2 Information about lenalidomide with rituximab
2.3 Lenalidomide is available as a 21‑capsule pack. The cost per pack is £4,168.50 (20 mg; excluding VAT; BNF online, accessed January 2020). The company has a commercial arrangement. This makes lenalidomide available to the NHS with a discount. The size of the discount is commercial in confidence. It is the company's responsibility to let relevant NHS organisations know details of the discount. The list price of rituximab (MabThera) is £349.25 per two 100‑mg vials and £873.15 per one 500‑mg vial (excluding VAT; BNF online, accessed January 2020). Napp and Sandoz have agreed a nationally available price reduction for biosimilar rituximab with the Commercial Medicines Unit. The prices agreed through the framework are commercial in confidence.