Alphagan Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Alphagan medication with our help.Get Started Now
Secure: Your personal and medical information is safe with us
Convenient: Your medication is delivered straight to your door
Ongoing refills: Your medication is refilled automatically
NiceRx works with your healthcare provider to help you access affordable medications directly from U.S. pharmaceutical companies.
How it works
Get started by filling out the online enrollment application to find out if you are eligible for assistance.
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.
We will request documents to be submitted by you and your healthcare provider that are required by the pharmaceutical company to complete your enrollment.
Once approved, the pharmaceutical company typically ships a 90-day supply of medication to your home or healthcare provider’s address.
Alphagan (brimonidine tartrate)
Do you need help when it comes to paying for your Alphagan medication? With NiceRx, you may be able to get your Alphagan for a flat fee of only $49 per month.* We work directly with your healthcare provider to help you enroll in the Alphagan patient assistance program. We’re here to handle the full application process for you, helping you to get access to affordable Alphagan medication without any stress.
Your monthly Alphagan cost savings if eligible
If eligible, you could receive your Alphagan prescription for a monthly fee of $49. This fee covers the full cost of your Alphagan medicine, regardless of retail price.
Am I eligible for the Alphagan patient assistance program?
At NiceRx we review each Alphagan assistance program application individually and 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 Alphagan patient assistance program?
We make it as easy as possible to apply for the Alphagan patient assistance program. Just fill in our enrollment application to begin. Tell us about any medications you’re taking, including Alphagan. We’ll also ask for details about your healthcare provider, insurance coverage and your household income, as this information is required by the pharmaceutical manufacturers that ship your medication.
If we determine that you may be eligible for assistance, we’ll handle the application process and help to enroll you in the Alphagan patient assistance program. Once enrolled in the program, we’ll also request your Alphagan medication refills on your behalf for up to one year.
Does NiceRx provide Alphagan coupons?
NiceRx does not offer coupons for Alphagan. We are a service provider that helps eligible individuals access the Alphagan patient assistance program. We don’t provide Alphagan discount cards, Alphagan manufacturer coupons, Alphagan discounts, rebates, Alphagan savings cards, trial offers, or free Alphagan samples.
Can NiceRx help me get Alphagan if I have insurance?
As we review each application on an individual basis, we may be able to assist you if your insurance company won’t pay for your Alphagan medication, or you have a high copay or coinsurance responsibility. We may even be able to help if you don’t have insurance.
How much is Alphagan with insurance?
The cost of Alphagan will vary by healthcare plan. To calculate your copay with your current insurance, contact your healthcare provider or speak to a pharmacist. Remember, if you’re approved for assistance, you’ll likely save more if you get your Alphagan medication through NiceRx.
How much is Alphagan without insurance?
Alphagan prices without insurance will vary depending on where you buy the medication the quantity purchased. 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 the different programs and filling out all the required paperwork for each program. Subject to medication availability.
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.