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Palforzia

Palforzia Dosage

Sarah Lobello Pearson, PharmDCydnee Ng, PharmD
Reviewed by Sarah Lobello Pearson, PharmD, Cydnee Ng, PharmD
Last reviewed on August 21, 2025

The average cost for 1 dose pack of Level 4 of 20mg of Palforzia is $620.42 with a free GoodRx coupon. This is 19.19% off the average retail price of $767.71.

dose packDose pack

Dosage

Quantity

Price as low as

Price per unit

Initial Dose Escalation

1 dose pack

$47.66

$47.66

Level 1 of 3mg

1 dose pack

$620.42

$620.42

Level 2 of 6mg

1 dose pack

$620.42

$620.42

Level 3 of 12mg

1 dose pack

$620.42

$620.42

Level 4 of 20mg

1 dose pack

$620.42

$620.42

Level 5 of 40mg

1 dose pack

$620.42

$620.42

Level 6 of 80mg

1 dose pack

$620.42

$620.42

Level 7 of 120mg

1 dose pack

$620.42

$620.42

Level 8 of 160mg

1 dose pack

$620.42

$620.42

Level 9 of 200mg

1 dose pack

$620.42

$620.42

Level 10 of 240mg

1 dose pack

$620.42

$620.42

Level 11 of 300mg

1 dose pack

$620.42

$620.42

Level 11 Maintenance of 300mg

1 dose pack

$1,234.60

$1,234.60

Typical dosage for Palforzia

Palforzia treatment has three phases: Initial Dosing, Up-Dosing, and Maintenance. Initial Dosing and Up-Dosing takes about 6 months. Then, your child takes a stable maintenance dose.

Below is a general overview of the three phases of treatment. You can find more information about the dosing schedule in the treatment handbook.

1. Initial Dosing

  • Your child will take the Initial Dosing at the medical center. This is so the medical staff can be there to help right away if a serious allergic reaction happens.
  • Typically, your child will start with a 0.5 mg dose and take gradually higher doses during one office visit. For kids ages 1 to 3, they'll go up to 3 mg. For kids between 4 and 17, they'll go up to 6 mg.
  • The care team will need to watch your child for 20 to 30 minutes between each dose to see how they react.

2. Up-Dosing

  • It's best to start Up-Dosing the day after Initial Dosing. But you can start Up-Dosing later, as long as it's within 4 days of Initial Dosing.
  • For kids ages 1 to 3 years: Usually, they'll start with 1 mg and gradually go up to 300 mg over the course of 6 months.
  • For kids ages 4 to 17 years: Usually, they'll start with 3 mg and gradually go up to 300 mg over the course of 6 months.
  • Each Up-Dosing level takes 2 weeks. Your child will take the first dose of each new Up-Dosing level at the medical office. The care team will keep an eye on your child for at least 1 hour to see how they react. If your child does okay, the rest of the doses at the same Up-Dosing level can be taken at home. Take the medication once a day in the evening for 2 weeks. Then, come back to the office to start the next highest dose.

3. Maintenance Dosing

  • Start maintenance dosing once your child is done with the Up-Dosing phase.
  • The typical maintenance dose is 300 mg once a day at home.
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