Cost & Pricing Information | REVLIMID® (lenalidomide) capsules

What is REVLIMID^® (lenalidomide)?

REVLIMID is a prescription medicine used to treat adults with:

multiple myeloma (MM)
in combination with the medicine dexamethasone, or
as maintenance treatment after autologous hematopoietic stem cell transplantation (a type of stem cell transplant that uses your own stem cells).
a condition called myelodysplastic syndromes (MDS). REVLIMID is for the type of MDS with a chromosome problem where part of chromosome 5 is missing. This type of MDS is known as deletion 5q MDS. People with this type of MDS may have low red blood cell counts that require treatment with blood transfusions.
mantle cell lymphoma (MCL) when the disease comes back or becomes worse after treatment with two prior medicines, one of which included bortezomib. MCL is a cancer of a type of white blood cell called lymphocytes that are in the lymph nodes.
follicular lymphoma (FL) or marginal zone lymphoma (MZL)
in combination with a rituximab product, and
who have previously been treated for their FL or MZL.

FL and MZL are types of cancer of white blood cells called B-cell lymphocytes that are found in the lymph nodes and spleen.

REVLIMID should not be used to treat people who have chronic lymphocytic leukemia (CLL) unless they are participants in a controlled clinical trial.

It is not known if REVLIMID is safe and effective in children.

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Pricing Information

Like many patients, knowing what you may pay for treatment can be a major concern. That’s why Bristol Myers Squibb (BMS) is committed to helping you understand your out-of-pocket (OOP) costs and possible resources that may help make them more affordable.

The information below will help you understand the list price of your medication, but your out-of-pocket costs may vary depending on indication, dosing, and health plan coverage.

For people prescribed REVLIMID for the following indications:

Multiple myeloma (MM), in combination with the medicine dexamethasone
Mantle cell lymphoma (MCL) when the disease comes back or becomes worse after treatment with two prior medicines, one of which included bortezomib. MCL is a cancer of a type of white blood cell called lymphocytes that are in the lymph nodes.

The list price of REVLIMID is $18,723 per cycle when given as 25 mg once daily on days 1-21 of a 28-day cycle.^* Most patients will pay less.

^*As of January 2025, for a 28-day cycle. List price is also known as wholesale acquisition cost, or WAC. WAC is the price at which pharmaceutical manufacturers sell their products to wholesalers or direct purchasers in the United States, not including prompt pay or other discounts, rebates, or reductions in price. Most people do not pay the list price for REVLIMID.

For people prescribed REVLIMID in combination with a rituximab product for the following indications:

Previously treated follicular lymphoma (FL) and marginal zone lymphoma (MZL). FL and MZL are types of cancer of white blood cells called B-cell lymphocytes that are found in the lymph nodes and spleen.

The list price of REVLIMID is $18,723 per cycle when given as 20 mg once daily on days 1-21 of a 28-day cycle.^* Most patients will pay less.

For people prescribed REVLIMID for the following indications:

Multiple myeloma (MM), as maintenance treatment after autologous hematopoietic stem cell transplantation (a type of stem cell transplant that uses your own stem cells).
Myelodysplastic syndromes (MDS), REVLIMID is for the type of MDS with a chromosome problem where part of chromosome 5 is missing. This type of MDS is known as deletion 5q MDS. People with this type of MDS may have low red blood cell counts that require treatment with blood transfusions.

The list price of REVLIMID is $24,963 per cycle when given as 10 mg once daily on days 1-28 of a 28-day cycle.^* Most patients will pay less.

If you have commercial insurance

The BMS Access Support Co-Pay Assistance Program assists with out-of-pocket co-payment or co-insurance requirements for eligible, commercially insured patients who have been prescribed certain BMS products including REVLIMID. For more information, visit bmsaccesssupport or call BMS Access Support at 1-800-861-0048 8am to 8pm ET, Monday–Friday.
If you have Medicare

In 2024, you could pay between $0 to ~$3,300 for the first fill and $0 per month for subsequent fills if you are receiving REVLIMID once daily and on a standard Medicare plan. 73% of Medicare patients pay $0 per month. For REVLIMID, your costs are determined by your pharmacy coverage such as Medicare Part D or Medicare Advantage (a.k.a., Part C), by your coverage phase, and your income level. Use this link to learn about costs for Medicare drug coverage. Certain patients may be eligible for Low-Income Subsidy, also known as “Extra Help.” Use this link to learn more. Please check with your Medicare plan administrator for more details and to understand your specific costs.
If you have Medicaid

To find out if you qualify for Medicaid, or to get more information about whether co-payments or other cost-sharing may apply in your state, please use this link to learn more or contact your state Medicaid program.
If you do not have insurance coverage

If you do not have medical coverage for REVLIMID, you can expect to pay the list price shown above. Patients without insurance are encouraged to call 1-800-861-0048 1-800-861-0048 to explore potential options.
At BMS, we provide support with purpose.

