Pomalyst

Indicated For

multiple myeloma, relapsed refractory

About This Medication

# BMS Access Support Patient Guide: How to Get Pomalyst at Low or No Cost Pomalyst (pomalidomide) is a prescription medication used to treat multiple myeloma in adults who have received at least two prior therapies, including lenalidomide and bortezomib. The **BMS Access Support** program from **Bristol Myers Squibb** helps eligible patients access Pomalyst at low or no cost, especially if uninsured or facing high out-of-pocket expenses. ## About Pomalyst and Why Assistance Matters **Pomalyst** is an oral capsule taken once daily on an empty stomach. It's part of a class of drugs called immunomodulators that work by slowing the growth of multiple myeloma cancer cells. However, its high cost—often thousands per month—makes it unaffordable for many. The BMS Access Support program bridges this gap by providing free medication to qualifying uninsured patients and financial aid or appeals for those with insurance. Importantly, Pomalyst requires enrollment in the **POMALYST REMS® program** due to serious risks like birth defects and blood clots. Your doctor and pharmacy must be certified, and you'll complete surveys and sign agreements. ## Who Qualifies for BMS Access Support? This program primarily serves **uninsured patients** meeting specific income and asset criteria, though exact thresholds aren't publicly listed—**call (800) 861-0048 for personalized details**. Insured patients get help with co-pays, alternative funding, or insurance appeals. Key factors include: - U.S. residency. - Valid prescription from a certified prescriber. - Compliance with POMALYST REMS® (mandatory for all). Uninsured patients may receive **free medication**; commercially insured can access co-pay cards reducing costs to $0 per month (up to limits). Medicare or federal program patients are ineligible for co-pay help but may qualify for low-income subsidies elsewhere. ## Income Eligibility Breakdown Specific Federal Poverty Level (FPL) percentages or household size thresholds aren't detailed online. The program uses **certain income and asset criteria**—contact BMS for exacts based on your situation. Here's a general overview: | Household Size | Estimated Income Threshold | Notes | |---------------|----------------------------|-------| | Individual | Call for details | Based on income/assets; uninsured focus | | Couple | Call for details | Certain criteria apply | | Family of 3 | Call for details | Asset limits may factor in | | Family of 4+ | Call for details | Scaled by household size | **Always verify by phone**, as eligibility can change. Programs like this often align with 400-500% FPL but prioritize case-by-case review. ## Insurance Requirements - **Uninsured**: Primary qualifiers for free Pomalyst shipped directly. - **Commercially Insured**: Co-pay assistance available (not where fully covered by insurance). Get a co-pay card to pay as little as **$0** per fill, with monthly/annual caps. - **Medicare/Federal Programs**: No co-pay help; explore Medicare Extra Help or foundations like Patient Access Network. - **Denials**: BMS assists with appeals—submit denial letter via program. All patients must adhere to **POMALYST REMS®**: Sign Patient-Physician Agreement Form (PPAF), complete monthly surveys (phone/online for authorization number), and use certified pharmacies. ## Step-by-Step Application Process 1. **Consult Your Doctor**: Ensure they're POMALYST REMS® certified. Discuss eligibility; they'll complete prescriber survey for authorization number and write prescription noting risk category. 2. **Enroll in BMS Access Support**: Call **(800) 861-0048** (8 AM-8 PM ET, Mon-Fri) or visit www.BMSAccessSupport.com. Provide income/residency proof. 3. **Gather Documents**: - Completed enrollment form. - Proof of income (tax returns, pay stubs). - Proof of residency (utility bill, ID). - Valid prescription. - Insurance denial (if applicable). - Signed PPAF (fax to 1-888-432-9325 or submit online). 4. **Submit Application**: Multiple methods—phone, online portal, fax. Doctor faxes prescription to certified pharmacy. 5. **Pharmacy Coordination**: Certified pharmacy counsels you, confirms receipt, and ships within 24 hours. 6. **Await Approval**: Benefits review in ~**24 hours**. **Tip**: Use patient support specialists for help finding alternatives if needed. ## Timeline and Delivery - **Processing**: 24 hours for benefits review post-submission. - **Delivery**: Shipped free to your home or doctor's office via certified pharmacy. - **Refills**: **Reauthorization required**—doctor completes new survey monthly; males surveyed ongoing, females have stricter testing. Expect initial supply quickly if approved; ongoing via compliant refills. ## Alternatives if Denied or Ineligible - **Appeals**: BMS helps with insurance denials. - **Foundations**: HealthWell (1-800-675-8416), Patient Access Network, Patient Advocate Foundation (1-866-512-3861). - **Medicare Extra Help**: For low-income seniors. - **Other Aid**: Simplefill (877-386-0206) or QuickRx for co-pay matching. - **No Biosimilars**: None available currently. ## Important Disclaimer This guide is for informational purposes only and not a substitute for professional medical/financial advice. Eligibility, terms, and availability can change—**contact BMS Access Support at (800) 861-0048** for latest details. Comply fully with POMALYST REMS® to avoid delays. Bristol Myers Squibb reserves rights to modify/terminate program. Consult your doctor for treatment suitability. Word count: 942.

Program information last verified: March 30, 2026