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Actemra fax form FINALv2 doc Requirements, Implications and Practical Concerns

Actemra fax form FINALv2 doc Requirements, Implications and Practical Concerns 2025

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The document is a prior review and certification faxback form for prescribing Tocilizumab (Actemra), specifically for patients with moderate to severely active rheumatoid arthritis or active polyarticular juvenile idiopathic arthritis. It requires detailed patient and prescriber information, answers to specific medical questions regarding the patient's condition and previous treatments, and certification of the accuracy of the provided information. The form also includes instructions for submitting requests for dosage overrides and emphasizes the need for prior authorization.

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What to avoid when taking ACTEMRA?

What may interact with this medication? biologic medicines such as abatacept, adalimumab, anakinra, certolizumab, etanercept, golimumab, infliximab, rituximab, secukinumab, ustekinumab. birth control pills. certain medicines for cholesterol like atorvastatin, lovastatin, and simvastatin. cyclosporine. omeprazole.

What is the protocol for ACTEMRA?

Recommended Intravenous (IV) Dosage Regimen: The recommended dosage of ACTEMRA for adult patients given as a 60-minute single intravenous drip infusion is 4 mg per kg every 4 weeks followed by an increase to 8 mg per kg every 4 weeks based on clinical response.

Does ACTEMRA make you gain weight?

Some people may have weight gain during Actemra treatment. In clinical studies, less than 2% of people taking Actemra for rheumatoid arthritis (RA) had weight gain.

How do you feel after an ACTEMRA infusion?

You may have itching or a rash after receiving Actemra as an injection or infusion. But you may also have different side effects with either the injection or infusion. For example, with Actemra injections under the skin, you may have certain reactions in the area where the drug is injected.

How much does the ACTEMRA injection cost?

The cost for Actemra (20 mg/mL) intravenous solution is around $564 for a supply of 4 milliliters, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans.

What is the treatment protocol for tocilizumab?

Tocilizumab is administered intravenously (IV) or subcutaneously (SQ). 30 kg: 8 mg/kg IV, maximum 800 mg/dose; may be used as monotherapy or in combination with a glucocorticoid. If no clinical improvement occurs after the first dose, 3 additional doses may be administered in at least 8-hour intervals.

How long should you be on ACTEMRA?

It depends on the condition youre using Actemra to treat. For CRS, you may only need one dose. For the other conditions Actemra is used to treat, your doctor may recommend that you take it long term if the drug is working for you.

Actemra fax form FINALv2 doc Requirements, Implications and Practical Concerns 2025

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