Eloctate (efmoroctocog alfa) Cycle Order Form

Use this form to place an order for your patient to receive Eloctate at home. Part of the Sanofi Home Delivery Program.

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On-demand treatment of Haemophilia A with Eloctate (efmoroctocog alfa)

On-demand treamtment of haemophilia A with ELOCTATE

A guide on switching an on-demand haemophilia A patient to Eloctate, including dosing information on treatment of bleeds and peri-operative use.

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Prophylaxis treatment of haemophilia A with ELOCTATE

A guide on switching a Haemophilia A patient on SHL prophylaxis to Eloctate.

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Why choose ELOCTATE

Find out how ELOCTATE can help your Haemophilia A patients. To learn more, contact your local Haemophilia account executive.

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PBS Information:

This product is not listed on the PBS. Please refer to the National Blood Authority for details.

Please review the full Product Information for Eloctate before prescribing.

Full Product Information can be accessed here

MAT-AU-2102892. Date of preparation August 2022

Eloctate (efmoroctocog alfa) Cycle Order Form

On-demand treamtment of haemophilia A with ELOCTATE

Prophylaxis treatment of haemophilia A with ELOCTATE

Why choose ELOCTATE

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