Diltia-XR Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Diltia-XR 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.
If you’re struggling to pay for your Diltia-XR medication, we may be able to help. Through NiceRx, you can receive Diltia-XR for just $49 per month.* NiceRx works directly with your healthcare provider to help you enroll in the Diltia-XR patient assistance program. We’ll handle the full application process for you, helping you get access to affordable Diltia-XR without any hassle and stress.
Your monthly Diltia-XR cost savings if eligible
You can receive your Diltia-XR prescription for just $49 per month, every month. This flat fee covers the full cost of your Diltia-XR medicine, regardless of retail price.
Am I eligible for the Diltia-XR patient assistance program?
If you meet the eligibility criteria, you could receive your Diltia-XR medication without paying the full retail price. At NiceRx, we review each Diltia-XR assistance program application individually. 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 Diltia-XR patient assistance program?
NiceRx makes it as simple as possible to apply for the Diltia-XR patient assistance program. Start by completing our enrollment application, and tell us about any medications you’re taking, including Diltia-XR. You will need to provide details about your healthcare provider, insurance, and your household income. This information is required by the pharmaceutical companies who ship your medication.
If we determine you may be eligible for assistance, we will help to enroll you in the Diltia-XR patient assistance program. All stages of the application process will be handled by NiceRx. Once enrolled in the program, we’ll also request your Diltia-XR medication refills on your behalf for up to one year.
Does NiceRx provide Diltia-XR coupons?
We don’t provide Diltia-XR coupons or Diltia-XR discount cards. We are a service provider that helps eligible individuals access the Diltia-XR patient assistance program. Therefore, we don’t offer printable Diltia-XR manufacturer coupons, Diltia-XR discounts, rebates, Diltia-XR savings cards, trial offers, or free Diltia-XR samples. If you’re looking for Diltia-XR coupons, remember you’ll likely save more with NiceRx. When obtaining your Diltia-XR medication through NiceRx, your total cost for the medication will always be the same flat fee of $49 every month.
Can NiceRx help me get Diltia-XR if I have insurance?
We may be able to help you if you have insurance but your insurance company won’t pay for your medication, you have high copay or co insurance responsibility or you don’t have insurance.
How much is Diltia-XR with insurance?
The cost of Diltia-XR depends on your healthcare plan. Your healthcare provider or pharmacist will be able to calculate your copay with your current insurance. Remember, if you’re approved for the patient assistance program, you’ll likely save more on your Diltia-XR medication.
How much is Diltia-XR without insurance?
Diltia-XR prices without insurance will vary depending on where you purchase the medication. 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.