The BMS Access Support program is dedicated to helping patients access their prescribed BMS medications. We may offer benefit investigations, prior authorizations assistance, appeals process support, and information on financial support options. The BMS Access Support Co-Pay Assistance Program assists with out-of-pocket co-payment or co-insurance requirements for eligible, commercially-insured patients who have been prescribed certain BMS products, including REVLIMD.

For more information visit BMS Access Support or call BMS Access Support at 1-800-861-0048 1-800-861-0048 8am to 8pm ET Monday–Friday.

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Prescribing Information
including Boxed WARNINGS

Medication
Guide

Important Safety Information

WARNING: Risk to unborn babies, risk of low blood counts and blood clots.

What is the most important information I should know about REVLIMID^® (lenalidomide)?

Before you begin taking REVLIMID, you must read and agree to all of the instructions in the Lenalidomide REMS program. Further information about the Lenalidomide REMS program is available at www.lenalidomiderems.com or by telephone at 1-888-423-5436. Before prescribing REVLIMID, your healthcare provider will explain the Lenalidomide REMS program to you and have you sign the Patient-Physician Agreement Form.

REVLIMID may cause serious side effects, including:

Possible birth defects (deformed babies) or death of an unborn baby. Females who are pregnant or who plan to become pregnant must not take REVLIMID.

REVLIMID is similar to the medicine thalidomide which is known to cause severe life-threatening birth defects. REVLIMID has not been tested in pregnant females. REVLIMID has harmed unborn animals in animal testing.

Females must not get pregnant:

For at least 4 weeks before starting REVLIMID
While taking REVLIMID
During any breaks (interruptions) in your treatment with REVLIMID
For at least 4 weeks after stopping REVLIMID

Females who can become pregnant:

Must have pregnancy tests weekly for 4 weeks, then every 4 weeks if your menstrual cycle is regular, or every 2 weeks if your menstrual cycle is irregular.
If you miss your period or have unusual bleeding, you will need to have a pregnancy test and receive counseling.
Must agree to use 2 different forms of effective birth control at the same time, for at least 4 weeks before, while taking, during any breaks (interruptions) in your treatment, and for at least 4 weeks after stopping REVLIMID.
Talk with your healthcare provider to find out about options for effective forms of birth control that you may use to prevent pregnancy before, during, and after treatment with REVLIMID.
If you had unprotected sex or if you think your birth control has failed, stop taking REVLIMID immediately and call your healthcare provider right away.

If you become pregnant while taking REVLIMID, stop taking it right away and call your healthcare provider. If your healthcare provider is not available, you can call the REMS Call Center at 1-888-423-5436. Healthcare providers and patients should report all cases of pregnancy to:

FDA MedWatch at 1-800-FDA-1088, and
REMS Call Center 1-888-423-5436.

There is a pregnancy exposure registry that monitors the outcomes of females who take REVLIMID during pregnancy, or if their male partner takes REVLIMID and they are exposed during pregnancy. You can enroll in this registry by calling the REMS Call Center, at the phone number listed above.

REVLIMID can pass into human semen:

Males, including those who have had a vasectomy, must always use a latex or synthetic condom during any sexual contact with a pregnant female or a female that can become pregnant while taking REVLIMID, during any breaks (interruptions) in your treatment with REVLIMID, and for up to 4 weeks after stopping REVLIMID.
Do not have unprotected sexual contact with a female who is or could become pregnant. Tell your healthcare provider if you do have unprotected sexual contact with a female who is or could become pregnant.
Do not donate sperm while taking REVLIMID, during any breaks (interruptions) in your treatment, and for up to 4 weeks after stopping REVLIMID. If a female becomes pregnant with your sperm, the baby may be exposed to REVLIMID and may be born with birth defects.

Men: If your female partner becomes pregnant, you should call your healthcare provider right away.

