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  • Siliq Enrollment Form

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SHIPPING INFORMATION FOR SILIQ (Not required if same as Patient Information). Prescription Information and Enrollment Form. Complete and fax this form to .

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Siliq generic or biosimilar Siliq is available only as a brand-name medication. It contains the active drug brodalumab. Siliq isn't available in a biosimilar form. A biosimilar is a medication that's similar to a brand-name drug.

Siliq's active ingredient (brodalumab) binds to a protein that causes inflammation and inhibits the inflammatory response that plays a vital role in plaque psoriasis development. "Patients and their healthcare providers should discuss the benefits and risks of Siliq before considering treatment."

The recommended SILIQ dose is 210 mg administered by subcutaneous injection at Weeks 0, 1, and 2 followed by 210 mg every 2 weeks. If an adequate response has not been achieved after 12 to 16 weeks of treatment with SILIQ, consider discontinuing therapy.

Generic Name: risankizumab-rzaa This medication is used to treat plaque psoriasis and psoriatic arthritis.

Brodalumab, sold under the brand name Siliq in the US and Kyntheum in the EU, is a human monoclonal antibody designed for the treatment of inflammatory diseases.

The cost for Siliq subcutaneous solution (210 mg/1.5 mL) is around $5,011 for a supply of 3 milliliters, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans.

Watch a video on how SILIQ works. How long does it take for SILIQ to work? In medical studies, most patients (87%) saw half or more of their plaque psoriasis go away in the first month of treatment. Some patients (10%) became totally clear in the first month.

2.3 Important Administration Instructions SILIQ is intended for use under the guidance and supervision of a healthcare professional. Patients may self-inject SILIQ when deemed appropriate by a healthcare professional and after proper training in subcutaneous injection technique using the prefilled syringe.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232