Life happens. When it does, you may need help with your medicine or co-pay costs. Many drug manufactor provide drug coupon to help with medication.
Valchlor Coupon Details
Valchlor Copay Program: Eligible commercially insured patients may pay $0 per prescription fill; for additional information contact the program at 855-482-5245.
Benefits :
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 855-482-5245
Contact Details :
Free Discount Drug Coupon
All patients are eligible to receive a discount by using this free Valchlor coupon. Save up to 80% on your prescription costs when using our drug coupons at your local pharmacy.
Free Prescription Discount Card
- No registration required.
- Everyone is eligible.
- Get discount up to 80%.
- Card can be used for person with Insurance or without insurance for discount.
- Never expires.
- Ready for immediate.
- No activation required.
- Prescription Coupon
Valchlor Cost
How much does Valchlor cost near you?
It may varies based on the pharmacy you fill you prescription from.
Valchlor Copay Assistance
Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines and copay programs to low income or uninsured and under-insured people who meet specific guidelines. Eligibility requirements vary for each program.
Elligibility requirements:
- 1. Must be uninsured.
- 2. At or below 400% of FPL.
- 3. Must reside and receive treatment in US.
- 4. Valchlor Copay assistance, and patient assistance programs are available for eligible patients.
Programs
Valchlor Support
This program provides brand name medications at no or low cost
Provider: Helsinn Therapeutics, Inc.
Medication :
- Valchlor gel; topical (mechlorethamine)
Additional Info for Coupon
Co-payment assistance, and patient assistance programs are available for eligible patients.
Coupon Eligibility
Insurance: Determined case by case
Income: Varies
US Residency: Must be a US resident and treated by a US licensed healthcare provider
Part D: Determined case by case
Diagnosis: Medically Necessary as determined by a Doctor
Patient Access Network Foundation (PAN)
This is a copay assistance program
Provider: Patient Access Network Foundation
Medication :
- Valchlor gel; topical (mechlorethamine)
Additional Info for Coupon
*Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance.
Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly.
Note: All new enrollment is now done electronically or over the phone. Contact program for details.
Coupon Eligibility
Insurance: *See Additional Information section below
Income: Between 400-500% of FPL
US Residency: Must reside and receive treatment in US
Part D: Determined case by case
Diagnosis: FDA Approved Diagnosis - See Program Website for Details
What is Valchlor
Valchlor (mechlorethamine) gel is used to treat Stage 1A or 1B mycosis fungoides-type cutaneous T-cell lymphoma.
Valchlor gel is usually used after other skin treatments have been tried without success.
Valchlor may also be used for purposes not listed in this medication guide.
Warnings
Avoid getting Valchlor in your eyes. Valchlor gel can cause blindness or permanent injury to your eyes. If this medication gets in your eyes, rinse them for at least 15 minutes with a large amount of water, normal saline, or an eye wash solution, and then seek emergency medical attention.
Avoid getting this medication in your mouth or nose. If this does happen, rinse for at least 15 minutes with a large amount of water and seek emergency medical attention. Valchlor can cause pain, redness, or ulcers if it gets in your mouth or nose.
Always get emergency medical help if this medication accidentally gets in your eyes, nose, or mouth.
Before taking this medicine
You should not use Valchlor if you are allergic to mechlorethamine.
Valchlor can be dangerous if it gets on the skin of another person. Caregivers should wear disposable gloves while applying this medication to the person who is affected with cutaneous T-cell lymphoma.
Using this medicine may increase your risk of developing other types of skin cancer. Your doctor will need to check your skin on a regular basis while you are using Valchlor.
Do not use Valchlor gel if you are pregnant. It could harm the unborn baby or cause birth defects. Use effective birth control to prevent pregnancy while you are using this medicine, and tell your doctor if you become pregnant during treatment.It is not known whether mechlorethamine passes into breast milk or if it could harm a nursing baby. You should not breast-feed while using this medicine.
How should I use Valchlor?
Use Valchlor gel exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.
Valchlor gel is usually applied once daily.
Store this medicine in its original container (box) in the refrigerator. Do not freeze. Avoid allowing this medicine to come into contact with food in the refrigerator.
Apply the medicine within 30 minutes after removing it from the refrigerator. After use, put the medicine back into the refrigerator right away.
Do not use within the first 30 minutes after taking a shower or bath. Make sure the skin is completely dry before applying the medicine. Do not bathe or shower for at least 4 hours after applying Valchlor gel.
Apply a thin layer of the medicine to the affected skin areas. Allow the gel to dry for 5 to 10 minutes before covering the treated skin with clothing.
Do not cover the treated skin area with a bandage.
You may apply skin lotion, cream, or oil to treated skin 2 hours before or 2 hours after applying Valchlor.
Wash your hands after applying or handling this medicine. If you are a caregiver, wear disposable gloves to apply the medicine to the patient and wash your hands after removing the gloves and throwing them away.
Valchlor gel is flammable. Do not use near high heat or open flame. Do not smoke until the gel has completely dried on your skin.
Throw away any unused Valchlor gel after 90 days. Throw away unused gel, empty tubes, and used disposable gloves in a trash container out of the reach of children and pets.
Valchlor Side Effects
Get emergency medical help if you have any signs of an allergic reaction to Valchlor gel: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have:
a new skin lesion;
severe skin irritation, itching, or blistering; or
redness or swelling, warmth, pus, oozing, or other signs of skin infection.
Common Valchlor side effects may include:
mild skin itching or other irritation; or
changes in the color of treated skin.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Free Discount Drug Coupon
All patients are eligible to receive a discount by using this free Valchlor coupon. Save up to 80% on your prescription costs when using our drug coupons at your local pharmacy.
Free Prescription Discount Card
- No registration required.
- Everyone is eligible.
- Get discount up to 80%.
- Card can be used for person with Insurance or without insurance for discount.
- Never expires.
- Ready for immediate.
- No activation required.
- Prescription Coupon