Bronchitol Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Bronchitol 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 Bronchitol cost savings if eligible
If you are eligible for the Bronchitol 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 Bronchitol prescription for just $49 a month, regardless of the retail price of your medication.
Am I eligible for the Bronchitol patient assistance program?
We will review your application to determine whether you are eligible for the Bronchitol patient assistance program. Each program has its own eligibility criteria which is 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 Bronchitol patient assistance program?
We make it as easy as possible to apply for the Bronchitol patient assistance program. The first step is to complete our enrollment application. Tell us about any medications you are taking, including Bronchitol. 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 Bronchitol 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 Bronchitol patient assistance program, and we will automatically request your Bronchitol medication refills for up to 1 year.
Is NiceRx a Bronchitol coupon provider?
We are a service provider that helps eligible individuals access the Bronchitol patient assistance program. That means that we do not offer printable Bronchitol manufacturer coupons, Bronchitol discounts, or free Bronchitol samples. We are not a Bronchitol coupon provider or Bronchitol discount card. Our service extends to assisting eligible individuals to access the medications they need through patient assistance programs.
Can NiceRx help me get Bronchitol cheaper if I have insurance?
We may be able to help you to access Bronchitol patient assistance in a variety of circumstances. This includes when your insurance company will not pay for your Bronchitol 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 Bronchitol cost without insurance?
Bronchitol cost without insurance will vary depending on where you buy it. As a guide, Bronchitol inhalation capsules 40 mg usually cost $3,675 for 560 capsules. With NiceRx you will pay a flat monthly fee of $49, regardless of the retail price of your medication.
How much does Bronchitol cost with insurance?
The copay for Bronchitol 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 Bronchitol?
Bronchitol is a sugar alcohol, dry powder inhaler device manufactured by Pharmaxis, Ltd. Bronchitol has FDA approval (U.S. Food and Drug Administration) as an add-on maintenance therapy to improve pulmonary function in adult patients 18 years of age and older with cystic fibrosis.
Bronchitol is only used in adults who have passed the Bronchitol Tolerance Test (BTT) to ensure that they are not hyperresponsive to mannitol and to identify patients who are appropriate for inhaled mannitol use. Bronchitol works by rehydrating the airways/lung surfaces and promoting a productive cough.
The main measure of the effectiveness of Bronchitol is based on the improvement in a patient’s forced expiratory volume (lung function) in one second (FEV1), adjusted for the patient’s age, height, and sex. FEV1 is the maximum volume of air a person can breathe out in one second.
What doses of Bronchitol are available?
Bronchitol is available in inhalation powder form, in the following doses: 40 mg mannitol per capsule.
A short-acting bronchodilator should be administered by oral inhalation, 5-15 minutes before every dose of Bronchitol. The recommended dose for the treatment of cystic fibrosis is 400 mg of Bronchitol (10 capsules), twice a day by oral inhalation, in the morning and evening, with the later dose taken 2-3 hours before bedtime.
Please read the full prescribing information and always speak with a healthcare professional for medical advice about any changes to your dose so they can monitor and evaluate your condition.
Bronchitol active ingredients
Bronchitol contains mannitol as the active ingredient.
Bronchitol side effects
The most common side effects of Bronchitol in clinical trials include:
- Oropharyngeal pain
- Bacteria sputum
In rare instances, Bronchitol can cause more serious side effects. These can include:
- Hemoptysis – discontinue use of Bronchitol if hemoptysis occurs
Your doctor will assess the benefits of using Bronchitol against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Bronchitol to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Bronchitol drug interactions
Other drugs may interact with Bronchitol, including prescription drugs and over-the-counter medicines, vitamins, and herbal products. Tell your health care provider about all of your medicines including any supplements you are taking.
You should not use Bronchitol if you:
- Are allergic to the active ingredient mannitol
- Have hypersensitivity to any of the other ingredients in Bronchitol
- Have failed to pass the Bronchitol Tolerance Test
Talk to your doctor before using Bronchitol if you:
- Are taking any of the medications that could interact with Bronchitol
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
Bronchitol is the trademark brand name for mannitol manufactured by Pharmaxis Ltd Australia for Chiesi USA, Inc. A generic version of mannitol is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Bronchitol 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.