Besponsa Coupon & Prices

Your monthly Besponsa cost savings if eligible

If you are eligible to receive your Besponsa prescription through the patient assistance program, your medication will be free. We charge a flat monthly service fee of $49 per medication to cover the cost of our services.

Am I eligible for Besponsa patient assistance?

To be eligible for the Besponsa patient assistance program, you will need to meet specific eligibility criteria set by the pharmaceutical company. At NiceRx, we review each Besponsa enrollment application individually. The main factors considered are:

• I am a permanent, legal resident of the United States or Puerto Rico
• I am uninsured or my insurance doesn’t cover my medication
• I meet certain income eligibility requirements

How do I apply for the Besponsa patient assistance program?

Applying for the Besponsa patient assistance program through NiceRx is simple. Begin by completing the enrollment application on our website. We will ask for details about your healthcare provider, your insurance plan, and your household income. This information is required by the pharmaceutical manufacturers that supply your medication. We may be able to help you access patient assistance for other medications as well as Besponsa, so please tell us about any medications that you have been prescribed.

If we determine that you may be eligible for Besponsa assistance, we will handle the full enrollment process on your behalf. We will work with your healthcare provider to prepare and submit all the documents required for you to enroll. If you are successfully enrolled in the Besponsa patient assistance program, we will also request your Besponsa medication refills on your behalf for up to 1 year. At the end of your enrollment period, we will contact you for updated details and seek to re-enroll you in the program.

Is NiceRx a Besponsa coupons provider?

NiceRx does not provide Besponsa coupons, discount cards, or copay cards. We do not offer printable Besponsa manufacturer coupons, Besponsa discounts, rebates, Besponsa savings cards, trial offers, or free samples. We are a service provider that helps eligible individuals access patient assistance programs. Our service cost is $49 a month per medication, so you will likely save more on your Besponsa medication with NiceRx.

Can NiceRx help me get Besponsa if I have insurance?

NiceRx may be able to help you access Besponsa patient assistance if:

• You have a high copay or coinsurance responsibility for Besponsa
• Your insurance company will not pay for your Besponsa prescription
• You do not have insurance

Complete your enrollment application online to find out more.

How much does Besponsa cost without insurance?

Besponsa prices without insurance will vary by retailer. As a guide, Besponsa intravenous powder for injection of 0.9 mg will typically cost around $21,350 for a supply of 1 powder for injection.

How much does Besponsa cost with insurance?

Your individual healthcare plan will determine the copay of Besponsa with insurance. To find out what you will need to pay, contact your pharmacist or insurance provider. They will be able to calculate your copay with your current insurance.

What is Besponsa?

Besponsa is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Pfizer Inc. Besponsa is a CD22-directed monoclonal antibody-drug conjugate indicated for the treatment of adults with relapsed or refractory B-cell precursor acute lymphoblastic leukemia (ALL). B-cell precursor ALL is a type of cancer in which the bone marrow makes too many B-cell lymphocytes, an immature type of white blood cell.

Warning:

• Hepatotoxicity, including hepatic veno-occlusive disease (VOD)(Also known as sinusoidal obstruction syndrome and increased risk of post hematopoietic stem cell transplant (HSCT) non-relapse mortality. See the full prescribing information for the complete boxed warning
• Hepatotoxicity, including fatal and life-threatening VOD, occurred in patients who received Besponsa
• A higher post-HSCT non-relapse mortality rate occurred in patients receiving Besponsa
• Other risk factors for VOD in patients treated with Besponsa included ongoing or prior liver disease, prior HSCT, increased age, later salvage lines, and a greater number of treatment cycles with Besponsa

What doses of Besponsa are available?

Besponsa is available in injection form, in the following doses: 0.9 mg lyophilized powder in a single-dose vial for reconstitution and further dilution.

Pre-medicate with a corticosteroid, antipyretic, and antihistamine before all infusions. Dosing regimens for subsequent cycles will depend on the response to treatment.

Always speak with your healthcare provider about any changes to your dose so they can monitor and evaluate your condition.

Besponsa active ingredients

Besponsa contains the active ingredient inotuzumab ozogamicin.

Besponsa side effects

The most common adverse reactions of Besponsa in clinical trials include:

• Thrombocytopenia (low platelets)
• Neutropenia, febrile neutropenia, infection
• Anemia, leukopenia
• Increased transaminases, increased gamma-glutamyltransferase
• Hyperbilirubinemia
• Fatigue, hemorrhage
• Pyrexia
• Nausea, headache
• Abdominal pain

In rare instances, Besponsa can cause more serious adverse events. These can include:

• Myelosuppression – monitor complete blood counts
• Infusion-related reactions
• QT interval prolongation

Your doctor will assess the benefits of using Besponsa against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Besponsa to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Besponsa drug interactions

Besponsa can interact with other medications:

• Concomitant use with drugs known to prolong the QT interval or cause Torsades de Pointes may increase the risk of a clinically significant QTc interval prolongation. Discontinue or use alternative concomitant drugs that do not prolong QT/QTc interval

This list is not exhaustive and other prescription drugs may interact with Besponsa.

Besponsa contraindications

You should not use Besponsa if you:

• Are allergic to the active ingredient inotuzumab ozogamicin
• Are allergic to any of the other ingredients in Besponsa
• Are pregnant or are planning to become pregnant – based on its mechanism of action and findings from animal studies, Besponsa can cause Embryo-fetal toxicity. Females of reproductive potential are advised to use effective contraception
• Are breastfeeding or are planning to breastfeed – do not breastfeed while receiving treatment and for 2 months after the last dose

Talk to your doctor before using Besponsa if you:

• Are taking any of the medications that could interact with Besponsa

Besponsa generic

Besponsa is the trademark brand name for inotuzumab ozogamicin manufactured by Pfizer Inc. A generic version of inotuzumab ozogamicin is available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Besponsa savings through NiceRx.