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Delzicol Patient assistance program

Is your Delzicol 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 Delzicol 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
  • 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

Play video (01:52)
  • 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

  • Apply Online

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

  • Qualification

    NiceRx verifies your eligibility for medication assistance and notifies you if you are qualified.

  • Upload Documents

    You may be required to submit further information and documents required by the pharmaceutical company which can be securely uploaded online.

  • Application Created

    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.

  • Receive Medication

    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 Delzicol cost savings if eligible

If eligible, you could receive your Delzicol prescription for a monthly fee of $49. This fee covers the full cost of your Delzicol medicine, regardless of the retail price. You could save:

Strength Avg. monthly price at
a US pharmacy
NiceRx monthly
price
Monthly savings
with NiceRx
400mg 120 capsules$461.03$49.00$412.03
400mg 180 capsules$641.82$49.00$592.82

Am I eligible for the Delzicol patient assistance program?

If you meet the eligibility criteria, you could receive your Delzicol without paying the full retail price. At NiceRx we review each Delzicol assistance 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 Delzicol patient assistance program? 

We make it as easy as possible to apply for the Delzicol patient assistance program. Just fill in our enrollment application to begin. Tell us about any medications you’re taking, including Delzicol. We’ll also ask for details about your healthcare provider, your insurance, and your household income, as this information is required by the pharmaceutical manufacturers that ship your medication.

If we determine that you may be eligible for assistance, we’ll handle the application process and help to enroll you in the Delzicol patient assistance program. Once enrolled in the program, we’ll also request your Delzicol medication refills on your behalf for up to 1 year.

Is NiceRx a Delzicol coupon provider?

We are not a Delzicol coupon, a Delzicol discount card, or a Delzicol copay card. We don’t offer printable Delzicol manufacturer coupons, Delzicol discounts, rebates, Delzicol savings cards, trial offers, or free Delzicol samples.

NiceRx is a service provider that helps eligible individuals access the Delzicol patient assistance program. If you’re looking for coupons for Delzicol or cheap Delzicol, consider the fact that you’ll likely save more through the patient assistance program. When obtaining your Delzicol medication through NiceRx, your total cost for the medication will always be $49 per month.

Can NiceRx help me get Delzicol if I have insurance?

We may be able to assist you if your insurance company won’t pay for your Delzicol medication, or you have a high copay or coinsurance responsibility. We may even be able to help if you don’t have insurance.

How much is Delzicol with insurance?

The cost of Delzicol will vary by the healthcare plan. To calculate your copay with your current insurance, contact your healthcare provider, or speak to a pharmacist. Remember, if you’re approved for assistance, you’ll likely save more if you get your Delzicol medication through NiceRx.

How much is Delzicol without insurance?

Delzicol prices without insurance will vary depending on where you buy it, the number of capsules per pack, and the strength of the capsules. You can expect to pay between $235 to $400 for 90 capsules of 400 mg. With NiceRx you’ll always pay a flat monthly fee of $49.

What is Delzicol?

Delzicol is a medication used to treat an inflammatory bowel condition called ulcerative colitis. Delzicol is prescribed to treat mild to moderate ulcerative colitis. It helps by reducing inflammation in the colon and rectum, providing relief from the symptoms of the disease. The medication can also be taken proactively to stop the disease recurring.

Ulcerative colitis is a disease that causes inflammation and ulcers in your colon and your rectum (both part of your large intestine). The most common symptoms of the disease include abdominal pain and diarrhea with blood in it. You may also experience abdominal pain, fever, weight loss, and anemia. It is a long-term condition that can last for many years, and it can lessen and worsen over time. The causes of the disease aren’t known for certain, but evidence suggests it’s a mixture of genetics, immune system problems, changes in gut bacteria, and a range of other lifestyle factors. 

Delzicol active ingredients

The active ingredient in Delzicol is called mesalamine. Mesalamine is absorbed into the walls of the large intestine where it reduces inflammation. The exact way in which it does this isn’t known for sure, but it’s likely that it works by blocking an enzyme that produces a molecule called prostaglandin in your intestines. This reduction in prostaglandin appears to reduce inflammation.

Delzicol side effects & Delzicol drug interactions

As with other medications, Delzicol can cause side effects in some people. Not everyone will experience side effects though or have the same ones if they do. The most common Delzicol side effects experienced by adults include constipation, stomachaches, dizziness, a runny nose, back pain, rashes, and flu-like symptoms. In rare cases Delzicol can cause more serious side effects, like kidney problems, liver failure, and allergic reactions.

These aren’t all the side effects that Delzicol can cause. For more details see the patient leaflet that comes with your Delzicol. If you have any concerns about side effects, talk to your physician or a pharmacist.

Delzicol can interact with other medications. This can alter how it and the other medications work which can make some side effects more likely. Tell your prescribing physician about all drugs you’re taking, including vitamins and dietary supplements. In particular, tell them if you’re taking:

  • Non-steroidal anti-inflammatory drugs (NSAIDs), like ibuprofen or naproxen
  • Azathioprine or 6-mercaptopurine

Delzicol warnings & precautions

You shouldn’t take Delzicol if you:

  • Are allergic to the active ingredient mesalamine
  • Are allergic to any of the other ingredients found in Delzicol (listed in the leaflet which comes with the medication)
  • Are allergic to aminosalicylates or salicylates, such as aspirin
  • Are under 5 years of age for treating symptoms of ulcerative colitis
  • Are under 18 years of age for preventing the return of ulcerative colitis

Talk to your physician before taking Delzicol if you:

  • Have or have ever had a heart-related allergic reaction, like myocarditis or pericarditis
  • Have liver or kidney problems
  • Have or have ever had a stomach blockage
  • Are over 65 years of age
  • Are pregnant or breastfeeding

*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.