Home / FAQ

FAQ

Find answers to common questions

What do I need to get started?

Get started with our online enrollment form to find out if you are eligible to start receiving your medications with NiceRx. Once you complete the online enrollment, we will let you know if you qualify right away. Once successfully enrolled in the assistance program, NiceRx will manage your enrollment including requesting refills for your prescription medications on time without you having to worry.

Who is NiceRx for?

Our service is intended for individuals who are unable or struggling to afford their medication through regular means. NiceRx is a full-service medication access company that researches available sources of assistance, enrolls eligible individuals into assistance programs, handles ongoing refill processing, and maintains enrollment with the applicable program.

The average household income to qualify for the NiceRx program:

  • Individuals earning around $30,000 per year.
  • Couples earning around $50,000 per year.
  • Guidelines increase with each additional member in the household.

NiceRx also works with health care providers, insurance companies, and social workers across the United States to help their patients who cannot afford their medications.

What is NiceRx?

NiceRx assists eligible individuals access over 1,500 FDA-approved prescription medications, via manufacturer approved patient assistance programs (PAP), for a set price of $49.00 per month for each medication we are able to assist with. There are no upfront costs or hidden fees.

NiceRx is not an insurance plan or discount card. Once enrolled in our service, our advocates will identify all available sources of assistance for the individual and handle the ordering, managing, tracking, on-time refilling and renewal of medications.

Can my friends and family use NiceRx too?

Yes! Each individual will need to complete a separate online enrollment form in order for us to qualify them for assistance.

What happens after I apply?

Following successful enrollment, we may request further documentation from you, to allow us to complete your application. We will handle the whole process including requesting a prescription from your doctor right through to liaising with the assistance provider to ensure that the medication is approved and dispatched in a timely fashion. We will send you regular update emails so that you will always know the current status of your order.

You should continue taking your medications as normal until you have received your first medication shipment. NiceRx does not approve applications or dispense medication to patients. The assistance provider will make the final determination of acceptance and you will only be charged for medications that we are able to assist with. Therefore, we cannot guarantee shipment times for your first order, although the average turnaround time for the first supply is 6 to 8 weeks from the time we receive all required documentation from you and your healthcare provider.

What is a patient assistance program (PAP)?

Patient assistance programs are offered by U.S. pharmaceutical companies. 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. Patient assistance programs are not marketed by the pharmaceutical companies and therefore most people don’t know about them or have challenges identifying the right programs and applying for assistance. NiceRx handles the entire process for you including the approval, ongoing application process, and requesting refills on your behalf.

How much can I save with NiceRx?

In most cases, individuals can save hundreds if not thousands of dollars on their prescription medication. Check out our Pricing page and use our online calculator to see how much you could potentially be saving.

Am I eligible for NiceRx?

To check eligibility, complete the simple online enrollment and we will notify you immediately if we are able to assist further.

How do I enroll?

Simply complete the online enrollment form which should take a few minutes to complete. Once submitted we will let you know immediately if you qualify.

What information do you need from me?

In order to complete the online enrollment form, you will need the following information to hand:

  • Your name, address, date of birth, SSN
  • Insurance details
  • Income details
  • Physician details
  • Medication details
  • Payment details

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 this we can finalize the application with the pharmaceutical manufacturer. In some instances, we may require your assistance in expediting the request for the Rx from your doctor. In these instances, we will prompt you.

Why do you need my payment details?

We require your payment details to ensure we can bill you at the point your application is created. Your payment method is billed at the point you have supplied all the relevant documentation requested as well as completing the additional questions required to be answered. You will not be billed before that point.

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 successful, you will be requested to sign and send back a POA (Power of Attorney); this allows us to act on your behalf and progress 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., IRS-1040, W2, IRS-1099), as well as complete any further application questions.

What happens if my enrollment is unsuccessful? Can I reapply?

Yes. 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 change the eligibility. We recommend that you regularly check. There is no cost or charge for checking.

Why do I need to upload documents?

Documents requested are specific to the type of medication and relate to the requirements set by the manufacturer. Without these, the application will be delayed.

How do I upload my documents?

All applicants will have access to a ‘My Account’ page where you can review the application, answer any additional questions requested and upload any documents required. You can access this via a link in the email that we send you on successful enrollment; otherwise, you can access it via the website account login.

I don’t know how to use the My Account upload facility, can I just fax or email them to you?

If you are struggling to upload documentation, you can email the documents to [email protected] or fax to (888) 517-7444

Can I complete the enrollment and send my documents later?

We would 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.

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 an Rx from your doctor. Generally, doctor offices do respond positively to requests for a prescription. We require an Rx 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 Rx from your doctor, the quicker you will receive your medication.