Low white blood cells (neutropenia) and low platelets (thrombocytopenia). REVLIMID causes low white blood cells and low platelets in most people. You may need a blood transfusion or certain medicines if your blood counts drop too low. Your healthcare provider should check your blood counts often, especially during the first several months of treatment with REVLIMID, and then at least monthly. Tell your healthcare provider if you develop any bleeding or bruising during treatment with REVLIMID.
Blood clots. Blood clots in the arteries, veins, and lungs happen more often in people who take REVLIMID. This risk is even higher for people with multiple myeloma who take the medicine dexamethasone with REVLIMID. Heart attacks and strokes also happen more often in people who take REVLIMID with dexamethasone. To reduce this increased risk, most people who take REVLIMID will also take a blood thinner medicine.

Before taking REVLIMID, tell your healthcare provider:

if you have had a blood clot in the past;
if you have high blood pressure, smoke, or if you have been told you have a high level of fat in your blood (hyperlipidemia); and
about all the medicines you take. Certain other medicines can also increase your risk for blood clots

Call your healthcare provider or get medical help right away if you get any of the following during treatment with REVLIMID:

Signs or symptoms of a blood clot in the lung, arm, or leg may include: shortness of breath, chest pain, or arm or leg swelling
Signs or symptoms of a heart attack may include: chest pain that may spread to the arms, neck, jaw, back, or stomach area (abdomen), feeling sweaty, shortness of breath, feeling sick or vomiting
Signs or symptoms of stroke may include: sudden numbness or weakness, especially on one side of the body, severe headache or confusion, or problems with vision, speech, or balance

Who should not take REVLIMID?

Do not take REVLIMID if you:

are pregnant, plan to become pregnant, or become pregnant during treatment with REVLIMID. See “What is the most important information I should know about REVLIMID?”
are allergic to lenalidomide or any of the ingredients in REVLIMID. See the Medication Guide for a complete list of ingredients in REVLIMID.

What should I tell my healthcare provider before taking REVLIMID?

Before you take REVLIMID, tell your healthcare provider about all of your medical conditions, including if you:

have liver problems
have kidney problems or receive kidney dialysis treatment
have thyroid problems
have had a serious skin rash with thalidomide treatment. You should not take REVLIMID.
are lactose intolerant. REVLIMID contains lactose.
are breastfeeding. Do not breastfeed during treatment with REVLIMID. It is not known if REVLIMID passes into your breast milk and can harm your baby.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. REVLIMID and other medicines may affect each other, causing serious side effects. Talk with your healthcare provider before taking any new medicines. Know the medicines you take. Keep a list of them to show your healthcare provider and pharmacist.

How should I take REVLIMID?

Take REVLIMID exactly as prescribed and follow all the instructions of the Lenalidomide REMS program

Swallow REVLIMID capsules whole, with water, 1 time a day. Do not open, break, or chew your capsules.
REVLIMID may be taken with or without food.
Take REVLIMID at about the same time each day.
Do not open or break the REVLIMID capsules or handle them any more than needed. If powder from the REVLIMID capsule comes in contact with:

your skin, wash the skin right away with soap and water.
inside of your eyes, nose, or mouth, flush well with water.

If you miss a dose of REVLIMID and it has been less than 12 hours since your regular time, take it as soon as you remember. If it has been more than 12 hours, just skip your missed dose. Do not take 2 doses at the same time.
If you take too much REVLIMID, call your healthcare provider right away.

What should I avoid while taking REVLIMID?

See “What is the most important information I should know about REVLIMID?”
Females: Do not get pregnant and do not breastfeed while taking REVLIMID.
Males: Do not donate sperm while taking REVLIMID, during any breaks (interruptions) in your treatment, and for up to 4 weeks after stopping REVLIMID.
Do not share REVLIMID with other people. It may cause birth defects and other serious problems.
Do not donate blood while you take REVLIMID, during any breaks (interruptions) in your treatment, and for 4 weeks after stopping REVLIMID. If someone who is pregnant gets your donated blood, her baby may be exposed to REVLIMID and may be born with birth defects.

What are the possible side effects of REVLIMID?

