Dibenzyline Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Dibenzyline 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.
Do you need help paying for Dibenzyline medication? With NiceRx, you may be able to receive your Dibenzyline prescription for only $49 per month.* We work directly with your healthcare provider to help you enroll in the Dibenzyline patient assistance program. NiceRx will handle the full application process on your behalf, helping you access affordable Dibenzyline medication in a simple and stress-free way.
Your monthly Dibenzyline cost savings if eligible
You can receive your Dibenzyline prescription for a flat fee of just $49 per month. This regular monthly fee covers the full cost of your Dibenzyline medicine, regardless of the retail price.
Am I eligible for the Dibenzyline patient assistance program?
You will need to meet the eligibility criteria for Dibenzyline assistance to be successfully enrolled in the patient assistance program. At NiceRx we review each Dibenzyline 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 Dibenzyline patient assistance program?
Applying online for the Dibenzyline patient assistance program is fast and easy. Start by filling in our enrollment application. Tell us about any medications you’re taking, including Dibenzyline, and the details of your healthcare provider, insurance coverage, and household income. This is required by the pharmaceutical manufacturers who ship your medication.
If we determine that you will be eligible for assistance, we will handle the full application process for you. We will help to enroll you in the Dibenzyline patient assistance program and request your Dibenzyline medication refills on your behalf for up to one year.
Does NiceRx offer Dibenzyline coupons?
We are a service provider that helps eligible individuals access the Dibenzyline patient assistance program. NiceRx does not offer Dibenzyline coupons, Dibenzyline discount cards, or Dibenzyline copay cards. We also don’t offer printable Dibenzyline manufacturer coupons, Dibenzyline discounts, rebates, Dibenzyline savings cards, trial offers, or free Dibenzyline samples.
Can NiceRx help me get Dibenzyline if I have insurance?
We may be able to help even if your insurance company won’t pay for your Dibenzyline medication, you have a high copay or coinsurance responsibility, or even if you don’t have insurance. Apply online to find out more.
How much is Dibenzyline with insurance?
The cost of Dibenzyline will vary by healthcare plan. Your healthcare provider or pharmacist will be able to calculate your copay with your current insurance. If you’re approved for assistance, you’ll likely save more if you get your Dibenzyline medication through NiceRx.
How much is Dibenzyline without insurance?
Dibenzyline prices without insurance will vary depending on where you buy the medication and how much you purchase. 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.
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.