
The Dalvance Connects Copay Assistance Program may assist eligible patients with their out of pocket costs for DALVANCE up to $2,000 per calendar year when administered in a practice-based or freestanding infusion center, hospital outpatient department, or home infusion service.* Register > Reimbursement Learn about the reimbursement program.
Full Answer
What is the Dalvance copay assistance program?
The Dalvance Connects Copay Assistance Program may assist eligible patients with their out of pocket costs for DALVANCE up to $2,000 per calendar year when administered in a practice-based or freestanding infusion center, hospital outpatient department, or home infusion service.* Learn about the reimbursement program.
How do I sign up for the Dalvance Connects program?
Dalvance Connects® is a registered service mark of Allergan Pharmaceuticals International Limited, an AbbVie company. © 2021 AbbVie. All rights reserved. Page 1 of 2 DAV146075 04/21 Dalvance Connects®Copay Assistance Program Enrollment Form for Patients Please complete the form, sign, and fax to 1-855-888-7206.
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?
Dalvance (dalbavancin) is a member of the glycopeptide antibiotics drug class and is commonly used for Skin and Structure Infection. This Dalvance price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.

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.
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 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.
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.
Does Medicare pay for dressings?
Medicare covers wound care supplies or surgical dressings when they are medically necessary. Medicare will pay for 80 percent of the cost after you meet your deductible. You will also pay a copayment if you receive treatment in a hospital outpatient setting.
How long does it take DALVANCE to work?
The medicine must be injected slowly, so your IV tube will need to stay in place for 30 minutes. To help clear up your infection completely, dalbavancin must be given for the full time of treatment, even if you begin to feel better after a few days.
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 kind of drug is DALVANCE?
Dalvance is a prescription medicine used to treat the symptoms of Acute Bacterial Skin Structure Infections such as MRSA. Dalvance may be used alone or with other medications. Dalvance belongs to a class of drugs called Glycopeptides. It is not known if Dalvance is safe and effective in children.
Is DALVANCE an antibiotic?
Dalvance is an injectable intravenous (IV) antibiotic that is used to treat severe bacterial skin infections. It works by stopping the growth of bacteria.
Is DALVANCE refrigerated?
Once diluted into an intravenous bag or bottle as described above, DALVANCE may be stored either refrigerated at 2 to 8 °C (36 to 46 °F) or at a controlled room temperature of 20 to 25 °C (68 to 77 °F). Do not freeze. The total time from reconstitution to dilution to administration should not exceed 48 hours.
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].
What is Dalvance used for?
Dalvance (dalbavancin) is a member of the glycopeptide antibiotics drug class and is commonly used for Skin and Structure Infection.
How much does a free drug card save?
The free Drugs.com Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions.
Is Dalvance a generic drug?
Dalvance is available as a brand name drug only, a generic version is not yet available. For more information, read about generic Dalvance availability . This Dalvance price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.
Why is dalance used?
To reduce the development of drug-resistant bacteria and maintain the effectiveness of DALVANCE and other antibacterial agents, DALVANCE should be used only to treat infections that are proven or strongly suspected to be caused by susceptible bacteria.
What is the Alpha drug site?
The Site performs certain services exclusively for those providers who use the Alpha drug, by serving to electronically verify insurance eligibility status of the Alpha drug with payers. The Site does not route or store any information related to other non-Alpha drug related insurance eligibility or other services beyond what is needed to extract the Alpha drug-related information from data submitted by the provider and to perform the services offered through the Site.
Can you use dalance while pregnant?
Use in Specific Populations. There have been no adequate and well-controlled studies with DALVANCE in pregnant or nursing women. DALVANCE should only be. used if the potential benefit justifies the potential risk in these populations.
Can dalvein cause rash?
If an allergic reaction occurs, treatment with DALVANCE should be discontinued. Rapid intravenous infusion of DALVANCE can cause reactions, including flushing of the upper body, urticaria, pruritus, rash, and/or back pain. ALT elevations with DALVANCE treatment were reported in clinical trials.
Can DALVANCE be administered without hemodialysis?
DALVANCE can be administered without regard to the timing of hemodialysis. Caution should be exercised when prescribing DALVANCE to patients with moderate or severe hepatic impairment (Child-Pugh Class B. or C) as no data are available to determine the appropriate dosing in these patients.