REVLIMID can cause serious side effects, including:

See “What is the most important information I should know about REVLIMID?”
Increased risk of death in people who have chronic lymphocytic leukemia (CLL). People with CLL who take REVLIMID have an increased risk of death compared with people who take the medicine chlorambucil. REVLIMID may cause you to have serious heart problems that can lead to death, including atrial fibrillation, heart attack, or heart failure. You should not take REVLIMID if you have CLL unless you are participating in a controlled clinical trial.
Risk of new cancers (malignancies). An increase in new (second) cancers has happened in patients who received REVLIMID and melphalan, or a blood stem cell transplant, including certain blood cancers, such as acute myelogenous leukemia (AML), myelodysplastic syndromes (MDS), and certain other types of cancers of the skin and other organs. Talk with your healthcare provider about your risk of developing new cancers if you take REVLIMID. Your healthcare provider will check you for new cancers during your treatment with REVLIMID.
Severe liver problems, including liver failure and death. Your healthcare provider should do blood tests to check your liver function during your treatment with REVLIMID. Tell your healthcare provider right away if you develop any of the following symptoms of liver problems:

yellowing of your skin or the white part of your eyes (jaundice)
dark or brown (tea-colored) urine

pain on the upper right side of your stomach area (abdomen)
bleeding or bruising more easily than normal
feeling very tired

yellowing of your skin or the white part of your eyes (jaundice)
dark or brown (tea-colored) urine
pain on the upper right side of your stomach area (abdomen)
bleeding or bruising more easily than normal
feeling very tired

Severe skin reactions and severe allergic reactions can happen with REVLIMID and may cause death. Call your healthcare provider right away if you develop any of the following signs or symptoms during treatment with REVLIMID:

a red, itchy, skin rash

peeling of your
skin or blisters

severe itching
fever

a red, itchy skin rash
peeling of your skin or blisters
severe itching
fever

Get emergency medical help right away if you develop any of the following signs or symptoms during treatment with REVLIMID:

swelling of your lips, mouth, tongue or throat
trouble breathing or swallowing

raised red areas on your skin (hives)
a very fast heartbeat
You feel dizzy or faint

swelling of your lips, mouth, tongue, or throat
trouble breathing or swallowing
raised red areas on your skin (hives)
a very fast heartbeat
You feel dizzy or faint

Tumor lysis syndrome (TLS). TLS is caused by the fast breakdown of cancer cells. TLS can cause kidney failure and the need for dialysis treatment, abnormal heart rhythm, seizure, and sometimes death. Your healthcare provider may do blood tests to check you for TLS.
Worsening of your tumor (tumor flare reaction) can happen with REVLIMID and may cause death. Tell your healthcare provider if you get any of these symptoms of tumor flare reaction while taking REVLIMID: tender, swollen lymph nodes; low-grade fever, pain, or rash.
Your healthcare provider may tell you to decrease your dose, temporarily stop or permanently stop taking REVLIMID if you develop certain serious side effects during treatment with REVLIMID.
Thyroid problems. Your healthcare provider may check your thyroid function before you start taking REVLIMID and during treatment with REVLIMID.
Risk of early death in MCL. In people who have Mantle Cell Lymphoma (MCL), there may be a risk of dying sooner (early death) when taking REVLIMID. Talk with your healthcare provider about any concerns and possible risk factors.

The most common side effects of REVLIMID include:

diarrhea
rash
nausea
constipation
tiredness or weakness
fever
itching

swelling of your arms, hands, legs, feet, and skin
sleep problems (insomnia)
headache
muscle cramps or spasms
shortness of breath
cough, sore throat, and other symptoms of a cold

upper respiratory tract infection or bronchitis
inflammation of the stomach and intestine (“stomach flu”)
nose bleed
shaking or trembling (tremor)
joint aches
pain in your back or stomach area (abdomen)

diarrhea
rash
nausea
constipation
tiredness or weakness
fever
itching
swelling of your arms, hands, legs, feet, and skin
sleep problems (insomnia)
headache
muscle cramps or spasms
shortness of breath
cough, sore throat, and other symptoms of a cold
upper respiratory tract infection or bronchitis
inflammation of the stomach and intestine (“stomach flu”)
nose bleed
shaking or trembling (tremor)
joint aches
pain in your back or stomach area (abdomen)

These are not all of the possible side effects of REVLIMID. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Please see full Prescribing Information, including Boxed WARNINGS and Medication Guide, for REVLIMID.

REVLIMID^® is a registered trademark of Celgene Corporation, a Bristol Myers Squibb company.

Access Support^® is a registered trademark of Bristol-Myers Squibb Company.

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