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Bafiertam Patient assistance program

Is your Bafiertam medication too expensive? Start receiving your medication for only $49 per month.*

Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Bafiertam 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
  • 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

Play video (01:52)
  • An introduction to NiceRx
    (01:52)
  • Next steps after qualifying
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  • Uploading documents and billing
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  • SSN & billing information
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  • Medication delivery time
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How it works

  • Apply Online

    Get started by filling out the online enrollment application to find out if you are eligible.

  • Qualification

    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.

  • Upload Documents

    You may be required to submit further information and documents required by the pharmaceutical company which can be securely uploaded online.

  • Application Created

    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.

  • Receive Medication

    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.

Medically reviewed by  Jamie Winn, PharmD

Your monthly Bafiertam cost savings if eligible

The Bafiertam patient assistance program can provide your medication for free. We simply charge $49 per month for each medication to cover the cost of our services. With NiceRx, you will only pay $49 to obtain your Bafiertam, regardless of the retail price.

Am I eligible for the Bafiertam patient assistance program?

To find out if you are eligible for Bafiertam 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 Bafiertam patient assistance program?

Our application process aims to make it as easy as possible to apply for the Bafiertam 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 Bafiertam.

NiceRx will review your application and determine whether you may be eligible for Bafiertam 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 Bafiertam 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 Bafiertam.

Is NiceRx a Bafiertam coupon provider?

NiceRx is a service provider that helps eligible individuals access the Bafiertam patient assistance program. We do not offer trial offers or free Bafiertam 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 Bafiertam coupons, discount cards, or Bafiertam copay cards.

Can NiceRx help me get Bafiertam cheaper if I have insurance?

NiceRx may be able to help you if your insurance company will not pay for your Bafiertam 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 does Bafiertam cost without insurance?

Bafiertam prices without insurance will vary depending on how much you buy. Prices will also vary by retailer. As a guide, Bafiertam oral delayed-release capsules 95 mg typically cost $6,350 for 120 capsules.

How much does Bafiertam cost with insurance?

The copay for Bafiertam will vary by the terms of your healthcare plan. To find out what you might need to pay for Bafiertam with insurance, your insurance provider or pharmacist will be able to help you calculate the copay costs with your current insurance.

What is Bafiertam?

Bafiertam is an FDA-approved (U.S. Food and Drug Administration) medication manufactured by Banner Life Sciences LLC. Bafiertam is indicated for the treatment of relapsing forms of MS, including clinically isolated syndrome, relapsing-remitting MS (RRMS), and active secondary progressive disease, in adults. Safety and effectiveness in pediatric patients have not been established.

What doses of Bafiertam are available?

Bafiertam is available in delayed-release capsule form, in the following doses: 95 mg.

Your doctor should perform blood tests to check your liver function before you start taking Bafiertam and during treatment if needed. The starting dose is 95 mg orally twice a day, for 7 days. The maintenance dose after 7 days is 190 mg (administered as two 95 mg capsules) twice a day. Swallow the capsules whole. Do not crush, chew, or mix the contents with food. Bafiertam can be taken with or without food.

Read the prescribing information and always speak with your healthcare provider about any changes to your dose so they can monitor and evaluate your condition.

Bafiertam active ingredients

Bafiertam is a disease-modifying therapy (DMT), that treats relapsing forms of multiple sclerosis (MS) by the same mechanism of action as Tecfidera, (dimethyl fumarate, DMF). DMF is absorbed in the gastrointestinal (GI) tract, where it’s converted to become the active agent monomethyl fumarate (MMF) that treats MS. Bafiertam contains the active agent MMF, so it doesn’t need to be converted.

Bafiertam 190 mg was FDA approved by demonstrating that its dose was bioequivalent to DMF 240 mg following oral administration. MMF (380 mg/day) is bioequivalent to DMF (480 mg/day).

Bafiertam side effects

The most common side effects of Bafiertam in clinical trials (incidence for dimethyl fumarate [the prodrug of Bafiertam]≥10% and ≥2% more than placebo) include:

  • Flushing
  • Abdominal pain
  • Diarrhea
  • Loss of appetite
  • Nausea

In rare instances, Bafiertam can cause more serious side effects. These can include:

  • Anaphylaxis and angioedema
  • Progressive multifocal leukoencephalopathy (PML) – symptoms include clumsiness, impairment of coordination, weakness, sudden change in your thinking, confusion, difficulty concentrating, memory loss, difficulty talking, walking, seizure, and vision changes
  • Herpes zoster and other serious opportunistic infections
  • Lymphopenia – obtain a CBC including lymphocyte count before initiating treatment, after 6 months, and every 6 to 12 months thereafter
  • Liver Injury

Your doctor will assess the benefits of using Bafiertam against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Bafiertam to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Bafiertam drug interactions

Bafiertam can interact with other medications. These include:

  • Drugs that weaken the immune system and increase the risk of infection – natalizumab, rituximab
  • Medications containing dimethyl fumarate or diroximel fumarate

This list is not exhaustive and other prescription drugs may interact with Bafiertam. Tell your healthcare provider about all the medicines you take including prescription and over-the-counter medicines, vitamins, and herbal supplements.

Bafiertam contraindications

You should not use Bafiertam if you:

  • Are allergic to the active ingredient monomethyl fumarate
  • Have had an allergic reaction to any of the other ingredients in Bafiertam
  • Have a known hypersensitivity to monomethyl fumarate, dimethyl fumarate, diroximel fumarate, or any of the ingredients of Bafiertam
  • Are pregnant or are planning to become pregnant – can cause fetal harm

Talk to your doctor before using Bafiertam if you:

  • Are taking any of the medications that could interact with Bafiertam
  • Have liver problems
  • Have or have had low white blood cell counts or an infection
  • Are breastfeeding or are planning to breastfeed

Bafiertam generic

Bafiertam is the trademark brand name for monomethyl fumarate manufactured by Banner Life Sciences LLC. A generic version of monomethyl fumarate is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Bafiertam savings through 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.