What is the dosage of Pomalyst?

Pomalyst is available in 4 dosages, including 3 mg Cap, 4 mg Cap, 1 mg Cap and 2 mg Cap

What does Pomalyst treat?

Pomalyst treats Multiple Myeloma

What is Pomalyst made of?

Pomalyst contains pomalidomide which is a Thalidomide Analog

How is Pomalyst administered?

Pomalyst is administered as a Oral Pill

Last Update: Oct, 06 2024

Pomalyst(pomalidomide)

Pomalyst 1 MG Oral Capsule

BOXED WARNING

Dosage & Administration

* MM: 4 mg per day taken orally on Days 1 through 21 of repeated 28-day cycles until disease progression . Refer to section 14.1 for dexamethasone dosing
* KS: 5 mg per day taken orally on Days 1 through 21 of repeated 28-day cycles until disease progression or unacceptable toxicity .
* Modify the dosage for certain patients with renal impairment or hepatic impairment

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Pomalyst Prescribing Information

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Pomalyst Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Sep 24, 2024Arizona - Uniform Prior Authorization Form

Verified: Sep 24, 2024Colorado - Uniform Prior Authorization Form

Verified: Sep 24, 2024Hawaii - Uniform Prior Authorization Form

Verified: Sep 24, 2024Illinois - Uniform Prior Authorization Form

Verified: Sep 24, 2024Indiana - Uniform Prior Authorization Form

Verified: Sep 24, 2024Louisiana - Uniform Prior Authorization Form

Verified: Sep 24, 2024Minnesota - Uniform Prior Authorization Form

Verified: Sep 24, 2024New Hampshire - Uniform Prior Authorization Form

Verified: Sep 24, 2024New Mexico - Uniform Prior Authorization Form

Verified: Sep 24, 2024Oregon - Uniform Prior Authorization Form

Verified: Sep 24, 2024Texas - Uniform Prior Authorization Form

Verified: Oct 05, 2024Washington - Uniform Prior Authorization Form

Verified: Oct 05, 2024Wisconsin - Uniform Prior Authorization Form

Commercial Claim Denial Appeal/Redetermination Letter

Coverage Authorization Appeals

Complete Letter of Medical Necessity

Medically Unlikely Edit (MUE) Appeal Letter

Benefits investigation

Pomalyst Enrollment Form

Pomalyst Enrollment Form - Spanish

Reimbursement help (FRM)

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Pomalyst Preferred Pharmacy

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Financial Assistance

Financial Assistance Programs

Pomalyst retails for $1,151 per dose without insurance or financial assistance.Depending on your patient's insurance situation and other eligibility criteria, they may be able to get Pomalyst for significantly less. Review the program information below to determine what program can offer your patient the most benefits.

Copay Card Program$0 Copay

Available for

commercial

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