Benlysta

Benlysta (belimumab) [Glaxo Smith Kline]

  • Systemic Lupus Erythematosus (IV)
    • 10 mg/kg at 2-week intervals for the first 3 doses and at 4-week intervals thereafter
  • Systemic Lupus Erythematosus (SC)
    • 200 mg prefilled autoinjector
    • If switching from IV to SC, administer first SC dose 1-4 weeks after last IV dose
  • No ancillary tests needed

Instructions

      1. Please open authorization forms at left. Fill out the forms on your computer, save and print.
      2. Open Physician Orders for the office of your choice (at left). Save to your computer, print and fill out.
      3. Fax the completed, signed forms and a copy of the patient’s insurance card to: Pacific Infusion Center (310) 297-9222.
      4. After the patient’s infusion appointment, one of our nurses will fax a copy of the infusion notes to your office.