Ampyra Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Ampyra 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.
Do you need help paying for your Ampyra medication? If you’re struggling to afford your essential medication, we may be able to help. With our assistance you may be able to get your Ampyra prescription for only $49 per month.* We work directly with your healthcare provider to help you enroll in patient assistance programs. The full application process is handled on your behalf by NiceRx, providing you with a stress-free and affordable way to access your essential medication.
Your monthly Ampyra cost savings if eligible
You could get your Ampyra prescription for a flat fee of just $49 per month. This flat monthly fee will cover the full cost of your Ampyra medicine, regardless of retail price.
Am I eligible for the Ampyra patient assistance program?
At NiceRx, we review every application individually. While eligibility criteria may vary by program, these are the factors considered by most programs:
- 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 Ampyra patient assistance program?
We make it as easy as possible to apply for the Ampyra patient assistance program. The first step is to complete our enrollment application, detailing all medications you are taking including Ampyra. It’s important that you also let us know about your healthcare providers, insurance and your household income. This information is needed by the pharmaceutical companies who ship the medication.
If we determine that you may be eligible for Ampyra assistance, we’ll handle the application process on your behalf and help to enroll you in the Ampyra patient assistance program. Once enrolled, we’ll also request your Ampyra medication refills on your behalf for up to one year.
Does NiceRx offer Ampyra coupons?
We don’t provide Ampyra coupons, Ampyra discount cards, or Ampyra copay cards. We don’t offer printable Ampyra manufacturer coupons, Ampyra discounts, rebates, Ampyra savings cards, trial offers, or free Ampyra samples. NiceRx is a service provider that helps eligible individuals access the Ampyra patient assistance program. When obtaining your Ampyra medicine through NiceRx your total cost for the medication will always be a flat fee of $49 per month. This is likely to be much cheaper than Ampyra coupons.
Can NiceRx help me get Ampyra if I have insurance?
If your insurance company won’t pay for your Ampyra medication, or you have a high copay or coinsurance responsibility, we may still be able to help. We can even assist if you don’t have insurance or your insurance plan doesn’t cover Ampyra. Apply online to find out more.
How much is Ampyra with insurance?
The price of Ampyra varies depending on your healthcare plan. A pharmacist or your healthcare provider 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 Ampyra medication through NiceRx.
How much is Ampyra without insurance?
Ampyra prices without insurance will vary depending on where you buy it. You will never pay more than the flat monthly fee of $49 when obtaining your Ampyra with NiceRx.
*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.