Apligraf Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Apligraf 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.
Apligraf (bi-layered skin substitute)
Do you need help paying for your Apligraf 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 Apligraf 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 Apligraf cost savings if eligible
You could get your Apligraf prescription for a flat fee of just $49 per month. This flat monthly fee will cover the full cost of your Apligraf medicine, regardless of retail price.
Am I eligible for the Apligraf 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 Apligraf patient assistance program?
We make it as easy as possible to apply for the Apligraf patient assistance program. The first step is to complete our enrollment application, detailing all medications you are taking including Apligraf. 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 Apligraf assistance, we’ll handle the application process on your behalf and help to enroll you in the Apligraf patient assistance program. Once enrolled, we’ll also request your Apligraf medication refills on your behalf for up to one year.
Does NiceRx offer Apligraf coupons?
We don’t provide Apligraf coupons, Apligraf discount cards, or Apligraf copay cards. We don’t offer printable Apligraf manufacturer coupons, Apligraf discounts, rebates, Apligraf savings cards, trial offers, or free Apligraf samples. NiceRx is a service provider that helps eligible individuals access the Apligraf patient assistance program. When obtaining your Apligraf 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 Apligraf coupons.
Can NiceRx help me get Apligraf if I have insurance?
If your insurance company won’t pay for your Apligraf 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 Apligraf. Apply online to find out more.
How much is Apligraf with insurance?
The price of Apligraf 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 Apligraf medication through NiceRx.
How much is Apligraf without insurance?
Apligraf 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 Apligraf 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.