Adcetris Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Adcetris medication.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.
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.
Your monthly Adcetris cost savings if eligible
If you are eligible for the Adcetris patient assistance program you can get your medication for free. Our monthly flat rate of $49 per medication covers the cost of our services in applying for the program and requesting your ongoing refills on your behalf. If you obtain your Adcetris through NiceRx, you will only pay $49 a month regardless of the retail price of your medication.
Am I eligible for the Adcetris patient assistance program?
You could receive your Adcetris without paying the full retail price if you meet the eligibility criteria for assistance. This criteria is set by the pharmaceutical companies who are providing assistance programs. At NiceRx we review each application individually, although 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 Adcetris patient assistance?
We do everything that we can to take the hassle and stress out of applying for patient assistance programs. Simply start by filling in our enrollment application. We will ask for details about your healthcare provider, your insurance, and your household income. This information is required by the pharmaceutical companies you are applying to for assistance. We may also be able to help you access patient assistance for other medications that you have been prescribed, so be sure to tell us about any medications you are taking as well as Adcetris.
NiceRx will review the information you have provided, and if we determine that you may be eligible for assistance, we will seek to enroll you in the Adcetris patient assistance program. We will handle the enrollment process for you by working with your healthcare provider and preparing all the required paperwork for your doctor to sign. We will also request your Adcetris medication refills on your behalf for up to 1 year once you are enrolled in the program.
Is NiceRx an Adcetris coupons provider?
At NiceRx, we help eligible individuals access the Adcetris patient assistance program. This means that we are not an Adcetris coupon, an Adcetris discount card, or an Adcetris copay card provider. We do not offer any medication trial offers, or free Adcetris samples.
Can NiceRx help me get Adcetris if I have insurance?
We may be able to help you if you have insurance, including if your insurance company will not pay for your Adcetris medication, or you have a high copay or coinsurance responsibility. We may even be able to assist if you do not have insurance. Please fill in our enrollment application to find out more.
How much is Adcetris with insurance?
The cost of Adcetris will vary in line with the specific terms of your healthcare plan. For further details about what you may need to pay, your insurance provider or pharmacist will be able to calculate the copay costs with your current insurance.
How much does Adcetris cost without insurance?
Adcetris costs without insurance will vary depending on how much you buy and the retailer you buy it from. As a guide, Adcetris powder for injection 50 mg will typically cost around $9,700 for 1 powder for injection. If you obtain your medication through NiceRx, you will pay a flat monthly rate of $49 per medication regardless of its retail price.
What is Adcetris?
Adcetris contains the prescription medicine brentuximab vedotin, which is a treatment for cancer.
Adcetris is used for the treatment of:
- classical Hodgkin Lymphoma (cHL), that could come back or already has come back after a stem cell transplant or treatment with other cancer medications has not worked
- Adult patients who have untreated Stage III or IV cHL, in combination with chemotherapy
- systemic Anaplastic large cell lymphoma (sALCL), that affects organs throughout the body, after other multi-agent chemotherapy has not worked
- primary cutaneous Anaplastic large cell lymphoma (pcALCL), or CD30-expressing MF in adult patients who have already had systemic therapy
Adcetris active ingredients
Adcetris is a CD30-directed antibody-drug conjugate (ADC). CD30 is released on the surface of sALCL and Hodgkin Reed-Stenberg (HRS) cells in cHL. The anticancer actions of Adcetris is thought to be due to the binding of the ADC to CD30 on these specific cells that release CD30. The ADC-CD30 complex then enters the cell, causing the cell to eventually die.
Adcetris is given as an infusion directly into a vein by a healthcare professional. Adcetris is normally given once every 2 to 3 weeks. Your dose is based on your weight. Brentuximab vedotin can lower your blood cell count and so your blood will need to be checked regularly. You may have to take other medicines to reduce the side effects of Adcetris.
Adcetris side effects
The most common side effects caused by Adcetris include:
- Nausea, vomiting, diarrhea, constipation
- Low blood cell counts
- Numbness or tingling
In rare instances, Adcetris can cause more serious side effects. These can include:
- Feeling weak, burning, tingling or numbness in your arms or legs
- Sudden chest pain, wheezing, dry cough, or feeling short of breath
- Pain or burning when you urinate
- Feeling thirsty, increased urination, dry mouth
- Fever, chills, tiredness, mouth sores, skin sores, easily bruised, unusual bleeding, pale skin, cold hands and feet, feeling light-headed
- Muscle cramps, irregular heart rate, decreased urination, tingling in your hands and feet or around your mouth
- Severe pain in upper stomach spreading to your back
- Loss of appetite, upper right side stomach pain, tiredness, dark urine, yellow color to the skin or eyes
- Bloody or dark stools, coughing up blood or vomit that looks like coffee grounds
Your doctor will assess the benefits of using Adcetris against your risk of side effects.
Adcetris drug interactions
Adcetris can interact with other medications. These include:
- Treatments for auto-immune diseases such as rheumatoid arthritis, Crohn’s disease, ulcerative colitis – adalimumab, certolizumab, etanercept
- Vaccines – BCG, measles, mumps, influenza, polio, rotavirus, rubella, smallpox, typhoid, varicella, yellow fever, zoster
- Treatments for cancer – bleomycin
- Treatments for mood disorders such as schizophrenia – clozapine
- Treatments for multiple sclerosis – fingolimod, ozanimod, siponimod
- DMARDs (disease-modifying antirheumatic drugs) for rheumatoid arthritis – leflunomide, teriflunomide
- Treatments for irregular heartbeat – amiodarone, dronedarone
- Anticonvulsants for the treatment of seizures – carbamazepine, phenytoin
This list is not exhaustive and other drugs may interact with Adcetris.
Adcetris warning and precautions
You should not use Adcetris if you:
- Are allergic to the active ingredient brentuximab vedotin
- Are allergic to any of the other ingredients in Adcetris
- Are being treated with bleomycin (a cancer medicine)
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
Talk to your doctor before using Adcetris if you:
- Are taking any of the medications that could interact with Adcetris
- Have diabetes
- Have liver disease
- Have kidney disease
- Have peripheral vascular disease (e.g. Raynaud’s syndrome)
*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.