Is NiceRx Legit?
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Many people are not aware that prescription assistance programs exist and NiceRx can help eligible individuals access these programs. U.S. pharmaceutical companies offer patient assistance programs but they are not actively marketed by them. It’s no surprise if this is the first time you have heard of them or have had challenges identifying the right programs and applying for assistance.
NiceRx is a legitimate company that provides courteous and professional assistance (Monday-Friday 8am-5pm EST) to people who cannot afford their medications, who may be insured, ineligible for Medicare, underinsured or uninsured. It’s a fact that Americans spend more on prescription drugs than any other country in the world, and we are here to help. Read on to find out how NiceRx can help you and assure you that it’s no scam!
What is NiceRx?
NiceRx is a service that works with your doctor’s office and the U.S. pharmaceutical companies that supply the medications. We are responsible for pre-qualifying you, completing the required paperwork, working with your doctor’s office, ordering, managing, tracking, on-time refilling of your medications, and renewal of your enrollment. Our advocates will identify all available sources of assistance for you. NiceRx makes the process of accessing FDA-approved prescription medications through pharmaceutical companies easier.
NiceRx is not an insurance plan or discount card. You can learn more about us.
What is a prescription assistance program?
Pharmaceutical companies in the U.S. offer patient assistance programs. These programs are available for eligible individuals who meet the income and insurance guidelines set by the pharmaceutical companies to receive their medications at a low cost, or for free.
NiceRx handles the entire process for you including the pre-qualification, ongoing application process, requesting refills on your behalf, and renewal of your enrollment in the program.
How does NiceRx work?
NiceRx is a full-service medication access company for individuals who are struggling to afford their prescription medication due to the high cost of the medication or copays.
You will complete your online enrollment securely on our website and will be notified in real-time if any of your medications are qualified for assistance. Once you become a NiceRx customer, we will start working with your doctor and the U.S. pharmaceutical companies to enroll you in the assistance program, handle your ongoing refills for your prescription drugs, and maintain enrollment with the assistance program.
How much does NiceRx cost?
NiceRx charges a service fee of $49 per month for each eligible medication we are able to assist with. There are no additional fees or costs for our service and the medications are supplied for free. There is no limit on the number of medications you can apply for. NiceRx provides access to over 1,500 FDA-approved medications, which you can apply for. The service fee applies to each eligible medication, so please remember if you were to enroll and be approved for e.g. two medications, then the cost will be $98 per month. You will not be charged for any medications we are unable to help with.
NiceRx is rated on TrustPilot with over 50 users rating NiceRx service as excellent. See our reviews on TrustPilot.
What are the benefits of NiceRx?
NiceRx helps eligible individuals access over 1,500 FDA-approved brand-name medications at an affordable price. We work with your healthcare provider to save you time, money, and worry. We will request your ongoing refills and renew your enrollment when it’s due. We are here every step of the way for you.
What do we ask from you?
As a NiceRx customer, you can expect the following:
- You will be required to provide all required documents for enrollment including income verification (eg. pay stubs, tax return, etc.) which can be uploaded securely online.
- Once a year, you must provide us with the requested information about your medications and income to continue to qualify for the program.
- You will pay a monthly service fee of $49 for each medication you’re approved for. There are no hidden or additional fees.
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What information do you need from me?
In order to complete the online enrollment form, you will need the following information on hand which will be required by the pharmaceutical companies:
- Your name, address, date of birth, SSN
- Insurance details
- Income details
- Physician details
- Medication details
- Payment details
How do you use and disclose protected health information about me?
NiceRx is committed to maintaining your privacy and we take our responsibility for safeguarding this information very seriously.
Protected Health Information (PHI) is the information we obtain to provide services to you that can identify you. PHI includes your name, medical conditions, health information, and other information we use to provide your prescriptions. We are required to adhere to the terms outlined in this Notice.
The following categories describe the ways that we use and disclose health information. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall into one of the categories.
For Treatment. PHI obtained by NiceRx will be used so that appropriate persons and entities can dispense your prescription medications. We may disclose health information about you to patient assistance programs (“PAPs”), and to doctors, nurses, other health care providers who are involved in taking care of you.
For Payment. We may use or disclose your PHI to your insurer, payor, or other agents in order to bill and collect payment for items or services we provided to you. For example, we may contact your insurance company, health plan, or another third party to obtain payment for services we provided to you. We may also contact you about a payment or balance due.
For Health Care Operations. We may use and disclose health information about you for our day-to-day health care operations. For example, we may use your PHI to monitor the performance of the staff providing services to you. We may use your PHI to continually improve the quality and the effectiveness of the health care products and services that we provide to you. We may search various data providers and other healthcare providers in order to ensure we have accurate medical records as a means to ensure the highest quality of care.
Why do you need my doctor’s details?
We require your doctor’s details because your doctor will need to be involved in the application process. We will send your doctor a request for a prescription. Once we receive the signed prescription from your doctor, we can proceed to finalize the application with the pharmaceutical manufacturer. In some instances, we may require your assistance in expediting the request for the prescription from your doctor. In these instances, we will notify you if we are still waiting for your prescription and require your assistance.
Why do I need to chase my doctor for a prescription?
Once you complete your enrollment and send us the outstanding documentation, we proceed to request a prescription from your doctor. Generally, doctors’ offices do respond positively to requests for a prescription. We require a prescription from your doctor to progress your application. At times when we cannot get a positive response from your doctor, we may request your assistance. Ultimately, the faster we get the prescription from your doctor, the quicker you may receive your medication.
Why do you need my total household income when it’s just myself enrolling?
Each pharmaceutical company has its own eligibility criteria. Some require the total household income to determine if an individual is eligible to receive medication from them.
I don’t have a job and I have no income. Can I still apply?
Each pharmaceutical company has its own eligibility criteria. You may still apply if you don’t have a job, although you may be required to provide evidence of this (e.g., employment termination letter).
How will I know if my enrollment has been successful?
Once you complete and submit the online enrollment form, you will receive an email informing you of the outcome. If you are successfully qualified, you will be requested to sign and send back a Consent Form; this allows us to act on your behalf and progress with your application. In addition, you will receive a link to your ‘My Account’ page, where you will be required to upload requested documents (e.g., insurance card, IRS-1040, W2, IRS-1099, etc.).
What happens if my enrollment is unsuccessful? Can I reapply?
Yes. Pharmaceutical manufacturer programs change from time to time. Therefore, if you have been unsuccessful in the past, it does not mean you will be unsuccessful in the future. In addition, if your circumstances change, this could potentially change your eligibility for assistance. We recommend that you regularly check even if you are not qualified. There is no cost or charge for checking.
Why do I need to upload documents?
Documents requested are specific to the medication you are requesting assistance with and relate to the requirements set by the manufacturer. Without these documents, the application will be delayed so we strongly suggest uploading the required documents as soon as possible.
How do I upload my documents?
All applicants will have access to a ‘My Account’ page where you can review the application and upload any documents required. You can access your online account via a link in the email that we send you after you complete your online enrollment; otherwise, you can access it via the website account login.
Can I complete the enrollment and send my documents later?
Yes, however, we do not recommend this because it may lead to a delay in you receiving your medication.
If I have successfully enrolled and provided all information requested, can I still be rejected?
In a very small number of cases, this may actually happen. However, in our experience, this is very rare. Ultimately, the manufacturer has the final say in approving supply. We will always keep you updated and if there is a rejection, you will be fully refunded.
A medical professional has reviewed this article.