Risk Minimisation Materials
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Imnovid
Bristol Myers Squibb Pharmaceuticals limited
Imnovid® (pomalidomide) Frequently Asked Questions
Imnovid® (pomalidomide) Healthcare Professional’s Information Pack
This pack contains the all the additional Risk Minimisation Materials required to prescribe and dispense pomalidomide. It also contains important reporting forms, information for patients, prescribing tools, and the Pharmacy Registration Form. It is a requirement of the Pregnancy Prevention Programme that all healthcare professionals ensure that they have read and understood risk minimisation materials before prescribing or dispensing pomalidomide for any patient.
Imnovid® (pomalidomide) Information for Healthcare Professionals
Imnovid® (pomalidomide) Information for Patients
Imnovid® (pomalidomide) Male Risk Awareness Form
Imnovid® (pomalidomide) Patient Pocket Information Card
Imnovid® (pomalidomide) Pharmacy Registration Form
Imnovid® (pomalidomide) Pregnancy Outcome Form
Imnovid® (pomalidomide) Pregnancy Reporting Form
Imnovid® (pomalidomide) Prescription Authorisation Form
A newly completed Prescription Authorisation Form must accompany each pomalidomide prescription to confirm that the patient has been counselled about the teratogenic risk of pomalidomide and the required contraceptive methods, continues to use effective contraception and in the case of a woman of childbearing potential, is having a pregnancy test every 4 weeks before each prescription to ensure they are not pregnant. Completion of this information is mandatory for ALL patients.
Imnovid® (pomalidomide) Woman of Childbearing Potential Risk Awareness Form
Imnovid® (pomalidomide) Woman of Non-Childbearing Potential Risk Awareness Form
Pomalidomide
Amarox Limited
Information for Healthcare Professionals Prescribing or Dispensing Pomalidomide
Information for Healthcare Professionals
Prescribing or Dispensing Pomalidomide
Pomalidomide Women of Child Bearing Potential (WCBP) Risk Awareness Form
Pomalidomide Women of Child Bearing Potential (WCBP) Risk Awareness Form
Pomalidomide Women of Non-ChildBearing Potential (WNCBP) Risk Awareness Form
Pomalidomide Women of Non-ChildBearing Potential (WNCBP) Risk Awareness Form
Thornton & Ross Ltd
HCP Information Guide
Information for Healthcare Professionals Prescribing or Dispensing Pomalidomide
Wockhardt UK Ltd
Women of ChildBearing Potential (WCBP) Risk Awareness Form
Women of ChildBearing Potential (WCBP) Risk Awareness Form
Women of Non-ChildBearing Potential (WNCBP) Risk Awareness Form
Women of Non-ChildBearing Potential (WNCBP) Risk Awareness Form
Zentiva
Pomalidomide Risk Assessment form - WCBP
Pomalidomide Risk Assessment form - Woman of Childbearing Potential
Pomalidomide Risk Assessment form - WNCBP
Pomalidomide Risk Assessment form - Woman of non Childbearing Potential
Pomalidomide Grindeks
Grindeks Kalceks UK
Pomalidomide Women of Child Bearing Potential (WCBP) Risk Awareness Form
Pomalidomide Women of Child Bearing Potential (WCBP) Risk Awareness Form
Pomalidomide Women of Non-Child Bearing Potential (WNCBP) Risk Awareness Form
Pomalidomide Women of Non-Child Bearing Potential (WNCBP) Risk Awareness Form
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