay savings program

commercial only

PDF
Zynlonta Patient Enrollment Form
Zynlonta Patient Enrollment Form - Online
Patient Authorization
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Foundation programs

under insured
no insurance
goverment insurance
65+

PDF
Zynlonta Patient Enrollment Form
Zynlonta Patient Enrollment Form - Online

OTHER
Enroll in Patient Savings Program

OTHER
Patient Assistance Program
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patient education

Zynlonta patient education

Getting started on Zynlonta

To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

Patient toolkit

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

BRAND PAGE
About Zynlonta
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

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

BRAND PAGE
Side Effects
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

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

OTHER
Doctor Discussion Guide
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Caregiver Resources
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
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Other resources

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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