Dalvance Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Dalvance 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 Dalvance cost savings if eligible
You can receive your Dalvance prescription for a flat fee of just $49 per month, every month. This fee covers the full cost of your Dalvance medicine, regardless of the retail price. You could save:
|Strength||Avg. monthly price at
a US pharmacy
|1 vial of Dalvance 500mg||$1,532.51||$49.00||$1,483.51|
|2 vials of Dalvance 500mg||$3,418.14||$49.00||$3,369.14|
Am I eligible for the Dalvance patient assistance program?
If you meet the eligibility criteria for the Dalvance assistance program, you could receive your Dalvance without paying the full retail price. We review each program 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 the Dalvance patient assistance program?
NiceRx makes it as simple as possible to apply for the Dalvance patient assistance program. Fill in our enrollment application, and tell us about any medications you’re taking, including Dalvance. We’ll ask you for details about your healthcare provider, your insurance, and your household income, as this is required by the pharmaceutical manufacturers who ship the medication.
If we determine that you may be eligible for the Dalvance patient assistance program, we’ll handle the application process and help to enroll you in the program. Once enrolled, we’ll also request your Dalvance medication refills on your behalf for up to twelve months.
Is NiceRx a Dalvance coupon provider?
NiceRx is not a Dalvance coupon, a Dalvance discount card, or a Dalvance copay card. We don’t offer printable Dalvance manufacturer coupons, Dalvance discounts, rebates, Dalvance savings cards, trial offers, or free Dalvance samples.
We are a service provider that helps eligible individuals access the Dalvance patient assistance program. If you’re looking for coupons for Dalvance or cheap Dalvance, keep in mind you can likely save more with NiceRx. When obtaining your Dalvance medication through NiceRx, your total cost for the medication will always be $49 per month.
Can NiceRx help me get Dalvance if I have insurance?
If your insurance company won’t pay for your Dalvance medication, or you have a high copay or coinsurance responsibility, we may still be able to assist you. We may even be able to help if you don’t have insurance.
How much is Dalvance with insurance?
The cost of Dalvance will vary by the healthcare plan. Your healthcare provider or pharmacist will be able to calculate your copay with your current insurance plan. Remember, if you’re approved for assistance, you’ll likely save more if you get your Dalvance medication through NiceRx.
How much is Dalvance without insurance?
Dalvance prices without insurance will vary depending on where you buy it. You can expect to pay around $1,600 for a 500mg pack of powder for injection. With NiceRx you’ll always pay a flat monthly fee of $49.
What is Dalvance?
Dalvance is an antibiotic used to treat severe bacterial skin infections in adults. It comes as a powder that is mixed with a liquid to form a solution. This solution is administered through an intravenous infusion directly into a vein.
It’s used specifically to treat a range of skin infections called skin and skin structure infections (SSSIs). These can include infections in the surface of the skin like impetigo, as well as more complicated infections in burns, and infections in deep tissues like in abscesses or ulcers. The medication kills many of the bacteria that cause these infections, including strains of bacteria that are resistant to other antibiotics.
Dalvance active ingredients
The active ingredient in Dalvance is called dalbavancin. Dalbavancin kills strains of bacteria that can cause SSSIs. It does so by attaching itself to bacterial cells and stopping them from producing cell walls. This makes the bacteria more vulnerable to attack by your immune system and less able to survive in your body.
Dalvance side effects & Dalvance drug interactions
As with other medications, Dalvance can cause side effects in some people. Not everyone will experience side effects though or have the same ones if they do. The most likely side effects Dalvance can cause are nausea, headaches, diarrhea, skin rashes, and itchiness. These side effects occurred in less than 10% of patients in clinical trials, however. In rarer cases, Dalvance can cause more serious side effects. These can include allergic reactions, anemia, bronchospasm, and an increased likelihood of C. difficile infections that can cause stomach pain and diarrhea.
These aren’t all the side effects that Dalvance can cause. For more details see the patient leaflet that comes with your medicine. If you have any concerns about side effects, talk to your physician or a pharmacist.
Dalvance can interact with other medications, altering how it and the other medications work, and making some side effects more likely. Tell your prescribing physician about all drugs you’re taking, including vitamins and dietary supplements.
Dalvance warnings & precautions
Don’t take Dalvance if you:
- Are allergic to the active ingredient dalbavancin
- Are allergic to any of the other ingredients found in Dalvance (listed in the leaflet which comes with the medication)
- Are under 18 years of age
Talk to your physician before taking Dalvance if you:
- Have an allergy to other antibiotics
- Have or have ever had kidney or liver disease
- Are pregnant or breastfeeding
If you are unable to afford your Dalvance medication, we may be able to help. The NiceRx program helps uninsured and underinsured individuals with chronic conditions who cannot afford their medications. If you qualify for prescription assistance, you can receive your Dalvance prescription for $49 per month!
*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.