Daurismo Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Daurismo 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.
How it works
Get started by filling out the online enrollment application to find out if you are eligible for assistance.
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.
We will request documents to be submitted by you and your healthcare provider that are required by the pharmaceutical company to complete your enrollment.
Once approved, the pharmaceutical company typically ships a 90-day supply of medication to your home or healthcare provider’s address.
Your monthly Daurismo cost savings if eligible
The Daurismo patient assistance program can provide your medication for free. We simply charge $49 per month for each medication to cover the cost of our services. With NiceRx, you will only pay $49 to obtain your Daurismo, regardless of the retail price.
Am I eligible for the Daurismo patient assistance program?
To find out if you are eligible for Daurismo 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 Daurismo patient assistance program?
Our application process aims to make it as easy as possible to apply for the Daurismo 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 Daurismo.
NiceRx will review your application and determine whether you may be eligible for Daurismo 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 Daurismo 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 Daurismo.
Is NiceRx a Daurismo coupons provider?
NiceRx is a service provider that helps eligible individuals access the Daurismo patient assistance program. We do not offer trial offers or free Daurismo 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 Daurismo coupons, discount cards, or Daurismo copay cards.
Can NiceRx help me get Daurismo if I have insurance?
NiceRx may be able to help you if your insurance company will not pay for your Daurismo 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 does Daurismo cost without insurance?
Daurismo prices without insurance will vary depending on how much you buy. Prices will also vary by retailer. As a guide, Daurismo oral tablet 25 mg typically costs $20,500 for 60 tablets.
How much does Daurismo cost with insurance?
The copay for Daurismo will vary by the terms of your healthcare plan. To find out what you might need to pay for Daurismo with insurance, your insurance provider or pharmacist will be able to help you calculate the copay costs with your current insurance.
What is Daurismo?
Daurismo is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Pfizer Inc. Daurismo is a hedgehog pathway inhibitor indicated, in combination with low-dose cytarabine, for the treatment of newly-diagnosed acute myeloid leukemia (AML) in adult patients who are ≥75 years old or who have comorbidities that preclude the use of intensive induction chemotherapy. Daurismo is not recommended in patients with the comorbidities of severe renal impairment or moderate-to-severe hepatic impairment.
Warning – Embryo-fetal toxicity. See the full prescribing information for the complete boxed warning. Daurismo can cause embryo-fetal death or severe birth defects when given to a pregnant woman. Daurismo is embryotoxic, fetotoxic, and teratogenic in animals. Carry out pregnancy testing in females of reproductive potential prior to initiation of treatment. Advise females of reproductive potential to use effective contraception during treatment and for at least 30 days after the last dose. Advise males of the potential risk of exposure through semen and to use condoms with a pregnant partner or a female partner of reproductive potential during treatment and for at least 30 days after the last dose.
What doses of Daurismo are available?
Daurismo is available in tablet form, in the following doses: 25 mg, 100 mg.
Always speak with a healthcare professional about any changes to your dose so they can monitor and evaluate your condition.
Daurismo active ingredients
Daurismo contains glasdegib as the active ingredient.
Daurismo side effects
The most common adverse reactions of Daurismo in clinical trials include:
- Anemia (decreased red blood cells)
- Febrile neutropenia (decreased white blood cell count)
- Thrombocytopenia (decreased platelet count)
- Tiredness, hemorrhage
- Musculoskeletal pain, muscle pain, muscle spasms
- Decreased appetite
In rare instances, Daurismo can cause more serious adverse events. These can include:
- QTc interval prolongation – monitor electrocardiograms and electrolytes. Patients treated with Daurismo can develop QTc prolongation and ventricular arrhythmias, including ventricular fibrillation and ventricular tachycardia.
Your doctor will assess the benefits of using Daurismo against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Daurismo to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Daurismo drug interactions
Daurismo can interact with other medications. These include:
- Strong CYP3A4 inhibitors
- Strong CYP3A4 inducers
- QTc prolonging drugs – avoid co-administration, if unavoidable, monitor for increased risk of QTc interval prolongation
This list is not exhaustive and other prescription drugs may interact with Daurismo.
You should not use Daurismo if you:
- Are allergic to the active ingredient glasdegib
- Are allergic to any of the other ingredients in Daurismo
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
Talk to your doctor before using Daurismo if you:
- Are taking any of the medications that could interact with Daurismo
Daurismo is the trademark brand name for glasdegib manufactured by Pfizer Inc. A generic version of glasdegib is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Daurismo 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.