Belsomra Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Belsomra 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.
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.
Your monthly Belsomra cost savings if eligible
If you are eligible for the Belsomra patient assistance program, the cost of your medication will be free. We only charge $49 per month for each medication, to cover our service fees. You could receive your Belsomra prescription for just $49 a month, regardless of the retail price of your medication.
|Strength||Avg. monthly price at
a US pharmacy
|5mg 30 tablets||$363.04||$49.00||$314.04|
|10mg 30 tablets||$363.04||$49.00||$314.04|
|15mg 30 tablets||$363.04||$49.00||$314.04|
|20mg 30 tablets||$358.04||$49.00||$309.04|
Am I eligible for the Belsomra patient assistance program?
We will review your application to determine whether you are eligible for the Belsomra patient assistance program. Each program has its eligibility criteria which are set by the pharmaceutical companies, however, 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 Belsomra patient assistance program?
We make it as easy as possible to apply for the Belsomra patient assistance program. The first step is to complete our enrollment application. Tell us about any medications you are taking, including Belsomra. We will also ask for details about your healthcare provider, insurance, and your household income. This information is required by the pharmaceutical manufacturers who ship your medication.
If we determine that you may be eligible for Belsomra assistance, we will handle the application process for you. We will work directly with your healthcare provider to prepare your application documents. Once we have received the signed application and supporting documents, we will submit them to the patient assistance program on your behalf. Our service continues once you are enrolled in the Belsomra patient assistance program, and we will automatically request your Belsomra medication refills for up to 1 year.
Is NiceRx a Belsomra coupons provider?
We are a service provider that helps eligible individuals access the Belsomra patient assistance program. That means that we do not offer printable Belsomra manufacturer coupons, Belsomra discounts, or free Belsomra samples. We are not a Belsomra coupon provider or Belsomra discount card. Our service extends to assisting eligible individuals to access the medications they need through patient assistance programs.
Can NiceRx help me get Belsomra if I have insurance?
We may be able to help you to access Belsomra patient assistance in a variety of circumstances. This includes when your insurance company will not pay for your Belsomra medication or if you have a high copay or coinsurance responsibility. We may also be able to help you if you do not have insurance. Please apply online to find out more.
How much does Belsomra cost without insurance?
Belsomra’s cost without insurance will vary depending on where you buy it. As a guide, Belsomra oral tablet 5 mg usually costs $430 for 30 tablets. With NiceRx you will pay a flat monthly fee of $49, regardless of the retail price of your medication.
How much does Belsomra cost with insurance?
The copay for Belsomra with insurance depends on the terms of your healthcare plan. To find out how much this is, your healthcare provider or pharmacist will be able to calculate your copay with your current insurance.
What is Belsomra?
Belsomra is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Merck & Co., Inc. Belsomra is an orexin receptor antagonist indicated for the treatment of insomnia, characterized by difficulties with sleep onset and/or sleep maintenance.
Belsomra is a Schedule IV federally controlled substance because it can be abused or cause dependence.
What doses of Belsomra are available?
Belsomra is available in tablet form, in the following doses: 5 mg, 10 mg, 15 mg, 20 mg.
The recommended dose is 10 mg, no more than once per night. Take Belsomra within 30 minutes of going to bed, with at least 7 hours of sleep planned. The dose can be increased if the 10 mg dose is well tolerated but not effective. Do not exceed 20 mg once daily. The onset of action may be delayed if taken with or soon after a meal.
Please read the accompanying medication guide for the full prescribing information and always speak with your healthcare provider for medical advice or about any changes to your dose so they can monitor and evaluate your condition.
Belsomra active ingredients
Belsomra contains suvorexant as the active ingredient. It belongs to a class of drugs known as sedative-hypnotics.
Belsomra side effects
The most common side effects of Belsomra in clinical trials compared to placebo include:
- Somnolence and sleepiness
- Daytime drowsiness – do not drive, use machinery, or do anything that needs alertness the next day
- Abnormal dreams
In rare instances, Belsomra can cause more serious side effects. These can include:
- Behavioral changes
- Worsening of depression and suicidal thoughts
- Sleep paralysis – hypnagogic/hypnopompic hallucinations, and cataplexy-like symptoms
- Complex sleep behaviors – sleep-driving, sleepwalking, preparing and eating food, or having sex while not fully awake. This risk increases with dose, with the use of CNS depressants, and with alcohol
- Compromised respiratory function
Your doctor will assess the benefits of using Belsomra against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Belsomra to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Belsomra drug interactions
Belsomra can interact with other medications. These include:
- CYP3A inhibitors – ketoconazole, itraconazole, posaconazole, clarithromycin, nefazodone, ritonavir, saquinavir, nelfinavir, indinavir, boceprevir, telaprevir, telithromycin, fosamprenavir, grapefruit juice, imatinib, verapamil
- Strong CYP3A inducers – rifampin, carbamazepine, and phenytoin
- Digoxin – monitor digoxin concentrations
- CNS-Active Agents – additive psychomotor impairment
This list is not exhaustive and other prescription drugs may interact with Belsomra. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements)
You should not use Belsomra if you:
- Are allergic to the active ingredient suvorexant
- Are allergic to any of the other ingredients in Belsomra
- Have narcolepsy
- Are pregnant or are planning to become pregnant
- Have a severe hepatic impairment
Talk to your doctor before using Belsomra if you:
- Are taking any of the medications that could interact with Belsomra
- Are breastfeeding or are planning to breastfeed – it is unknown if suvorexant passes into breast milk
- Have liver disease
- Have lung disease, or breathing problems (such as sleep apnea, chronic obstructive pulmonary disease – COPD)
- Have mental health problems
- Have a personal or family history of a substance use disorder (such as overuse of or addiction to drugs/alcohol)
- Have muscle weakness disorder (cataplexy)
- Are an older adult as you may be more sensitive to the side effects of this drug
Belsomra is the trademark brand name for suvorexant manufactured by Merck & Co., Inc. A generic version of suvorexant is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Belsomra 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 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.