Is there any limit on the number of medications I can apply for?

No, there is no limit on the number of medications you can apply for. NiceRx provides access to over 1500 FDA-approved medications and provided your ones are listed, you can apply for them. The is fee is charged per medication, so please remember if you were to enroll and be approved for two medications then the cost will be $98 per calendar month.

What if my medication isn’t on your list?

We update our list frequently. Simply type in your medication in the search field on the home page to see if it is listed. If you do not see your medication listed, please contact us to check if we can assist. If NiceRx cannot obtain at least one medication for you, you will not be charged.

How many medications are offered?

NiceRx offers access to over 1,500 FDA-approved medications from over 50 U.S. pharmaceutical manufacturers. Our medication formulary changes often so please check our site regularly to find out if we can help with any of your medications.

What is the cost of the medication?

NiceRx over access to over 1,500 FDA-approved medications which are provided by over 50 assistance programs. The monthly fee for our program is $49 per month for each medication we are able to assist with. There are no additional charges.

We provide a full service that includes 100% of the cost of the medications and there are no hidden fees. Final approval is determined by each assistance program and you will not be charged any fees if you are not approved.

I can only see the brand name for my medication, do you assist with the generic version?

If your generic medication costs you more than $49 per month, we may be able to assist you in obtaining the brand equivalent at a cheaper price.

Does NiceRx supply medication directly?

All medications are supplied directly from the pharmaceutical company. NiceRx does not handle medication supplies.

Where and when will I receive my medications?

NiceRx handles all of the paperwork and processing required for you to obtain your medications via the U.S. pharmaceutical companies’ patient assistance program. The U.S. pharmaceutical company is responsible for the supply and shipment of your medication(s) to your home or your doctor’s office. Once enrolled, you can generally expect to receive a 90-day supply of medication(s) within 6 to 8 weeks, subject to all documentation being received from you. NiceRx will continue to manage the processing of ongoing refills for your medication(s).

Once you have completed the online enrollment form, we will let you know if you are eligible. We may then request further documentation from you in order for your application to be approved by the manufacturer and so that you can then begin receiving your medications. (It is extremely urgent that we receive the required documentation as soon as possible if requested. Documents can be uploaded directly to your account page).

The average time it can take to receive your medication is 6 to 8 weeks. During the initial process, you will need to obtain your medication through your usual method, for example, samples from a healthcare provider, 30 day supply from a local pharmacy, etc. Regrettably, NiceRx does not provide any reimbursements for purchases outside of our services. NiceRx will handle the enrollment in the program which includes the initial shipment and processing of all future refills going forward to ensure you receive your medications on time.

NiceRx works with you, your doctor, and the pharmaceutical manufacturer to ensure that you receive the most favorable outcome for your health.

How much medication will I be receiving?

Most applications have a 1 year enrollment period and are shipped a 90-day supply of medication at a time. At the end of the enrolment period, you will be required to resubmit a new enrolment. We will always keep you updated and prompt you nearer the time when to re-enroll.

I receive some medications at my home but others go to my physician’s office. Why is that?

A pharmaceutical manufacturer has to be properly licensed with the federal government in order to dispense medication directly to a patient. In most cases these companies are not properly licensed as dispensaries and therefore must send medications to your physician’s office where they can be dispensed to you legally. We will let you know if the medication ships to your home or doctor’s office.

How do I dispose of any medications that I do not use?

Guidelines were developed by the FDA as well as the White House Office of National Drug Policy. Those guidelines are summarized as follows:

Do not flush any medication down a sink or toilet unless the packaging of the medication specifically instructs you to do so. Follow all specific disposal instructions as printed on the prescription drug label or accompanying patient information documentation.

Consult the blue pages of your phone book or contact your local city or county’s trash and recycling division to see verify if there are any drug take-back programs active in your neighborhood. There are several drug disposal programs that allow individuals to bring unused medications to their facility to be properly disposed of. In addition, the D.E.A. (The U.S. Drug Enforcement Administration) periodically works with local government agencies to sponsor drug take-back days.

If neither of these options are available to you (there is no drug take back program in your neighbourhood and there are no specific disposal instructions on the label) dispose of your unused medication with your other trash by following these simple steps.

Remove the medication from their containers and mix them with an undesired substance. eg. coffee or used cat litter. This makes the drugs unrecognizable to anyone who may search the trash for prescriptions and less appealing to pets or children.

Insert in a sealable container such as bag or empty can that will prevent leaks or spillage.

Remove all identifying information from the label of the original medication container. This will help protect your identity and personal information.

Do not provide your unused medication to friends or family members. Medications that have prescriptions are intended for specific use based on the person and medical history. Prescriptions that work for one person could be harmful to others. If a question arises, speak with your pharmacist.

