Skip to main content
. 2012 Oct 30;9(2):e24–e39. doi: 10.1200/JOP.2012.000620

Table 3.

Revlimid: A Study in Timing

Initial Prescription
Action Time
Office prints provider registration form from www.revlimid.com, completes form, faxes it to RevAssist, and awaits confirmation 15 min
Nurse downloads RevAssist software from www.revlimid.com 5 min
If female patient is of childbearing potential, obtain two negative pregnancy tests 10-14 days and 24 hours prior to treatment initiation
Nurse prints out the patient-physician form (PPAF) from RevAssist Online 5 min
Physician provides mandatory counseling during office visit, and both patient and physician sign the PPAF 30 min
Nurse faxes PPAF to RevAssist and awaits confirmation 1.5-2 h
Office instructs patient to complete patient phone survey 15 min
Nurse completes prescriber phone survey and receives authorization number 5 min
Nurse downloads patient prescription form from RevAssist Online 5 min
Nurse records authorization number on patient prescription form 5 min
Nurse chooses Revlimid contract pharmacy from list on patient prescription form 5 min
Nurse faxes patient prescription form to Revlimid contract pharmacy 5 min
Contract pharmacy verifies the patient's insurance coverage
If chosen contract pharmacy does not accept patient's insurance, pharmacy contacts provider's office and recommends an alternative contract pharmacy 5-10 min
If patient has no insurance or is underinsured, provider's office contacts Celgene assistance program to help cover patient costs 30 min
Celgene assistance program contacts patient to obtain financial information 24 h-1 wk
After reimbursement/patient assistance is confirmed, prescription is processed by contract pharmacy
Contract pharmacy ships 28-day supply 24-72 h
Subsequent Prescriptions
Action Time
Contract pharmacy faxes prescription request form to provider's office each month for refills
Nurse completes prescriber phone survey, verifies patient counseling and negative pregnancy test in past 7 days (for women of child bearing potential) and receives refill authorization number 15 min
Nurse records authorization number on the prescription refill request form 5 min
Nurse takes prescription refill request form to prescriber for signature 1 min
Nurse faxes prescription refill request form to contract pharmacy 15 min
Nurse instructs patient to complete patient phone surveys as scheduled by RevAssist (monthly for women of childbearing potential; all others, every 6 months) 15 min
Contract pharmacy ships drug to the patient 24-72 h

This timing study was completed by the David Lee Cancer Center, Charleston Area Medical Center Health Systems, Charleston, WV. Enrollment in the RevAssist program was done without submitting information through the online system. An online system14 is available to reduce time to complete these required steps.