Ambisome Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Ambisome 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 Ambisome cost savings if eligible
The Ambisome patient assistance program can provide your medication for free. We simply charge $49 a month per medication to cover the cost of our services. With NiceRx, you will only pay $49 to obtain your Ambisome, regardless of the retail price.
Am I eligible for the Ambisome patient assistance program?
To find out if you are eligible for Ambisome assistance you can apply online using our enrollment application. Each pharmaceutical company sets its eligibility criteria, and we will review your application individually to determine if you may be eligible. The three main factors to consider 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 Ambisome patient assistance program?
Our application process aims to make it as easy as possible to apply for the Ambisome patient assistance program. The first step is to complete our online enrollment application. We will ask you for details about your healthcare provider, your insurance plan, and your household income as this information is required by the pharmaceutical companies. We may be able to help you apply for other patient assistance programs too, so be sure to tell us about any medications you are taking as well as Ambisome.
NiceRx will review your application and determine whether you may be eligible for Ambisome assistance. If so, we will handle the full enrollment process for you and prepare all required documents for your healthcare provider to sign. Once you are successfully enrolled in the Ambisome patient assistance program, we will help you manage your prescription refills by requesting refills on your behalf throughout your enrollment period. At the end of your enrollment period we will contact you for updated information and seek to re-enroll you so you can continue to access affordable Ambisome.
Is NiceRx an Ambisome coupons provider?
NiceRx is a service provider that helps eligible individuals access the Ambisome patient assistance program. We do not offer trial offers or free Ambisome samples. When obtaining your medication through NiceRx, you will only pay $49 a month per medication. This will likely save you more money than if you were to use Ambisome coupons, discount cards, or Ambisome copay cards.
Can NiceRx help me get Ambisome if I have insurance?
NiceRx may be able to help you if your insurance company will not pay for your Ambisome medication. We may also be able to help if you have a high copay or coinsurance responsibility. Whether you have insurance or not, apply online using our enrollment application to find out more.
How much is Ambisome with insurance?
The cost of Ambisome will vary by the terms of your healthcare plan. To find out what you might need to pay for Ambisome with insurance, your insurance provider or pharmacist will be able to help you calculate the copay costs with your current insurance.
How much does Ambisome cost without insurance?
Ambisome prices without insurance will vary depending on how much you buy. Prices will also vary by retailer. As a guide, Ambisome intravenous powder for injection 50 mg typically costs $290 for 1 powder for injection.
What is Ambisome?
Ambisome contains the prescription medicine amphotericin B. Ambisome is classed as an antifungal and is used for the treatment of serious life-threatening infections such as leishmaniasis or certain types of meningitis in people who have HIV (human immunodeficiency virus).
AmBisome is not for treating minor fungal infections such as yeast infections of the mouth, throat, or vagina.
Ambisome active ingredients
Amphotericin B works by attaching itself to the surface of the fungal cells. The fungal cells then leak sodium, potassium, hydrogen, and chlorine ions, causing the cell to die. Ambisome has been seen to be effective against fungi that infect both within and outside your normal healthy cells.
Ambisome may need to be given for several weeks or months depending on the infection you are being treated for. It is given as an infusion directly into your vein. This can take up to 2 hours as it must be given slowly. Your blood pressure, kidney function, oxygen levels, and breathing will be monitored closely whilst you are being treated with Ambisome.
Ambisome side effects
The most common side effects caused by Ambisome include:
- Nausea, vomiting, diarrhea
- Stomach pain
- Difficulty breathing
- Feeling weak
In rare instances, Ambisome can cause more serious side effects. These can include:
- Swelling in your feet or ankles
- Feeling dizzy
- Decreased urination
- Short of breath, tiredness
- Muscle cramps
- Feeling numb or tingly around mouth, fingers, or toes
- Increased thirst or urination
- Irregular heartbeats
Your doctor will assess the benefits of using Ambisome against your risk of side effects.
Ambisome drug interactions
Ambisome can interact with other medications. These include:
- Treatments for heart arrhythmias (irregular heartbeat) – amiodarone, dronedarone
- Antiviral treatments – cidofovir, tenofovir
- Treatments to prevent organ transplant rejection – everolimus, sirolimus, tacrolimus
- Water tablets – bendroflumethiazide, bumetanide, furosemide
- Corticosteroids – beclomethasone, betamethasone, cortisone, dexamethasone, fludrocortisone
- Proton pump inhibitors to reduce stomach acid – esomeprazole, lansoprazole, omeprazole, pantoprazole, rabeprazole
- Immuno-suppressants – cyclosporine, voclosporin
This list is not exhaustive and other drugs may interact with Ambisome.
Ambisome warning and precautions
You should not use Ambisome if you:
- Are allergic to the active ingredient amphotericin B
- Are allergic to any of the other ingredients in Ambisome
- Are breastfeeding or are planning to breastfeed
Talk to your doctor before using Ambisome if you:
- Are taking any of the medications that could interact with Ambisome
- Have kidney disease
- Have liver disease
- Have high or low levels of potassium or magnesium
- Are pregnant or are planning to become pregnant
*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.