Valchlor

(mechlorethamine)
VALCHLOR 0.016 % Topical Gel
NO BOXED WARNING

Dosage & administration

drug label

Valchlor prescribing information

prior authorization

Valchlor prior authorization resources

Most recent Valchlor prior authorization forms

View By Payer
Verified: Feb 07, 2024Kaiser Foundation Health Plan - Chronic High-Dose Opioid Therapy Prior Authorization Form Washington
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Medicare Prescription Drug Medication Request Form
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Short Acting Opioid Prior Authorization Form
Verified: Feb 01, 2024Highmark BCBS Western NY - Specialty Drug Prior Authorization Form
Verified: Feb 01, 2024Highmark BCBS Western NY - Non-Formulary Drug Coverage Prior Authorization Form

Most recent state uniform prior authorization forms

Verified: Feb 27, 2024Arizona - Uniform Prior Authorization Form
Verified: Feb 27, 2024Colorado - Uniform Prior Authorization Form
Verified: Feb 27, 2024Hawaii - Uniform Prior Authorization Form
Verified: Feb 27, 2024Illinois - Uniform Prior Authorization Form
Verified: Feb 27, 2024Indiana - Uniform Prior Authorization Form
Verified: Feb 27, 2024Louisiana - Uniform Prior Authorization Form
Verified: Feb 27, 2024Michigan - Uniform Prior Authorization Form
Verified: Feb 27, 2024Minnesota - Uniform Prior Authorization Form
Verified: Feb 27, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Feb 27, 2024New Mexico - Uniform Prior Authorization Form
Verified: Feb 27, 2024Oregon - Uniform Prior Authorization Form
Verified: Feb 27, 2024Texas - Uniform Prior Authorization Form
Learn More

Benefits investigation

Valchlor Patient Intake and Prescription Form
Learn More

financial assistance

Valchlor financial assistance options

Co-pay savings program

commercial only
Valchlor Patient Intake and Prescription Form
Enroll in Patient Savings Program
Learn More

PubMed™ | Valchlor

Valchlor PubMed™ News

patient education

Valchlor patient education

Getting started on Valchlor

Instructions For Use: Mycosis Fungoides-type Cutaneous T-cell Lymphoma (MF-CTCL)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

Patient toolkit

Patient Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
How To Store Valchlor
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Resources
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Learn More

people also ask

Valchlor FAQs

How is the dosage of Valchlor?Valchlor is available in 1 dosages, including 0.016% Gel
What does Valchlor treat?Valchlor treats Hodgkin Disease, Mycosis Fungoides, Neoplasm Metastasis and Malignant Pleural Effusion
What is Valchlor made of?Valchlor contains mechlorethamine which is a Alkylating Drug
How Is Valchlor Administered?Valchlor is administered as a Topical
What Are The Valchlor Mechanism Of Action?Valchlor mechanism of action is Alkylating Activity
FAQ Data Source