Breztri Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Breztri 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
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 Breztri aerosphere cost savings if eligible
If you are eligible for the Breztri 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 Breztri aerosphere prescription for just $49 a month, regardless of the retail price of your medication.
|Strength||Avg. monthly price at
a US pharmacy
|10.7gm of 160-9-4.8mcg/act aerosol||$529.00||$49.00||$480.00|
|5.9gm of 160-9-4.8mcg/act aerosol||$295.00||$49.00||$246.00|
Am I eligible for the Breztri aerosphere patient assistance program?
We will review your application to determine whether you are eligible for the Breztri aerosphere patient assistance program. Each program has its own 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 Breztri aerosphere patient assistance program?
We make it as easy as possible to apply for the Breztri aerosphere patient assistance program. The first step is to complete our enrollment application. Tell us about any medications you are taking, including Breztri aerosphere. 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 Breztri aerosphere 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 Breztri aerosphere patient assistance program, and we will automatically request your Breztri aerosphere medication refills for up to 1 year.
Is NiceRx a Breztri aerosphere coupons provider?
We are a service provider that helps eligible individuals access the Breztri aerosphere patient assistance program. That means that we do not offer printable Breztri aerosphere manufacturer coupons, Breztri aerosphere discounts, or free Breztri aerosphere samples. We are not a Breztri aerosphere coupon provider or Breztri aerosphere discount card. Our service extends to assisting eligible individuals to access the medications they need through patient assistance programs.
Can NiceRx help me get Breztri aerosphere if I have insurance?
We may be able to help you to access Breztri aerosphere patient assistance in a variety of circumstances. This includes when your insurance company will not pay for your Breztri aerosphere 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 Breztri aerosphere cost without insurance?
Breztri aerosphere cost without insurance will vary depending on where you buy it. As a guide, Breztri Aerosphere inhalation aerosol (160 mcg-4.8 mcg-9 mcg/inh) usually costs $360 for a supply of 5.9 grams. With NiceRx you will pay a flat monthly fee of $49, regardless of the retail price of your medication.
How much does Breztri aerosphere cost with insurance?
The copay for Breztri aerosphere 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 Breztri aerosphere?
Breztri aerosphere is an FDA (U.S. Food and Drug Administration) approved medication manufactured by AstraZeneca.
Breztri aerosphere is a combination of budesonide, an inhaled corticosteroid (ICS), glycopyrrolate, an anticholinergic, and formoterol fumarate, a long-acting beta2-agonist ((LABA) bronchodilator), indicated for the maintenance treatment of patients with chronic obstructive pulmonary disease (COPD). COPD is a chronic lung disease that includes chronic bronchitis, emphysema, or both. Breztri aerosphere will significantly reduce the annual rate of moderate or severe COPD exacerbations.
Breztri Aerosphere is not for the treatment of asthma, sudden breathing problems, or acute bronchospasm. It is not a rescue inhaler. LABA medicines such as formoterol fumarate when used alone increase the risk of hospitalizations and death from asthma problems. Breztri Aerosphere contains an ICS, an anticholinergic, and a LABA. When an ICS and LABA are used together, there is not a significant risk in hospitalizations and deaths from asthma problems.
What doses of Breztri aerosphere are available?
Breztri aerosphere is available as an inhalation aerosol, in the following doses: Pressurized metered-dose inhaler containing a combination of budesonide (160 mcg), glycopyrrolate (9 mcg), and formoterol fumarate (4.8 mcg) per inhalation.
Please read the full prescribing information and patient information for patient safety information, and always speak with a healthcare professional for medical advice or about any changes to your dose so they can monitor and evaluate your condition.
Breztri aerosphere active ingredients
Breztri aerosphere contains a combination of budesonide, glycopyrrolate, and formoterol fumarate as the active ingredients.
Breztri aerosphere side effects
The most common side effects of Breztri aerosphere in clinical trials include:
- Upper respiratory tract infection, pneumonia
- Back pain, muscle spasm
- Oral thrush, cough, sinusitis
- Urinary tract infection
In rare instances, Breztri aerosphere can cause more serious side effects. These can include:
- Potential worsening of infections such as existing tuberculosis, fungal, bacterial, viral, or parasitic infections, ocular herpes simplex
- Risk of impaired adrenal function
- Hypercorticism and adrenal suppression
- Paradoxical bronchospasm
- Glaucoma and cataracts, worsening of narrow-angle glaucoma
- Worsening of urinary retention
- Hypokalemia – low levels of potassium may cause symptoms of muscle spasm, muscle weakness, or abnormal heart rhythm
- Hyperglycemia (high blood sugar levels)
- Effects on your heart – increased blood pressure, a fast or irregular heartbeat, chest pain
- Serious allergic reactions – rash, hives, swelling of your face, mouth, and tongue, breathing problems
Your doctor will assess the benefits of using Breztri aerosphere against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Breztri aerosphere to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Breztri aerosphere drug interactions
Breztri aerosphere can interact with other medications. These include:
- Strong cytochrome P450 3A4 inhibitors – ketoconazole, ritonavir, atazanavir, clarithromycin, indinavir, itraconazole
- Other adrenergic drugs
- Xanthine derivatives or steroids
- Monoamine oxidase inhibitors and tricyclic antidepressants
This list is not exhaustive and other prescription drugs may interact with the Breztri aerosphere. Tell your healthcare provider about all the medicines you take, including prescription drugs and over-the-counter medicines, vitamins, and herbal supplements.
Breztri aerosphere contraindications
You should not use Breztri aerosphere if you:
- Are allergic to the active ingredient budesonide, glycopyrrolate, or formoterol fumarate
- Have had an allergic reaction to any of the other ingredients in Breztri aerosphere
Talk to your doctor before using Breztri aerosphere if you:
- Are taking any of the medications that could interact with Breztri aerosphere
- Have hepatic impairment
- Have renal impairment
- Have heart problems or high blood pressure
- Suffer from seizures
- Have thyroid problems
- Have diabetes
- Have osteoporosis
- Have problems with your immune system
- Have eye problems such as glaucoma or cataracts
- Have prostate or bladder problems, or problems passing urine
- Have a viral, bacterial, parasitic, or fungal infection
- Are pregnant or plan to become pregnant
- Are breastfeeding or plan to breastfeed
Breztri aerosphere generic
Breztri aerosphere is the trademark brand name for budesonide 160 mcg, glycopyrrolate 9 mcg, and formoterol fumarate 4.8 mcg manufactured by AstraZeneca. A generic version of budesonide 160 mcg, glycopyrrolate 9 mcg, and formoterol fumarate 4.8 mcg are not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Breztri aerosphere 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.