For more information on the proper care and disposal of unused medications, consult the FDA website.

How and when will I know to place my refill orders?

NiceRx has a dedicated refill team that is responsible for ensuring that your medication refills are placed on time and every time without you having to worry. Our dedicated refill team will ensure that you have another supply of medication on the way before you run out.

Where do the prescription medications come from?

The FDA approved prescription medications are supplied & delivered directly to you by the U.S. pharmaceutical manufacturer. In most cases, a 90-day supply is dispensed at a time. The U.S pharmaceutical manufacturer regularly uses courier services such as Fedex or USPS.

What if I'm not home and there's no one to receive my medication?

If you happen to be out, your courier will attempt to make a re-delivery at a later time or date.

If I haven’t received my medication yet, what do I do?

Once your application is approved by the pharmaceutical company, we will notify you by email of the expected delivery date. If you do not receive the medication by that date, then please contact us and we will chase the manufacturer and resolve it.

I received a prescription card in the mail and no medication, what do I do?

In some cases, the manufacturer will deliver a prescription card instead of the medication. This should be used at your local pharmacy, who will use the card to dispense the medication. You will not be charged by the pharmacy.

After my first supply, how and when will I know to place my refill orders?

NiceRx has a dedicated refill team that is responsible for ensuring that your medication refills are placed on time and every time without you having to worry. Our dedicated refill team will ensure that you have another supply of medication on the way before you run out.

Once you have received your last refill, we will prompt you to re-enroll into the program, to ensure that you have continuity of supply. The re-enrollment will require you to submit information, similar to when you first enrolled with NiceRx.

When will you start debiting my credit card?

When you complete the online enrollment form, we will let you know immediately if you qualify for assistance. If you do, then we may request supporting documentation from you. This will allow us to process your application. Once we create your application, we will bill you for the first time. An application is created at the point you have submitted any requested documents as well as answering any additional application questions. Thereafter, we will bill on the same day each month corresponding to your enrollment date. You will not be charged for any medication we are unable to obtain for you.

Do you offer refunds if I decide to cancel?

We understand that you may wish to cancel should you find a more cost-effective alternative somewhere else. In these circumstances, you may be eligible for a full or partial refund, however, this is approved on a case by case basis, depending on if you have had your first supply already. If you would like to have your membership cancelled, please review the following guidelines and send us a signed cancellation request by email, fax, or mail.

You may be eligible for a full refund of your first month’s dues if:

  • you have cancelled prior to the time that we have created your application.
  • you have received a denial letter stating that you are not eligible to receive medication, and have delivered a copy of the denial letter to us within 30 days of its date.
  • If you notify us after you received a three month supply of medicine, and cancelled after one month (and have a two months’ supply remaining), you will be billed for the subsequent two months.

Why do you charge for your service?

NiceRx is a service-based program. As we are not funded by any government organization, we need to charge a small monthly management fee to eligible individuals who can save money using our service. This fee covers the costs of our service, as well as any establishment costs.

What happens if my payment is declined?

If your payment is declined, an agent will contact you to request that you update your billing information or method of payment. The service will be on-hold until this has been resolved.

Do I have to pay any shipping costs?

No. There are no additional charges or hidden costs. The only monthly fee you pay is $49 per medication.

Can I use NiceRx if I have other insurance coverage?

Yes, NiceRx is a value-added program that works with all existing coverage, designed to obtain prescription medications at an affordable price using all sources of assistance available.

Our dedicated team of patient advocates works for you to find the assistance you need which is unavailable on discount drug cards, etc.

Can I enroll with NiceRx even though I have insurance?

You can still apply if you have insurance, however, please note that the eligibility criteria varies between manufacturers. The quickest way to find out if you are eligible is to complete the online enrolment form.

Is NiceRx considered Insurance?

No, NiceRx is not an insurance company or prescription discount card. We are essentially a patient advocacy group that assists individuals who are struggling with the costs of their regular medications. We provide assistance and access to manufacturer patient assistance programs, thus saving costs that would otherwise be incurred through normal insurance channels.

I already have insurance. Can my insurance pay for NiceRx's service fees?

Unfortunately, insurance companies cannot cover the cost of NiceRx’s service fees.

I’ve been denied health insurance before, will that affect me getting my medication?

If you have been denied health insurance before and received a denial letter, you may need to submit proof of this denial letter in the application process. If you qualify for assistance from NiceRx, we will request that you upload this letter to your My Account page along with other requested documents.

What if I have insurance and still cannot afford my medications?

If your insurance company refuses to pay for your prescription medications or you have a high copay or coinsurance responsibility, we might be able to help. Please check with one of our patient advocates. Insurance criteria may vary by program and medication.

Do you have any other questions?