How do I enroll in the Dalvance connects®copay assistance program?
Dalvance Connects®Copay Assistance Program Enrollment Form for Patients Please complete the form, sign, and fax to 1-855-888-7206. For assistance, call Dalvance Connects® at 1-855-387-2824, Monday through Friday, from 8 AMto 8 PMET. Fields with an asterisk (*) are required information.
How do I request a benefit verification from Dalvance?
Call the Dalvance Connects ® program toll-free at: through Friday, excluding holidays. The Provider Portal is a secure online resource for healthcare providers’ practices or offices to use when requesting benefit verifications.
What is Dalvance connects?
It offers a quick and easy way to enroll patients and maintain insurance verification status updates accessible through the website www.DalvanceConnects.com . A convenient way for registered HCPs to enroll a patient online or check the patient’s status
What are unsecured Dalvance services?
Unsecured services available at all times without having to register will include key Forms and Resources on coverage, coding, and payment that support the access for DALVANCE (dalbavancin) for injection. *Defined as at least 85% of commercial patient claims.
How much does Dalvance cost?
This antibiotic medication is only meant to treat bacterial infections; it will not work for viral infections such as the cold or the flu. Dalvance is only available as a brand-name drug, there is no generic alternative currently available. The approximate retail price of Dalvance is usually around $5,890.99.
Is Dalvance covered by Medicare?
Do Medicare prescription drug plans cover Dalvance? No. In general, Medicare prescription drug plans (Part D) do not cover this drug.
How is Dalvance administered?
DALVANCE is administered via intravenous infusion, using a total infusion time of 30 minutes to minimize the risk of infusion-related reactions. Rapid intravenous infusions of DALVANCE can cause reactions that resemble “Red-Man Syndrome,” including flushing of the upper body, urticaria, pruritus, and/or rash.
What is Dalvance used for?
This medication is used to treat serious bacterial infections of the skin. It works by stopping the growth of bacteria.
How do I find out if my Medicare covers a procedure?
Visit Medicare.gov for more information about how Medicare covers inpatient versus outpatient hospital services. Or, call 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
How long does DALVANCE last?
Dalvance is not a substrate, inhibitor, or inducer of any cytochrome P450 enzyme. Elimination half-life of the drug is approximately 8.5 days, allowing for once-weekly dosing.
How often is DALVANCE given?
The dose of dalbavancin is 1000 mg given intravenously over 30 min followed by 500 mg one week later, or as a single dose of 1500 mg [10].
How long is DALVANCE infusion?
DALVANCE—The only. single-dose, 30-minute infusion providing a full course of therapy for ABSSSI. DALVANCE is substantially excreted by the kidney, and the risk of adverse reactions may be greater in patients with impaired renal function.
What is the J code for Dalvance?
The HCPCS code for DALVANCE (dalbavancin) is J0875, described as: “Injection, dalbavancin, 5 mg.” Thus, each 5 mg dose of dalbavancin equals one billing unit. It is important to understand that when billing for DALVANCE, each 500 mg vial of drug represents 100 units of J0875.
Does Medicare cover dalbavancin?
No. In general, Medicare prescription drug plans (Part D) do not cover this drug.
What is the cost of dalbavancin?
About Dalbavancin DALBAVANCIN is an antibiotic. It is used to treat certain kinds of bacterial infections. It will not work for colds, flu, or other viral infections. The lowest GoodRx price for the most common version of Dalvance is around $4,897.78, 18% off the average retail price of $6,039.10.
Does Dalvance cover enterococcus?
Dalbavancin possesses in vitro activity against several gram-positive pathogens, including S. aureus, Streptococcus agalactiae, Streptococcus pyogenes, Streptococcus anginosus, Enterococcus faecium, and Enterococcus faecalis, although activity against enterococci has not been observed clinically [9, 15–18].