BLENREP
Generic: belantamab mafodotin
Manufacturer: GSK · Program: GSK Patient Assistance Program for BLENREP
Apply for AssistanceEligibility Criteria
Insurance Requirement
Uninsured, Medicare Part D, or functionally uninsured (insurance does not cover); separate thresholds by status
Residency
US resident
Income Threshold
Up to 300% FPL
Individual Income Limit
$43,740/year
Must be uninsured or underinsured
Program Information
Processing Time
2–4 weeks
Delivery Method
shipped to patient, physician office, or participating pharmacy
Application Method
Multiple
Reauthorization
Required, annual
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- proof of income
- proof of residency
- proof of insurance status
- prescription
- enrollment form
Indicated For
relapsed or refractory multiple myeloma
About This Medication
# GSK Patient Assistance Program for BLENREP Patient Guide: How to Get BLENREP at Low or No Cost BLENREP (belantamab mafodotin) is a prescription medication used to treat adults with relapsed or refractory multiple myeloma who have received at least four prior therapies, including an anti-CD38 monoclonal antibody, a proteasome inhibitor, and an immunomodulatory agent. The **GSK Patient Assistance Program (PAP)** provides **BLENREP at no cost** to eligible patients who meet income, insurance, and residency requirements.[1][2][4][5] ## About BLENREP BLENREP is an antibody-drug conjugate that targets B-cell maturation antigen (BCMA) on multiple myeloma cells, delivering a cytotoxic agent directly to cancer cells while sparing healthy ones. It's administered as an intravenous infusion every three weeks by a healthcare professional. Common side effects include vision changes (monitor with eye exams), anemia, fever, and low platelets—discuss risks with your doctor. This program helps access treatment when costs are a barrier, but it does not replace insurance or medical advice.[1][6] ## Who Qualifies? To qualify for the **GSK PAP for BLENREP**, you must: - Reside in the US, DC, or Puerto Rico (not eligible if enrolled in Puerto Rico's Mi Salud plan without denial).[2][4][5] - Have a valid prescription for BLENREP from your doctor.[1][2] - Meet **income thresholds** based on household size and insurance status (uninsured, Medicare Part D, or functionally uninsured).[1][4][5] - For Medicare Part D: Spent $600 out-of-pocket on prescriptions this calendar year.[1][2][4] This program is **not health insurance** and requires annual recertification.[2] ## Income Eligibility Breakdown Income limits vary by insurance status, household size, and medical expenses (which may lower effective thresholds). Uninsured patients follow limits around **400% of the Federal Poverty Level (FPL)**. Exact thresholds (annual gross income) include:[1][5] | Household Size | Individual/Uninsured | Couple | Family of 3 | Family of 4 | |----------------|----------------------|--------|-------------|-------------| | **Example Thresholds** | ≤$48,000 | ≤$60,000 | ≤$72,000 | ≤$84,000 | **Notes**: Provide total gross monthly or annual household income on the form. Limits adjust for Medicare/insured status; high medical costs can reduce countable income. Call (844) 447-5662 for your situation.[1] ## Insurance Requirements Eligible if: - **Uninsured** (no prescription coverage).[5] - **Medicare Part D**: Proof of $600 spend + Medicare Beneficiary Identifier (MBI).[1][2][4] - **Functionally uninsured** (insurance denies BLENREP coverage).[1] Ineligible if covered by Medicaid, VA, DoD, or similar government programs. Private insurance patients may need copay programs instead.[6] ## Step-by-Step Application Process 1. **Talk to your doctor**: Get a signed original prescription for BLENREP (faxed only from doctor's office with cover sheet).[1][2] 2. **Gather documents**: - Proof of income (pay stubs, tax returns). - Proof of residency (utility bill). - Proof of insurance status (insurance cards or denial letter; Medicare: EOB showing $600 spend + ID card).[1][2] - Completed enrollment form.[1] 3. **Enroll online or by phone**: Visit https://www.togetherwithgsk.com/blenrep/patient/enroll/ or call **(844) 447-5662**.[1] 4. **Submit**: Fax/mail complete application + documents. Keep copies—originals not returned.[1][2] 5. **Sign authorizations**: Allow GSK to verify income/insurance and contact providers.[1][2] **Tip**: Incomplete apps delay processing—double-check![1][2] ## Timeline and Delivery Processing time varies (not specified; typically 2-4 weeks based on similar programs). Track via phone.[1] Medication ships **free to your home or doctor's office**.[1] **Reauthorization required** annually or per prescription cycle—resubmit updated info.[1] ## Alternatives if Denied - **Appeal**: Call (844) 447-5662 with new docs.[1] - **Other assistance**: GSK copay cards (insured patients), NeedyMeds, RxAssist, or state programs.[6] - **No biosimilars** for BLENREP currently.[1] - **Clinical trials** or generics via CancerCare/ Leukemia & Lymphoma Society. ## Disclaimer This guide is for informational purposes only and based on available program details as of 2026. Eligibility/rules change—verify with GSK at (844) 447-5662 or website. Not medical/financial advice; consult your doctor and advisor. GSK PAP not guaranteed; false info may disqualify you.[1][2]
Program information last verified: March 25, 2026
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