Prescribing LONHALA® MAGNAIR® (glycopyrrolate)

Prescribing LONHALA MAGNAIR

Sunovion Answers (SA) Plus will process prescriptions for LONHALA MAGNAIR

You will fill out the enrollment form below to write the prescriptions for the Starter Kit and Refill Kit.

Sunovion Answers (SA) Plus registration step 1 - Complete relevant information on the SA Plus for LONHALA® MAGNAIR® Enrollment Form and fax to 1-833-664-7126; step 2 - SA Plus for LONHALA® MAGNAIR® performs the benefits investigation and assists with the prior authorization process (if necessary); step 3 - SA Plus for LONHALA® MAGNAIR® sends your patient's prescription to a participating pharmacy for fill and provides them with device training and refill reminder calls

Sunovion Answers (SA) Plus registration step 1 - Complete relevant information on the SA Plus for LONHALA® MAGNAIR® Enrollment Form and fax to 1-833-664-7126; step 2 - SA Plus for LONHALA® MAGNAIR® performs the benefits investigation and assists with the prior authorization process (if necessary); step 3 - SA Plus for LONHALA® MAGNAIR® sends your patient's prescription to a participating pharmacy for fill and provides them with device training and refill reminder calls

Learn more about the services offered by SA Plus for LONHALA MAGNAIR


Learn more about the services offered by SA Plus for LONHALA MAGNAIR


LONHALA® MAGNAIR® fax icon

Download the form and print before faxing

Download the form and print before faxing

Enrollment form for newly prescribed patients

Enrollment form for newly prescribed patients

Download Now  

 

Enrollment form for currently prescribed patients

Enrollment form for currently prescribed patients

Download Now  

 

Mandatory fields are Patient Information, Patient Authorization, Prescriber Information, Prescription, and Prescriber Authorization.

For enrollment of new patients into SA Plus for LONHALA MGANIR through an Electronic Health Record (EHR), choose TC Script, LLC in your EHR prescription system.  If TC Script, LLC is not a provided option, it can be added using the following codes and/or contact information:

  • NCPDP: 0362501
  • NPI: 1104391770
  • Phone: (855) 584-6189
  • Fax: (855) 578-1691
  • Mailing Address: 17255 N 82nd Street, Ste 130 Scottsdale, AZ 85255

Fax the enrollment form to 1-833-664-7126


How to prescribe LONHALA MAGNAIR

Prescribing in Long-Term Care Facilities

For COPD patients in LTC facilities, you will not process prescriptions through SA Plus for LONHALA MAGNAIR. You will still need to write two separate prescriptions when prescribing LONHALA MAGNAIR (one for the Starter Kit and one for the Refill Kit).

Prescription for LONHALA® MAGNAIR® starter kit

Prescription for LONHALA® MAGNAIR® refill kit

  • At follow-up visits, write a prescription for the Refill Kit only

The Starter Kit contains everything your patient needs to get started with LONHALA MAGNAIR

PACKAGE CONFIGURATION1
NDC1

Starter Kit with complete MAGNAIR® Nebulizer System, 30-day supply (30 foil pouches with 2 vials per pouch), and FDA-approved patient labeling:

NDC: 63402-201-00

Dosage strength: 25 mcg

MAGNAIR Nebulizer System (assembly required)
30-day supply of LONHALA (60 vials)
Instructional video

Refill Kit with MAGNAIR Replacement Handset, 30-day supply (30 foil pouches with 2 vials per pouch), and FDA-approved patient labeling:

NDC: 63402-301-01

Dosage strength: 25 mcg

MAGNAIR Replacement Handset (assembly required)
30-day supply of LONHALA (60 vials)

Administration of one 25 mcg unit-dose LONHALA vial with MAGNAIR takes 2-3 minutes, twice daily, with proper assembly and cleaning1

Patients should discard the old handset parts and use only the Replacement Handset parts with the LONHALA refill vials.

LONHALA MAGNAIR is supplied as 1 mL of sterile solution in a unit-dose LONHALA vial. 

  • Instruct patients that LONHALA vials should only be administered via MAGNAIR, and MAGNAIR should not be used for administering other medications
  • Patients should not inject or swallow the LONHALA solution

LONHALA MAGNAIR is covered under Medicare Part D*


Find LONHALA MAGNAIR coverage information for your area  

*No guarantee of coverage.

Reference:
1. LONHALA MAGNAIR (glycopyrrolate) Inhalation Solution [prescribing information]. Marlborough, MA: Sunovion Pharmaceuticals Inc.

Important Safety Information & Indication

Important Safety Information
 

LONHALA MAGNAIR is contraindicated in patients with a hypersensitivity to glycopyrrolate or to any of the ingredients.

LONHALA MAGNAIR should not be initiated in patients with acutely deteriorating or potentially life-threatening episodes of COPD or used as rescue therapy for acute episodes of bronchospasm. Acute symptoms should be treated with an inhaled short-acting beta2-agonist.

As with other inhaled medicines, LONHALA MAGNAIR can produce paradoxical bronchospasm that may be life-threatening. If paradoxical bronchospasm occurs following dosing with LONHALA MAGNAIR, it should be treated immediately with an inhaled, short-acting bronchodilator; LONHALA MAGNAIR should be discontinued immediately and alternative therapy instituted.

Immediate hypersensitivity reactions have been reported with LONHALA MAGNAIR. If signs occur, discontinue LONHALA MAGNAIR immediately and institute alternative therapy.

LONHALA MAGNAIR should be used with caution in patients with narrow-angle glaucoma and in patients with urinary retention. Prescribers and patients should be alert for signs and symptoms of acute narrow-angle glaucoma (e.g., eye pain or discomfort, blurred vision, visual halos or colored images in association with red eyes from conjunctival congestion and corneal edema) and of urinary retention (e.g., difficulty passing urine, painful urination), especially in patients with prostatic hyperplasia or bladder-neck obstruction. Patients should be instructed to consult a physician immediately should any of these signs or symptoms develop.

The most common adverse events reported in ≥2% of patients taking LONHALA MAGNAIR, and occurring more frequently than in patients taking placebo, were dyspnea (4.9% vs 3.0%) and urinary tract infection (2.1% vs 1.4%).

LONHALA solution is for oral inhalation only and should not be injected or swallowed. LONHALA vials should only be administered with MAGNAIR.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

For additional information, please see full Prescribing Information and Patient Information for LONHALA MAGNAIR at www.sunovionprofile.com/lonhala-magnair.

Indication
 

LONHALA® MAGNAIR® (glycopyrrolate) is an anticholinergic indicated for the long-term maintenance treatment of airflow obstruction in patients with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and/or emphysema.