VALCHLOR Support®-resources that help you and your patients focus on treatment

Valchlor Support - Your Partner for the Journey - 99% of commercially insured patients pay $0 per Rx fill*

Comprehensive support and resources are available exclusively through a specialty pharmacy

VALCHLOR Support® helps with:

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Prior
authorizations

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Insurance
verification

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Appeals

  • Providing information for patients and caregivers on what to expect with VALCHLOR
  • Offering financial assistance for eligible patients

Nothing in the information provided shall be construed as a guarantee of Helsinn regarding levels of reimbursement, payment, or that reimbursement will be received.

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For prior authorizations, include your patient's body surface area so they receive the correct amount of VALCHLOR tubes

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VALCHLOR is directly delivered to your patient's doorstep

Available resources for you and your patients

VALCHLOR Patient Brochure

VALCHLOR Patient Brochure

Covers helpful topics such as how to apply and store VALCHLOR and how to address common side effects. To provide to your patients in your office:

Download in English Descargar en Español

Pay no more than $10.00 per prescription fill

Eligible patients pay no more than $0 per prescription fill

The VALCHLOR copay program is only available for US and Puerto Rico residents who are 18 or older and have commercial health insurance with copay/coinsurance exceeding $0 per prescription fill. Patients ineligible for the VALCHLOR copay program include those enrolled in Medicare, Medicaid, VA/DoD (Tricare), the Indian Health Service, or any other federal- or state-funded healthcare program, or where prohibited by law. The VALCHLOR copay program is not prescription drug coverage or insurance. Helsinn Therapeutics (U.S.), Inc. reserves the right to terminate or modify this program at any time or without notice. Other terms and conditions apply. 99% of commercially insured patients pay $0 per Rx fill, based on a review of claims data between Q1 2025 - Q3 2025.

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For more information, call 1-855-4-VALCHLOR (1-855-482-5245)

Additional support information

You can find additional information regarding MF-CTCL to help you educate your patients at the following websites:

Cutaneous Lymphoma Foundation: clfoundation.org

Lymphoma Research Foundation: lymphoma.org

Leukemia and Lymphoma Society: lls.org

Helsinn offers links to third-party websites that may assist you in locating other useful information. Helsinn does not control and is not responsible for the content of any linked third-party website, and hereby disclaims any and all liability and responsibility for these resources.