Besivance Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Besivance 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 Besivance cost savings if eligible
If you’re eligible for the Besivance patient assistance program, you could get your medication for a flat fee of just $49 per month. With affordable monthly payments, you could save:
|Strength||Avg. monthly price at
a US pharmacy
|1 bottle (5ml) of Besivance 0.6%||$167.20||$49.00||$118.20|
Am I eligible for the Besivance patient assistance program?
At NiceRx, we evaluate each patient assistance program application individually. In most cases, programs will consider the following factors:
- 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 Besivance patient assistance program?
Our application process for patient assistance programs is simple and straightforward. To start the process, simply complete our enrollment application. At this stage, it’s important to provide full details about your current household income, insurance and healthcare provider.
We will evaluate your application considering all of the information provided. If we determine that you may be eligible for assistance, we’ll handle the full application process for you, and help to enroll you in the Besivance patient assistance program. Once enrolled in the program, we’ll also request your Besivance medication refills on your behalf for up to 1 year.
Is NiceRx a Besivance coupons provider?
NiceRx is a service provider that helps eligible individuals access the Besivance patient assistance program. That means that we don’t provide printable Besivance manufacturer coupons, free Besivance samples, or Besivance discounts. If you’re looking for coupons for Besivance or cheap Besivance, know that you can likely save more with NiceRx. You will never pay more than $49 per month.
Can NiceRx help me get Besivance if I have insurance?
Every patient assistance program application is different, meaning that you may still be eligible even if you don’t have insurance. This also applies if your insurance company won’t pay for your Besivance medication, or you have a high copay or coinsurance responsibility.
How much is Besivance with insurance?
The terms of your personal healthcare plan will determine the cost of Besivance. To
understand the potential cost, speak to your healthcare provider or pharmacist.
How much does Besivance cost without insurance?
If you don’t have insurance, the cost of Besivance depends on where you buy it. As an
indication, you can expect to pay around $260 for five bottles of 5 ml 0.6% suspension
Besivance solution. With NiceRx you’ll always pay a flat monthly fee of $49.
What is Besivance?
Besivance is an antibiotic used to treat conjunctivitis. It comes as a liquid suspension that’s administered directly to your eyes using a dropper bottle.
Conjunctivitis is a bacterial eye infection. The condition causes the top layer of the white part of your eye, and your inner eyelid, to become inflamed. It can affect one eye, or both. Also known as ‘pink eye’ it can make your eye turn pink or red. If you have conjunctivitis, you’ll likely experience itching, burning sensations, and pain. You might find that your eyes and your eyelids swell. It can also cause a discharge which can stick your eyelids shut as you sleep, making it difficult to open them in the morning.
Conjunctivitis can be caused by allergies, reactions to certain chemicals, and viral infections, but is often caused by bacterial infections in the eye. Besivance can treat bacterial conjunctivitis as it kills many of the bacterial strains that commonly cause the infection.
Besivance active ingredients
The active ingredient in Besivance is called besifloxacin. Besifloxacin is a class of drug called a quinolone antibiotic. It’s a broad-spectrum antibiotic that can kill strains of bacteria belonging to a range of families that often cause conjunctivitis. It works by stopping the bacteria replicating and spreading themselves by interrupting the process by which the bacteria copy their DNA.
Besivance side effects & Besivance drug interactions
Besivance side effects are mild and relatively rare, experienced by just 1-2% of people who take it. They include an increase in redness, blurred vision, eye irritation and pain, eye pruritus (itchiness), and headaches.
If you take medications together, they can interact with each other. When this occurs, it can affect how they work, with certain side effects becoming more likely. No medications are known to interact with Besivance, but you should tell your prescribing doctor about all drugs you’re taking anyway. This includes any vitamins or dietary supplements.
Besivance warnings & precautions
Don’t take Besivance if you:
- Are allergic to the active ingredient besifloxacin or to other quinolone antibiotics
- Are allergic to any of the other ingredients in Besivance (listed in the leaflet which comes with the medication)
Talk to your physician before taking Besivance if you:
- Are pregnant or trying to become pregnant
- Are breastfeeding or plan to breastfeed
- Want to give Besivance to a child under one year of age
Prolonged use of Besivance can cause an overgrowth in organisms that aren’t affected by it, including fungi. Consult your physician if your infection does not respond to Besivance.
Don’t wear contact lenses if you have conjunctivitis and whilst you’re using Besivance.
*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.