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Caplyta Patient assistance program

Is your Caplyta medication too expensive? Start receiving your medication for only $49 per month.*

Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Caplyta 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
  • 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

Play video (01:52)
  • An introduction to NiceRx
    (01:52)
  • Next steps after qualifying
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  • Uploading documents and billing
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  • SSN & billing information
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  • Medication delivery time
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How it works

  • Apply Online

    Get started by filling out the online enrollment application to find out if you are eligible.

  • Qualification

    NiceRx verifies your eligibility for medication assistance and notifies you if you are qualified.

  • Upload Documents

    You may be required to submit further information and documents required by the pharmaceutical company which can be securely uploaded online.

  • Application Created

    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.

  • Receive Medication

    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 Caplyta cost savings if eligible

If you are eligible for the Caplyta 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 Caplyta prescription for just $49 a month, regardless of the retail price of your medication.

Am I eligible for the Caplyta patient assistance program?

We will review your application to determine whether you are eligible for the Caplyta 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 Caplyta patient assistance program?

We make it as easy as possible to apply for the Caplyta patient assistance program. The first step is to complete our enrollment application. Tell us about any medications you are taking, including Caplyta. 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 Caplyta 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 Caplyta patient assistance program, and we will automatically request your Caplyta medication refills for up to 1 year.

Is NiceRx a Caplyta coupons provider?

We are a service provider that helps eligible individuals access the Caplyta patient assistance program. That means that we do not offer printable Caplyta manufacturer coupons, Caplyta discounts, or free Caplyta samples. We are not a Caplyta coupon provider or Caplyta discount card. Our service extends to assisting eligible individuals to access the medications they need through patient assistance programs.

Can NiceRx help me get Caplyta if I have insurance?

We may be able to help you to access Caplyta patient assistance in a variety of circumstances. This includes when your insurance company will not pay for your Caplyta 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 Caplyta cost without insurance?

Caplyta cost without insurance will vary depending on where you buy it. As a guide, Caplyta oral capsules 42 mg usually cost $1,470 for 30 capsules. With NiceRx you will pay a flat monthly fee of $49, regardless of the retail price of your medication.

How much does Caplyta cost with insurance?

The copay for Caplyta 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 Caplyta?

Caplyta is an FDA-approved medication manufactured by Intra-Cellular Therapies, Inc. Caplyta is indicated for the treatment of schizophrenia in adults.

Caplyta has a boxed warning. This is the most serious warning from the Food and Drug Administration (FDA). “Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. Caplyta is not approved for the treatment of patients with dementia-related psychosis”.

What doses of Caplyta are available?

Caplyta is available in capsule form, in the following doses: 42mg.

Always speak with your healthcare provider about any changes to your dose so they can monitor, evaluate, and give you further medical advice for your condition.

The recommended dosage is Caplyta 42 mg once daily, with food, to control the symptoms of schizophrenia. Dose titration is not required.

Caplyta active ingredients

Lumateperone is classed as an atypical antipsychotic. The mechanism of action of lumateperone for the treatment of schizophrenia is not fully understood. However, the efficacy of lumateperone could be through a combination of antagonist activity at central serotonin 5-HT2A receptors and postsynaptic antagonist activity at central dopamine D2 receptors.

In clinical trials, after one week of treatment with Caplyta, patients started to show improved Positive and Negative Syndrome Scale (PANSS) total scores. PANSS is a scale used to measure the severity of schizophrenia symptoms. Symptoms continue to improve the longer you take the drug.

Caplyta side effects

The most common side effects caused by Caplyta include:

  • Weight gain
  • Increase in cholesterol and triglyceride levels
  • Somnolence and sedation (drowsiness)
  • Dry mouth

In rare instances, Caplyta can cause more serious adverse effects. These can include:

  • Orthostatic hypotension – feeling lightheaded, dizzy, or faint when you stand up or get up from a lying down position
  • Tardive dyskinesia – uncontrolled muscle movements in your face such as chewing, lip-smacking, frowning, tongue movement, blinking, or eye movement
  • Tightness in your neck or throat, difficulty swallowing
  • Problems breathing or speaking
  • Seizures
  • High blood sugar – increased thirst and urination, dry mouth, fruity breath odor
  • Low white blood cell counts (agranulocytosis) – fever, chills, mouth sores, skin sores, sore throat, cough, trouble breathing
  • Neuroleptic malignant syndrome (NMS) – high fever, confusion, changes in your breathing, heart rate, and blood pressure, stiff muscles, and increased sweating

Your doctor will assess the benefits of using Caplyta against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Caplyta to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Caplyta drug interactions

Caplyta can interact with other medications. These include:

  •  CYP3A4 inducers – carbamazepine, phenytoin, rifampin, St. John’s wort
  • Moderate or strong CYP3A4 inhibitors – fluvoxamine, verapamil, clarithromycin, grapefruit juice
  • UGT inhibitors – valproic acid, probenecid

This list is not exhaustive and other prescription drugs may interact with Caplyta.

Caplyta contraindications

You should not use Caplyta if you:

  • Are allergic to the active ingredient lumateperone
  • Are allergic to any of the other ingredients in Caplyta
  • Are breastfeeding or are planning to breastfeed

Talk to your doctor before using Caplyta if you:

  • Are taking any of the medications that could interact with Caplyta
  • Have difficulty swallowing
  • Have high cholesterol or triglycerides
  • Have diabetes
  • Have liver disease
  • Are pregnant or are planning to become pregnant – your name may be listed on a pregnancy registry to track the effects of lumateperone on the baby

Caplyta generic

Caplyta is the trademark brand name for lumateperone manufactured by Intra-Cellular Therapies, Inc. A generic version of lumateperone is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Caplyta 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.