Aciphex Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Aciphex medication with our help.Get started today
- Secure: Your personal and medical information is safe with us
- Convenient: We manage the whole process and we’re here to assist you
- Ongoing refills: We request your medication refills on your behalf
NiceRx works with your healthcare provider to help you access affordable medications directly from U.S. pharmaceutical companies.
An introduction to NiceRx(01:52)
Next steps after qualifying(00:38)
Uploading documents and billing(00:50)
SSN & billing information(00:33)
Medication delivery time(00:41)
How it works
Get started by filling out the online enrollment application to find out if you are eligible.
NiceRx verifies your eligibility for medication assistance and notifies you if you are qualified. The pharmaceutical company provides your medication for free and you only pay our service fee.
You may be required to submit further information and documents required by the pharmaceutical company which can be securely uploaded online.
Your application is created and sent to your doctor for signature. At this stage, you will be billed $49 and will not be billed again until you receive your first medication delivery.
Your application is sent to the pharmaceutical company. You will be billed again once you receive your medication. We handle the entire ordering process including requesting ongoing refills.
Aciphex (rabeprazole sodium)
Do you need help paying for your prescription Aciphex medication? NiceRx may be able to help you get your Aciphex prescription for just $49 per month.* We work directly with your healthcare provider to help you enroll in the Aciphex patient assistance program. NiceRx handles the full application process, helping you to get access to affordable Aciphex medication easily and without any stress.
Your monthly Aciphex cost savings if eligible
You could receive your Aciphex prescription for a flat fee of only $49 per month. This monthly fee covers the full cost of your Aciphex medicine, regardless of the retail price.
Am I eligible for the Aciphex patient assistance program?
If you meet the patient assistance program’s eligibility criteria, you could receive your Aciphex medication without paying the full retail price. We review each application individually. The factors considered by most programs are:
- I am a permanent, legal resident of the United States or Puerto Rico
- I am uninsured or my insurance doesn’t cover my medication
- I meet certain income eligibility requirements
How do I apply for the Aciphex patient assistance program?
NiceRx makes it as easy as possible to apply for the Aciphex patient assistance program. All you need to do is fill in our enrollment application. Tell us about any medications you’re taking, including Aciphex. We’ll ask for details about your healthcare provider, insurance, and your household income, as this is required by the pharmaceutical manufacturers who ship your medication.
We will then review your application and once we determine that you may be eligible for Aciphex assistance, we’ll handle the full application process for you and help enroll you in the patient assistance program. Once you are successfully enrolled, we will continue to request your Aciphex medication refills on your behalf for up to one year.
Does NiceRx provide Aciphex coupons?
No, we do not provide Aciphex coupons. NiceRx is a service provider that helps eligible individuals access the Aciphex patient assistance program. We don’t offer Aciphex discount cards, or Aciphex copay cards. When looking for cheap Aciphex, consider that you will likely save more through the Aciphex patient assistance program with NiceRx. You will never pay more than $49 per month, which is likely to be a more cost-effective ongoing solution for your prescription medication than printable Aciphex manufacturer coupons, Aciphex discounts, rebates, Aciphex savings cards, trial offers, or free Aciphex samples.
Can NiceRx help me get Aciphex if I have insurance?
At NiceRx we help eligible individuals access the medications they need through patient assistance programs. You may be eligible in a range of scenarios including if you have insurance, but your insurance company won’t pay for your Aciphex medication. We may also be able to help if you have a high copay or coinsurance responsibility, or no insurance in place at all.
How much is Aciphex with insurance?
The cost of Aciphex varies by healthcare plan. To understand your copy with your current insurance, contact your healthcare provider or speak to your pharmacist. Remember, if you are approved for assistance, you’ll likely save more if you get your Aciphex medication through NiceRx.
How much is Aciphex without insurance?
Aciphex prices without insurance will vary depending on where you purchase the medication from. With NiceRx you’ll always pay a flat monthly fee of $49.
*Qualifying persons may obtain medications directly from patient assistance programs without any out-of-pocket cost (or for less than $49 per medication). However, our monthly flat rate of just $49 per medication spares you the hassle of tracking down the different programs and filling out all the required paperwork for each program.
Enrollees enjoy a full-service solution, as NiceRx assists them and their physicians with the entire process. We prepare all required documents for the physician to sign, help enrollees manage all prescription refills, monitor eligibility criteria, and maintain enrollment.
**If you do not receive medications because you were determined to be ineligible for the prescription assistance by the applicable pharmaceutical companies and you have a letter of denial, we will refund any fees you paid toward medications for which you did not qualify to receive prescription assistance (“Refund”).
To receive a refund, you must send the letter of denial to us by fax to 888-517-7444, or by e-mail to [email protected] within 30 days of your receipt of such letter. The Refund is your sole and exclusive remedy for any fees you may wish to dispute.
The content on this website is intended for information purposes only. It does not constitute medical advice. The information on this website should not be relied upon and is not a substitute for professional medical advice. You should always speak to your doctor regarding the risks and benefits of any treatment.