Acthar Gel Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Acthar Gel 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.
Acthar Gel (repository corticotropin injection)
If you need assistance paying for your Acthar Gel medication, we may be able to help. With NiceRx, you may be able to get your Acthar Gel prescription for only $49 per month.* We work with your healthcare provider to help you enroll in the Acthar Gel patient assistance program. NiceRx is here to handle the full application process for you, as well as applying for your ongoing medication refills if you are successfully enrolled in the program.
Your monthly Acthar Gel cost savings if eligible
You can get your prescribed Acthar Gel medication for a flat monthly fee of just $49. This flat monthly fee covers the full cost of your Acthar Gel medicine, regardless of retail price.
Am I eligible for the Acthar Gel patient assistance program?
If you meet the eligibility criteria for the patient assistance program, you could receive your Acthar Gel without paying the full retail price. We review each application individually, however the main 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 Acthar Gel patient assistance program?
You can apply online with NiceRx to find out if you are qualified for the patient assistance program. Just fill in our enrollment application, and tell us about any medications you’re taking, including Acthar Gel. We’ll ask for details about your healthcare provider, insurance, and your household income. This information is required by the pharmaceutical manufacturers who ship your medication.
If we determine that you are eligible for assistance, we’ll handle the full application process and help to enroll you in the Acthar Gel patient assistance program. Once enrolled in the program, we’ll also request your Acthar Gel medication refills on your behalf for up to one year.
Does NiceRx provide Acthar Gel coupons?
We are a service provider that helps eligible individuals access the Acthar Gel patient assistance program. NiceRx is does not provide Acthar Gel coupons. Neither do we offer Acthar Gel discount cards or Acthar Gel copay cards. We don’t offer printable Acthar Gel manufacturer coupons, Acthar Gel discounts, rebates, Acthar Gel savings cards, trial offers, or free Acthar Gel samples. Remember, when obtaining your Acthar Gel medication with our support, your total cost for the medication will always be $49 per month.
Can NiceRx help me get Acthar Gel if I have insurance?
If your insurance company won’t pay for your Acthar Gel medication, or you have a high copay or coinsurance responsibility, NiceRx may still be able to help. We may even be able to assist if you don’t have insurance.
How much is Acthar Gel with insurance?
The cost of Acthar Gel will vary by healthcare plan. Your healthcare provider or pharmacist will be able to calculate your copay with your current insurance. Remember, if you’re approved for assistance, you’ll likely save more if you get your Acthar Gel medication through NiceRx.
How much is Acthar Gel without insurance?
Acthar Gel prices without insurance will vary depending on the dosage and where you buy the medication. 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.