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Cortifoam Patient assistance program

Is your Cortifoam 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 Cortifoam medication with our help.

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  • NiceRx Benefit
    Secure: Your personal and medical information is safe with us
  • NiceRx Benefit
    Convenient: Your medication is delivered straight to your door
  • NiceRx Benefit
    Ongoing refills: Your medication is refilled automatically
  • NiceRx Benefit
    Secure: Your personal and medical information is safe with us
  • NiceRx Benefit
    Convenient: We manage the whole process and we’re here to assist you
  • NiceRx Benefit
    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.

How it works

  • Enroll online

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

  • Pre-qualification

    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.

  • Submit documents

    We will request documents to be submitted by you and your healthcare provider that are required by the pharmaceutical company to complete your enrollment.

  • Receive medication

    Once approved, the pharmaceutical company typically ships a 90-day supply of medication to your home or healthcare provider’s address.

Medically reviewed by  Jamie Winn, PharmD

Your monthly Cortifoam cost savings if eligible

With our assistance, you could access the Cortifoam patient assistance program and obtain your medication for free. We only charge a flat monthly fee of $49 per medication for our services.

Am I eligible for Cortifoam patient assistance?

We review each Cortifoam enrollment application individually to determine if you are eligible. Each assistance program has its own eligibility criteria and 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 Cortifoam patient assistance program?

Our process makes it as easy as possible to apply for the Cortifoam patient assistance program. Begin by completing the enrollment application form on our website. Tell us about any medications that you are taking, including Cortifoam, your healthcare provider, your insurance plan, and your household income. This information is required by the pharmaceutical manufacturers who will supply the medication, so it is important to make sure this information is accurate and up to date.

We will review the information that you have provided to determine whether you are eligible for patient assistance. If we can pre-qualify you for assistance, NiceRx will handle the full enrollment process on your behalf. If you are approved by the pharmaceutical company, you will typically start receiving your medication in 6 – 8 weeks.

Is NiceRx a Cortifoam coupon provider?

NiceRx is not a Cortifoam coupon, Cortifoam discount card, or Cortifoam copay card provider. We do not offer Cortifoam manufacturer coupons, Cortifoam discounts, rebates, Cortifoam savings cards, trial offers, or free Cortifoam samples. We are a service provider that helps eligible individuals access their medication directly from the U.S. pharmaceutical company.

Can NiceRx help me get Cortifoam cheaper if I have insurance?

NiceRx may be able to help you if:

  • You have a high copay or coinsurance responsibility for Cortifoam
  • Your insurance company will not pay for your Cortifoam prescription
  • Your healthcare plan does not cover your medication
  • You do not have insurance

Please apply online to find out if we can help you.

How much does Cortifoam cost without insurance?

Without insurance, Cortifoam costs will vary depending on where you buy the medication as prices will vary by retailer. As a guide, Cortifoam rectal foam with an applicator 10% will cost around $450 for 15 grams.

How much does Cortifoam cost with insurance?

The copay for Cortifoam will depend on the terms of your healthcare plan. Your healthcare provider or pharmacist will be able to calculate your copay with your current insurance. Contact them to find out more.

What is Cortifoam?

Cortifoam is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Alaven Pharmaceutical LLC, a Mylan company. Cortifoam (foam or enema) is a steroid medicine used in combination with other medicines to treat ulcerative colitis and its effects on the lower intestines and rectal area.

What doses of Cortifoam are available?

Cortifoam is available in rectal foam form, in the following doses: 10%.

Do not take by mouth. Rectal medicine is for use only on your rectum. Use only the applicator provided with this medicine to insert it into your rectum. Do not insert the applicator tip too deeply or you could damage your rectum. If you miss a dose use the medicine as soon as you can but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time. Store at room temperature away from moisture and heat.

Please see the full drug 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.

Cortifoam active ingredients

The active ingredient of Cortifoam is hydrocortisone acetate. It is classed as a corticosteroid,

Cortifoam side effects

The most common side effects of Cortifoam in clinical trials include:

  • Stomach pain, bloating
  • Acne, rash, redness
  • Changes in your menstrual periods
  • Increased sweating
  • Changes in the shape or location of body fat

In rare instances, Cortifoam can cause more serious side effects. These can include:

  • Severe rectal pain or burning, bleeding from your rectum
  • Signs of infection
  • Changes in vision
  • Muscle weakness, joint pain, bone pain
  • Change in behavior or mood swings
  • Severe headaches
  • Seizures
  • Chest pain, irregular heartbeats, swelling, rapid weight gain
  • Low potassium and calcium levels
  • Bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds

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

Cortifoam drug interactions

Cortifoam can interact with other medications. These include:

  • Antiarrhythmics – amiodarone, dronedarone
  • Immunosuppressants – fingolimod, ozanimod, siponimod
  • DMARDs – leflunomide, teriflunomide
  • Diuretics – bendroflumethiazide bumetanide, furosemide
  • Antifungals – itraconazole, ketoconazole

This list is not exhaustive and other prescription drugs may interact with Cortifoam. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking.

Cortifoam contraindications

You should not use Cortifoam if you:

  • Are allergic to the active ingredient hydrocortisone acetate
  • Have had an allergic reaction to any of the other ingredients in Cortifoam
  • Have a fungal infection
  • Have an intestinal infection
  • Have a fistula (abnormal opening) or perforation in your intestines
  • Have a bowel obstruction or severe constipation
  • Need vaccinations
  • Recently had surgery on your intestines
  • Are pregnant or are planning to become pregnant

Talk to your doctor about your medical condition before using Cortifoam if you:

  • Are taking any of the medications that could interact with Cortifoam
  • Have any type of infection
  • Have a stomach ulcer, diverticulitis, ulcerative colitis, or intestinal surgery
  • Have unexplained diarrhea
  • Have heart problems, high blood pressure, or a heart attack
  • Have problems with your adrenal gland
  • Have vision problems such as cataracts, glaucoma, or herpes simplex of the eyes
  • Have diabetes
  • Have a thyroid disorder
  • Have osteoporosis or low bone mineral density
  • Have myasthenia gravis
  • Have kidney disease
  • Have cirrhosis of the liver
  • Are breastfeeding or are planning to breastfeed

Cortifoam generic

Cortifoam is the trademark brand name for hydrocortisone acetate manufactured by Alaven Pharmaceutical LLC, a Mylan company. A generic version of hydrocortisone acetate is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Cortifoam 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.