Depo-Subq Provera 104 Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Depo-Subq Provera 104 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 Depo-subQ Provera 104 cost savings if eligible
If you are eligible for the Depo-subQ Provera 104 patient assistance program, the cost of your medication will be free. We only charge $49 per month for each medication, to cover our service fees. You could receive your Depo-subQ Provera 104 prescription for just $49 a month, regardless of the retail price of your medication.
Am I eligible for the Depo-subQ Provera 104 patient assistance program?
We will review your application to determine whether you are eligible for the Depo-subQ Provera 104 patient assistance program. Each program has its own eligibility criteria which are set by the pharmaceutical companies, however the 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 Depo-subQ Provera 104 patient assistance program?
We make it as easy as possible to apply for the Depo-subQ Provera 104 patient assistance program. The first step is to complete our enrollment application. Tell us about any medications you are taking, including Depo-subQ Provera 104. We will also ask for details about your healthcare provider, insurance, and your household income. This information is required by the pharmaceutical manufacturers who ship your medication.
If we determine that you may be eligible for Depo-subQ Provera 104 assistance, we will handle the application process for you. We will work directly with your healthcare provider to prepare your application documents. Once we have received the signed application and supporting documents, we will submit them to the patient assistance program on your behalf. Our service continues once you are enrolled in the Depo-subQ Provera 104 patient assistance program, and we will automatically request your Depo-subQ Provera 104 medication refills for up to 1 year.
Is NiceRx a Depo-subQ Provera 104 coupon provider?
We are a service provider that helps eligible individuals access the Depo-subQ Provera 104 patient assistance program. That means that we do not offer printable Depo-subQ Provera 104 manufacturer coupons, Depo-subQ Provera 104 discounts, or free Depo-subQ Provera 104 samples. We are not a Depo-subQ Provera 104 coupon provider or Depo-subQ Provera 104 discount card. Our service extends to assisting eligible individuals to access the medications they need through patient assistance programs.
Can NiceRx help me get Depo-subQ Provera 104 cheaper if I have insurance?
We may be able to help you to access Depo-subQ Provera 104 patient assistance in a variety of circumstances. This includes when your insurance company will not pay for your Depo-subQ Provera 104 medication or if you have a high copay or coinsurance responsibility. We may also be able to help you if you do not have insurance. Please apply online to find out more.
How much does Depo-subQ Provera 104 cost without insurance?
Depo-subQ Provera 104 cost without insurance will vary depending on where you buy it. As a guide, Depo-subQ Provera 104 usually costs $65 for 0.65 milliliters. With NiceRx you will pay a flat monthly fee of $49, regardless of the retail price of your medication.
How much does Depo-subQ Provera 104 cost with insurance?
The copay for Depo-subQ Provera 104 with insurance depends on the terms of your healthcare plan. To find out how much this is, your healthcare provider or pharmacist will be able to calculate your copay with your current insurance.
What is Depo-subQ Provera 104?
Depo-subQ Provera 104 (medroxyprogesterone acetate injectable suspension) is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Pfizer. Depo-subQ Provera 104 is a progestin used in females of reproductive age for the:
- Prevention of pregnancy
- Management of endometriosis-associated pain
The use of Depo-subQ Provera 104 for longer than 2 years as a birth control method or medical therapy for endometriosis-associated pain is not recommended unless other options are not suitable.
What doses of Depo-subQ Provera 104 are available?
Depo-subQ Provera 104 is available in injection form, in the following doses: 104 mg/0.65 mL.
Depot medroxyprogesterone acetate injectable suspension is for intramuscular use (DMPA-IM) only by a healthcare professional. Confirm you are not pregnant before your first injection. Administer Depo-subQ Provera 104 subcutaneously into the thigh or abdomen, every 3 months.
See the full prescribing information on switching from other contraceptive methods to Depo-subQ Provera 104. Also, read the patient information provided and always speak with your healthcare provider for medical advice about any changes to your dose so they can monitor and evaluate your condition.
Depo-subQ Provera 104 active ingredients
Depo-subQ Provera 104 contains medroxyprogesterone acetate as the active ingredient. It is a hormonal contraceptive injection that blocks the secretion of gonadotropins and prevents follicular maturation and ovulation and causes the thickening of cervical mucus adding to its contraceptive effect.
Depo-subQ Provera 104 side effects
The most common side effects of Depo-subQ Provera 104 in clinical trials include:
- Dysfunctional uterine bleeding
- Fluid retention, weight gain
- Hot flushes
- Injection site reactions
- Increased blood pressure
In rare instances, Depo-subQ Provera 104 can cause more serious side effects. These can include:
- Thromboembolic disorders
- Breast cancer risks
- Ectopic pregnancy – consider ectopic pregnancy if a woman becomes pregnant or complains of severe abdominal pain
- Greater risk of hyperglycemia in diabetics
- Jaundice and elevated transaminase
- Loss of bone mineral density (reduction in calcium stored in bones)
- Hives, trouble breathing, swelling of your face, lips, tongue, or throat
- Heavier or longer menstrual periods
- Depression, sleep problems, mood changes
- Upper stomach pain, tiredness, dark urine, yellowing of the skin or eyes
- Chest pain, sudden cough, problems with vision or speech
Your doctor will assess the benefits of using Depo-subQ Provera 104 against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Depo-subQ Provera 104 to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Depo-subQ Provera 104 drug interactions
Depo-subQ Provera 104 can interact with other medications. These include:
- Strong CYP3A inhibitors and inducers
- Rifamycins such as rifampin, rifabutin
- St. John’s wort
- Drugs used to treat seizures such as barbiturates, carbamazepine, phenytoin, primidone
- HIV drugs such as nelfinavir, nevirapine, ritonavir
This list is not exhaustive and other prescription drugs may interact with Depo-subQ Provera 104.
Depo-subQ Provera 104 contraindications
You should not use Depo-subQ Provera 104 if you:
- Are allergic to the active ingredient medroxyprogesterone acetate
- Have had an allergic reaction to any of the other ingredients in Depo-subQ Provera 104
- Have active thrombophlebitis, or have a current or history of thromboembolic disorders
- Have cerebral vascular disease
- Have severe liver disease
- Have undiagnosed vaginal bleeding
- Are pregnant or are planning to become pregnant
Talk to your doctor before using Depo-subQ Provera 104 if you:
- Are taking any of the medications that could interact with Depo-subQ Provera 104
- Have osteoporosis
- Have blood clots
- Have breast cancer or any other cancer
- Have had a heart attack, or stroke
- Have or have had a tumor made worse by estrogen or progesterone
- Are breastfeeding or are planning to breastfeed
Depo-subQ Provera 104 generic
Depo-subQ Provera 104 is the trademark brand name for medroxyprogesterone acetate manufactured by Pfizer. A generic version of medroxyprogesterone acetate is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Depo-subQ Provera 104 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.