Defitelio Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Defitelio medication with our help.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. The pharmaceutical company provides your medication for free and you only pay our service fee.
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 Defitelio cost savings if eligible
If you are eligible for the Defitelio patient assistance program you can receive your medication for free. Our monthly service fee of $49 per medication covers the cost of our services in applying for the program and requesting your ongoing refills on your behalf. If you obtain your Defitelio through NiceRx, you will only pay $49 a month regardless of the retail price of your medication.
Am I eligible for the Defitelio patient assistance program?
You could receive your Defitelio without paying the full retail price if you meet the eligibility criteria for assistance. The eligibility requirements are set by the pharmaceutical companies that are providing assistance programs. At NiceRx, we review each 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 Defitelio patient assistance?
We do everything that we can to take the hassle and stress out of applying for patient assistance programs. Simply start by filling in our enrollment application. We will ask for details about your healthcare provider, your insurance, and your household income. This information is required by the pharmaceutical companies you are applying to for assistance. We may also be able to help you access patient assistance for other medications that you have been prescribed, so be sure to tell us about any medications you are taking as well as Defitelio.
NiceRx will review the information you have provided, and if we determine that you may be eligible for assistance, we will seek to enroll you in the Defitelio patient assistance program. We will handle the enrollment process for you by working with your healthcare provider and preparing all the required paperwork for your doctor to sign. We will also request your Defitelio medication refills on your behalf for up to 1 year once you are enrolled in the program.
Is NiceRx a Defitelio coupon provider?
At NiceRx, we help eligible individuals access the Defitelio patient assistance program. This means that we are not a Defitelio coupon, a Defitelio discount card, or a Defitelio copay card provider. We do not offer any medication trial offers, or free Defitelio samples.
Can NiceRx help me get Defitelio cheaper if I have insurance?
We may be able to help you if you have insurance, including if your insurance company will not pay for your Defitelio medication, or if you have a high copay or coinsurance responsibility. We may even be able to assist if you do not have insurance. Please fill in our enrollment application to find out more.
How much does Defitelio cost without insurance?
Defitelio costs without insurance will vary depending on how much you buy and the retailer you buy it from. As a guide, Defitelio intravenous solution (80 mg/mL) will typically cost around $10,200 for 25 milliliters. If you obtain your medication through NiceRx, you will pay a flat monthly rate of $49 per medication regardless of its retail price.
How much does Defitelio cost with insurance?
The copay of Defitelio will vary in line with the specific terms of your healthcare plan. For further details about what you may need to pay, your insurance provider or pharmacist will be able to calculate the copay costs with your current insurance.
What is Defitelio?
Defitelio is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Jazz Pharmaceuticals. Defitelio is indicated for the treatment of adult and pediatric patients with hepatic veno-occlusive disease (hepatic VOD), also known as sinusoidal obstruction syndrome (SOS), with renal or pulmonary dysfunction following hematopoietic stem-cell transplantation (HSCT).
What doses of Defitelio are available?
Defitelio is available in injection form, in the following doses: 200 mg/2.5 mL (80 mg/mL) in a single-patient-use vial.
Defitelio is given as a 2-hour intravenous infusion every 6 hours. Treat for a minimum of 21 days. If after 21 days signs and symptoms of VOD have not resolved, continue until resolution.
Please see the full prescribing information and always speak with a healthcare professional about any changes to your dose so they can monitor and evaluate your condition.
Defitelio active ingredients
Defitelio contains defibrotide sodium as the active ingredient. Its mechanism of action is to increase the breakdown of clots in the blood, and may also protect the endothelial cells that line blood vessels.
Defitelio side effects
The most common side effects of Defitelio in clinical trials (incidence ≥10%) include:
- Hypotension (low blood pressure)
- Diarrhea, vomiting, nausea
In rare instances, Defitelio can cause more serious side effects. These can include:
- Hemorrhage – discontinue treatment if significant bleeding occurs
- Hypersensitivity reactions including anaphylaxis
Your doctor will assess the benefits of using Defitelio against your risk of adverse events. Patients are encouraged to report negative side effects or adverse reactions of Defitelio to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Defitelio drug interactions
Defitelio can interact with other medications. These include:
- Antithrombotic, fibrinolytic drugs – warfarin, heparin
This list is not exhaustive and other prescription drugs may interact with Defitelio.
You should not use Defitelio if you:
- Are allergic to the active ingredient defibrotide sodium
- Have had an allergic reaction to any of the other excipients in Defitelio
- Are using systemic anticoagulant or fibrinolytic therapy
- Are pregnant or are planning to become pregnant
Talk to your doctor before using Defitelio if you:
- Are taking any of the medications that could interact with Defitelio
- Are breastfeeding or are planning to breastfeed
Defitelio is the trademark brand name for defibrotide sodium manufactured by Jazz Pharmaceuticals. A generic version of defibrotide sodium is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Defitelio 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.
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.