Bevespi Aerosphere Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Bevespi Aerosphere 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 Bevespi Aerosphere cost savings if eligible
If you are eligible to receive your Bevespi Aerosphere prescription through the patient assistance program, your medication will be free. We charge a flat monthly price of $49 per medication to cover the cost of our services.
|Strength||Avg. monthly price at
a US pharmacy
|9mcg/4.8mcg 10.7g - 1 inhaler||$415.00||$49.00||$366.00|
Am I eligible for Bevespi Aerosphere patient assistance?
To be eligible for the Bevespi Aerosphere patient assistance program, you will need to meet specific eligibility criteria set by the pharmaceutical company. At NiceRx, we review each Bevespi Aerosphere enrollment application individually. The main factors considered 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 Bevespi Aerosphere patient assistance program?
Applying for the Bevespi Aerosphere patient assistance program through NiceRx is simple. Begin by completing the enrollment application on our website. We will ask for details about your healthcare provider, your insurance plan, and your household income. This information is required by the pharmaceutical manufacturers that supply your medication. We may be able to help you access patient assistance for other medications as well as Bevespi Aerosphere, so please tell us about any medications that you have been prescribed.
If we determine that you may be eligible for Bevespi Aerosphere assistance, we will handle the full enrollment process on your behalf. We will work with your healthcare provider to prepare and submit all the documents required for you to enroll. If you are successfully enrolled in the Bevespi Aerosphere patient assistance program, we will also request your Bevespi Aerosphere medication refills on your behalf for up to 1 year. At the end of your enrollment period, we will contact you for updated details and seek to re-enroll you in the program.
Is NiceRx a Bevespi Aerosphere coupons provider?
NiceRx does not provide Bevespi Aerosphere coupons, discount cards or copay cards. We do not offer printable Bevespi Aerosphere manufacturer coupons, Bevespi Aerosphere discounts, rebates, Bevespi Aerosphere savings cards, trial offers, or free samples. We are a service provider that helps eligible individuals access patient assistance programs. Our service cost is $49 a month per medication, so you will likely save more on your Bevespi Aerosphere medication with NiceRx.
Can NiceRx help me get Bevespi Aerosphere if I have insurance?
NiceRx may be able to help you access Bevespi Aerosphere patient assistance if:
- You have a high copay or coinsurance responsibility for Bevespi Aerosphere
- Your insurance company will not pay for your Bevespi Aerosphere prescription
- You do not have insurance
Complete your enrollment application online to find out more.
How much is Bevespi Aerosphere with insurance?
Your individual healthcare plan will determine the cost of Bevespi Aerosphere with insurance. To find out what you will need to pay, contact your pharmacist or insurance provider. They will be able to calculate your copay with your current insurance.
How much does Bevespi Aerosphere cost without insurance?
Bevespi Aerosphere prices without insurance will vary by retailer. As a guide, Bevespi Aerosphere inhalation aerosol (4.8 mcg-9 mcg/inh) will typically cost around $240 for 5.9 grams.
What is Bevespi Aerosphere?
Bevespi Aerosphere contains a combination of the prescription medicines formoterol and glycopyrrolate. Glycopyrrolate is classed as an anticholinergic and formoterol is classed as a bronchodilator. Bevespi Aerosphere is used for the treatment of COPD (chronic obstructive pulmonary disease) in adults. Bevespi Aerosphere is not used for the treatment of asthma. Bevespi Aerosphere may be used on its own or in combination with other medications.
Bevespi Aerosphere should be used exactly as prescribed by your doctor. Overuse of the inhaler can be dangerous to your health. Bevespi Aerosphere is not a rescue medicine for bronchospasm attacks such as asthma. Only fast-acting inhalation medicines are recommended for an attack. If your breathing problems get worse quickly, or if you think your medications are not working anymore you should speak to your doctor.
Bevespi Aerosphere active ingredients
Glycopyrrolate is classed as a long-acting antimuscarinic agent, also known as an anticholinergic. It has the effect of relaxing the smooth muscle in your lungs which allows the airways to widen.
Formoterol fumarate is classed as a long-acting selective beta2- agonist, which begins to work quickly. Inhaled formoterol fumarate works directly on the lungs at widening the airways.
The Bevespi Aerosphere should be shaken well just before you inhale your dose. You should not stop using Bevespi Aerosphere suddenly. Stopping suddenly can make your condition worse.
Bevespi Aerosphere side effects
The most common side effects caused by Bevespi Aerosphere include:
- Difficulty urinating
In rare instances, Bevespi Aerosphere can cause more serious side effects. These can include:
- Feeling shaky, nervous, chest pains, faster heart-rate
- Difficulty breathing
- Painful or difficult urination
- Problems with your vision
- Feeling thirsty, dry mouth, increased urination
- Leg cramps, constipation, irregular heartbeats, numbness or tingling sensation, muscle weakness
Your doctor will assess the benefits of using Bevespi Aerosphere against your risk of side effects.
Bevespi Aerosphere drug interactions
Bevespi Aerosphere can interact with other medications. These include:
- Beta-blockers for an irregular heartbeat – carteolol, carvedilol, labetalol, nadolol, propranolol, sotalol
- Treatments for multiple sclerosis – fingolimod, ozanimod, siponimod
- Treatments for cancer – ribociclib
Treatments for irregular heartbeat – amiodarone, dronedarone
- Antidepressants – citalopram, escitalopram, fluoxetine
- Antibiotics for bacterial infections – clarithromycin, erythromycin
- Diuretic (water tablets) – bendroflumethiazide, bumetanide, furosemide
- Treatments for mood disorders such as schizophrenia – clozapine, haloperidol
This list is not exhaustive and other drugs may interact with Bevespi Aerosphere.
Bevespi Aerosphere warning and precautions
You should not use Bevespi Aerosphere if you:
- Are allergic to the active ingredient glycopyrrolate/formoterol fumarate
- Are allergic to any of the other ingredients in Bevespi Aerosphere
- Are younger than 18 years old
Talk to your doctor before using Bevespi Aerosphere if you:
- Are taking any of the medications that could interact with Bevespi Aerosphere
- Have heart disease or high blood pressure
- Suffer from seizures
- Have liver disease
- Have glaucoma
- Have diabetes
- Have a thyroid disorder
- Have problems urinating
- Have any food or drug allergies
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
*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.