Diastat Acudial Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Diastat Acudial 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.
Diastat Acudial (diazepam)
If you need help paying for Diastat Acudial medication, NiceRx may be able to assist you to get your Diastat Acudial medication for only $49 per month.* We work directly with your healthcare provider to help you enroll in the Diastat Acudial patient assistance program. NiceRx will handle the full application process for you, helping you get easy and affordable access to the medications you need.
Your monthly Diastat Acudial cost savings if eligible
You can receive your Diastat Acudial prescription for a flat fee of just $49 per month. This fee covers the full cost of your Diastat Acudial, regardless of retail price.
Am I eligible for the Diastat Acudial patient assistance program?
If you meet the patient assistance program’s eligibility criteria, you could receive your Diastat Acudial without paying the full retail price. We review each Diastat Acudial patient assistance program application individually. Most programs consider the following factors:
- 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 Diastat Acudial patient assistance program?
You can apply online by filling out our enrollment application to get started. Tell us about any medications you’re taking, including Diastat Acudial. We’ll also ask for details about your healthcare provider, insurance coverage and your household income, as this information is required by the pharmaceutical manufacturers who ship your medication.
If we determine that you’re eligible, we’ll handle the application process for you and help to enroll you in the Diastat Acudial patient assistance program. Once you’re accepted and enrolled in the program, we’ll also request your Diastat Acudial medication refills on your behalf for up to one year.
Does NiceRx offer Diastat Acudial coupons?
NiceRx does not provide Diastat Acudial coupons, Diastat Acudial discount cards, or Diastat Acudial copay cards. Our service does not include printable Diastat Acudial manufacturer coupons, Diastat Acudial discounts, rebates, Diastat Acudial savings cards, trial offers, or free Diastat Acudialsamples. We are a service provider that helps eligible individuals access the Diastat Acudial patient assistance program.
Can NiceRx help me get Diastat Acudial if I have insurance?
We may be able to help you in a variety of different scenarios, including if you have insurance. You can apply through NiceRx if you have a high copay or coinsurance responsibility, or if your insurer is refusing to pay for your medication. We may even be able to assist if you don’t have insurance or your insurance plan doesn’t cover Diastat Acudial.
How much is Diastat Acudial with insurance?
The cost of Diastat Acudial will vary by healthcare plan. Your healthcare provider or pharmacist will be able to calculate your copay with your current insurance. Remember, if you’re approved for assistance, you’ll likely save more if you get your Diastat Acudial medication through NiceRx.
How much is Diastat Acudial without insurance?
Diastat Acudial prices without insurance will vary depending on the retailer you purchase it from and the dosage you buy. With NiceRx you’ll always pay a flat monthly fee of $49.
*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.