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.