Daraprim Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Daraprim 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 Daraprim cost savings if eligible
The Daraprim patient assistance program can provide your medication for free. We simply charge $49 a month per medication to cover the cost of our services. With NiceRx, you will only pay $49 to obtain your Daraprim, regardless of the retail price.
Am I eligible for the Daraprim patient assistance program?
To find out if you are eligible for Daraprim assistance you can apply online using our enrollment application. Each pharmaceutical company sets its eligibility criteria, and we will review your application individually to determine if you may be eligible. The three main factors to consider 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 Daraprim patient assistance program?
Our application process aims to make it as easy as possible to apply for the Daraprim patient assistance program. The first step is to complete our online enrollment application. We will ask you for details about your healthcare provider, your insurance plan, and your household income as this information is required by the pharmaceutical companies. We may be able to help you apply for other patient assistance programs too, so be sure to tell us about any medications you are taking as well as Daraprim.
NiceRx will review your application and determine whether you may be eligible for Daraprim assistance. If so, we will handle the full enrollment process for you and prepare all required documents for your healthcare provider to sign. Once you are successfully enrolled in the Daraprim patient assistance program, we will help you manage your prescription refills by requesting refills on your behalf throughout your enrollment period. At the end of your enrollment period we will contact you for updated information and seek to re-enroll you so you can continue to access affordable Daraprim.
Is NiceRx a Daraprim coupons provider?
NiceRx is a service provider that helps eligible individuals access the Daraprim patient assistance program. We do not offer trial offers or free Daraprim samples. When obtaining your medication through NiceRx, you will only pay $49 a month per medication. This will likely save you more money than if you were to use Daraprim coupons, discount cards, or Daraprim copay cards.
Can NiceRx help me get Daraprim if I have insurance?
NiceRx may be able to help you if your insurance company will not pay for your Daraprim medication. We may also be able to help if you have a high copay or coinsurance responsibility. Whether you have insurance or not, apply online using our enrollment application to find out more.
How much is Daraprim with insurance?
The cost of Daraprim will vary by the terms of your healthcare plan. To find out what you might need to pay for Daraprim with insurance, your insurance provider or pharmacist will be able to help you calculate the copay costs with your current insurance.
How much does Daraprim cost without insurance?
Daraprim prices without insurance will vary depending on the pharmacy you visit. Prices will also vary by retailer. As a guide, Daraprim 25 mg tablets typically cost $23,500 for 30 tablets.
What is Daraprim?
Daraprim contains the prescription medicine pyrimethamine. Pyrimethamine is classed as an antiparasite medicine, used to stop parasites from growing and multiplying in the body.
Daraprim is used to treat certain types of malaria in adults and children. Daraprim is not the preferred choice of medicine to prevent malaria when traveling however, as there is substantial resistance to pyrimethamine worldwide. Daraprim should be used together with other faster-acting anti-malaria medicine such as chloroquine or quinine to treat malaria.
Toxoplasmosis, an infection caused by the Toxoplasma parasite is also treated using Daraprim, in combination with other medicines known as sulfonamides.
Daraprim active ingredients
Pyrimethamine, the active ingredient in Daraprim, blocks the reproduction of the parasite once it is in the hosts’ bloodstream. It does this by interfering with the production of a chemical called tetrahydrofolic acid from dihydrofolate. Tetrahydrofolic acid is vital for DNA production for the parasite. Without this, the parasite is unable to survive.
The effect of pyrimethamine against Toxoplasmosis is far greater when used in combination with sulfonamides.
Daraprim side effects
The most common side effects caused by Daraprim include:
- Loss of appetite
In rare instances, Daraprim can cause more serious side effects. These can include:
- Irregular heart rhythm
- Blood in your urine
- Lack of folate – feeling tired or sick, stomach upset, mood swings, mouth ulcers, loss of appetite
- Swollen tongue, sore throat
- Skin rash
- Pale skin, easily bruised, purple spots under the skin
- Cold or flu symptoms, cough, fever, difficulty breathing
Your doctor will assess the benefits of using Daraprim against your risk of side effects.
Daraprim drug interactions
Daraprim can interact with other medications. These include:
- Phenytoin or lamotrigine, used to treat seizures
- Sulfa drugs such as sulfamethoxazole, sulfadiazine, or sulfasalazine
- Aurothiglucose or auranofin used to treat rheumatoid arthritis
- Deferiprone, used to remove excess iron after treatment for thalassemia
- Gold sodium thiomalate
This list is not exhaustive and other drugs may interact with Daraprim.
Daraprim warning and precautions
You should not use Daraprim if you:
- Are allergic to the active ingredient pyrimethamine
- Are allergic to any of the other ingredients in Daraprim
- Have megaloblastic anemia caused by a lack of folate
Talk to your doctor before using Daraprim if you:
- Are taking any of the medications that could interact with Daraprim
- Suffer from seizures, especially if you are taking phenytoin
- Have liver disease
- Have kidney disease
- Suffer from alcoholism
- If you are malnourished
- 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.