Briviact Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Briviact 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 Briviact cost savings if eligible
If you are eligible for the Briviact patient assistance program you can get your medication for free. Our monthly flat rate of $49 per medication covers the cost of our services in applying for the program and requesting your ongoing refills on your behalf. If you obtain your Briviact through NiceRx, you will only pay $49 a month regardless of the retail price of your medication.
Am I eligible for the Briviact patient assistance program?
You could receive your Briviact without paying the full retail price if you meet the eligibility criteria for assistance. This criteria is set by the pharmaceutical companies who are providing assistance programs. At NiceRx we review each application individually, although the main 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 Briviact patient assistance?
We do everything that we can to take the hassle and stress out of applying for patient assistance programs. Simply start by filling in our enrollment application. We will ask for details about your healthcare provider, your insurance, and your household income. This information is required by the pharmaceutical companies you are applying to for assistance. We may also be able to help you access patient assistance for other medications that you have been prescribed, so be sure to tell us about any medications you are taking as well as Briviact.
NiceRx will review the information you have provided, and if we determine that you may be eligible for assistance, we will seek to enroll you in the Briviact patient assistance program. We will handle the enrollment process for you by working with your healthcare provider and preparing all the required paperwork for your doctor to sign. We will also request your Briviact medication refills on your behalf for up to 1 year once you are enrolled in the program.
Is NiceRx a Briviact coupons provider?
At NiceRx, we help eligible individuals access the Briviact patient assistance program. This means that we are not a Briviact coupon, a Briviact discount card, or a Briviact copay card provider. We do not offer any medication trial offers or free Briviact samples.
Can NiceRx help me get Briviact if I have insurance?
We may be able to help you if you have insurance, including if your insurance company will not pay for your Briviact medication, or you have a high copay or coinsurance responsibility. We may even be able to assist if you do not have insurance. Please fill in our enrollment application to find out more.
How much is Briviact with insurance?
The cost of Briviact will vary in line with the specific terms of your healthcare plan. For further details about what you may need to pay, your insurance provider or pharmacist will be able to calculate the copay costs with your current insurance.
How much does Briviact cost without insurance?
Briviact costs without insurance will vary depending on how much you buy and the retailer you buy it from. As a guide, Briviact tablets 25 mg will typically cost around $1,300 for 60 tablets. If you obtain your medication through NiceRx, you will pay a flat monthly rate of $49 per medication regardless of its retail price.
What is Briviact?
Briviact contains the prescription medicine brivaracetam. Brivaracetam is an anti-epileptic drug used for the treatment of partial-onset seizures for adults and children, 4 years of age or older. Briviact injection is only recommended for the treatment of patients 16 years or older. It may be used alone or in combination with other medications.
Partial-onset seizures are caused when abnormal electrical activity starts in one part of the brain only. Symptoms of partial-onset seizures are typically muscle tightening, unusual head movements, eyes moving side to side or blank stares, tingling, numbness, hallucinations, and the sensation of ants crawling over your skin.
Briviact active ingredients
Briviact is classed as a SV2A ligand. SV2A is a protein found in synaptic vesicles. Synaptic vesicles are needed for nerve impulses to be passed between neurons. Ligands are defined as signaling molecules as sometimes when they combine with other molecules a signal is created. It has been seen that brivaracetam is highly attracted to the synaptic vesicle protein 2A(SV2A), this is thought to contribute to the anticonvulsant effect it has. However, the exact way in which Briviact works is not fully understood.
Briviact side effects
The most common side effects caused by Briviact include:
- Tiredness, drowsiness, or dizziness
- Nausea, vomiting
In rare instances, Briviact can cause more serious side effects. These can include:
- Change in behavior
- Unusual thoughts
- Feeling light-headed or faint
- Lack of coordination or balance
- Severe drowsiness
Your doctor will assess the benefits of using Briviact against your risk of side effects.
Briviact drug interactions
Briviact can interact with other medications. These include:
- Opioid analgesics – buprenorphine, propoxyphene
- Anesthetics – ketamine
- Antibiotics – rifampin
- Sodium oxybate – used for the treatment of cataplexy (episodes of muscle weakness) or narcolepsy (sleep disorder)
- Treatment for mood disorders – aripiprazole, olanzapine, quetiapine
- Other treatments for seizures – carbamazepine, phenytoin, phenobarbital
- Anti-depressants – citalopram, escitalopram, sertraline, venlafaxine
- Gabapentin – used for partial seizures or as a pain killer
- Treatments for anxiety or muscle spasms – diazepam, lorazepam, midazolam, temazepam
- Anti-malarials – chloroquine, mefloquine
- St John’s Wort
This list is not exhaustive and other drugs may interact with Briviact.
Briviact warning and precautions
You should not use Briviact if you:
- Are allergic to the active ingredient brivaracetam
- Are allergic to any of the other ingredients in Briviact
- Are younger than 4 years old. Briviact injection is to be used by people who are at least 16 years old
Talk to your doctor before using Briviact if you:
- Are taking any of the medications that could interact with Briviact
- Have depression or other mood disorders
- Have liver disease
- Have a drug addiction or history of alcoholism
- 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.