Celgene Patient Support Specialist

POMALYST®  is only available
through a restricted distribution program.
Please see full Prescribing Information, including
Boxed WARNINGS.

Understand your insurance plan

We know how hard it can be to understand your health insurance. When you enroll in Celgene Patient Support®, your Specialist can help answer your questions.*

Here are some commonly asked questions about your insurance coverage for POMALYST®.

Before you start POMALYST®, your doctor’s office may need to see if your health insurance will pay for it. This is called a benefits investigation. A benefits investigation will tell your doctor:

  • If POMALYST® is covered
  • How much POMALYST® will cost you
  • If your health insurance must approve POMALYST® before you start. This is called a prior authorization

At your request, your Celgene Patient Support® Specialist will:

  • Research your insurance benefits to determine co-pay responsibility and other out-of-pocket costs
    for POMALYST®
  • Determine if prior authorization or precertification is required
  • Determine if you are eligible for Medicaid or alternative coverage

Celgene Patient Support® can assist with the prior authorization process with insurance providers by*:

  • Providing your doctor’s office with the necessary forms
  • Following up with the insurance provider to determine the outcome

*Celgene provides a facilitation service and will not provide any medical input into a prior authorization.

If your health insurance has denied coverage of POMALYST®, we can assist with the appeals process.* An appeal will ask your health insurance to cover POMALYST®.

*Celgene provides a facilitation service and will not provide any medical input into an appeal.

Yes, even if you do not have health insurance or enough coverage to pay for POMALYST®, the Celgene Patient Assistance Program (PAP)* may be able to provide you with POMALYST® at no cost. To qualify, you must meet certain financial criteria. We can also help you find other programs for which you may qualify to help pay for POMALYST®.

To find out more, call your Celgene Patient Support® Specialist at 1-800-931-8691,
Monday – Thursday, 8 am – 7 pm ET, and Friday, 8 am – 6 pm ET (translation services available).

*Patients must meet specified financial and insurance eligibility criteria to qualify for assistance.

POMALYST® is only available through a restricted distribution program. Restricted distribution programs are required by the Food and Drug Administration (FDA). Only certified pharmacies can give you POMALYST®.

Your Celgene Patient Support® Specialist can provide information on which pharmacy is in-network with your insurer.

Your healthcare team is the best source of information. However, if you want to learn more about getting started with POMALYST®, you can go directly to the POMALYST® website at www.POMALYST.com.

* Celgene Patient Support® cannot provide insurance advice or make insurance decisions.