Dojolvi Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Dojolvi 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 Dojolvi cost savings if eligible
With our assistance, you could access the Dojolvi patient assistance program and obtain your medication for free. We only charge a flat monthly fee of $49 per medication for our services.
Am I eligible for Dojolvi patient assistance?
We review each Dojolvi enrollment application individually to determine if you are eligible. Each assistance program has its own eligibility criteria and 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 Dojolvi patient assistance program?
Our process makes it as easy as possible to apply for the Dojolvi patient assistance program. Begin by completing the enrollment application form on our website. Tell us about any medications that you are taking, including Dojolvi, your healthcare provider, your insurance plan, and your household income. This information is required by the pharmaceutical manufacturers who will supply the medication, so it is important to make sure this information is accurate and up to date.
We will review the information that you have provided to determine whether you are eligible for patient assistance. If we can pre-qualify you for assistance, NiceRx will handle the full enrollment process on your behalf. If you are approved by the pharmaceutical company, you will typically start receiving your medication in 6 – 8 weeks.
Is NiceRx a Dojolvi coupons provider?
NiceRx is not a Dojolvi coupon, Dojolvi discount card, or Dojolvi copay card provider. We do not offer Dojolvi manufacturer coupons, Dojolvi discounts, rebates, Dojolvi savings cards, trial offers, or free Dojolvi samples. We are a service provider that helps eligible individuals access their medication directly from the U.S. pharmaceutical company.
Can NiceRx help me if I have insurance?
NiceRx may be able to help you if:
- You have a high copay or coinsurance responsibility for Dojolvi
- Your insurance company will not pay for your Dojolvi prescription
- Your healthcare plan does not cover your medication
- You do not have insurance
Please apply online to find out if we can help you.
How much does Dojolvi cost without insurance?
Without insurance, Dojolvi’s costs will vary depending on where you buy the medication as prices will vary by retailer. As a guide, Dojolvi oral liquid 100% will cost around $5,100 for 500 milliliters.
How much does Dojolvi cost with insurance?
The copay for Dojolvi will depend on the terms of your healthcare plan. Your healthcare provider or pharmacist will be able to calculate your copay with your current insurance. Contact them to find out more.
What is Dojolvi?
Dojolvi is a medium-chain triglyceride with FDA approval, manufactured by Ultragenyx Pharmaceutical Inc. indicated as a source of calories and fatty acids for the treatment of pediatric and adult patients with molecularly confirmed long-chain fatty acid oxidation disorders (LC-FAOD).
What doses of Dojolvi are available?
Dojolvi is available in oral liquid form, in the following doses: 100% w/w of triheptanoin.
Assess metabolic requirements by determining daily caloric intake (DCI) prior to calculating the dosage. The recommended target daily dose of Dojolvi is up to 35% of the patient’s total prescribed DCI, divided into at least four doses and administered orally, diluted with foods, liquids, or formula via a silicone or polyurethane feeding tube. See the full prescribing information for instructions on how to calculate the volume per dose, initiate and titrate the dosage to achieve the target, and prepare and administer Dojolvi.
Dojolvi should be mixed well with liquid or soft food. Do not take the medicine alone or it may upset your stomach. Mix this medicine with include:
- Fat-free yogurt, low carbohydrate pudding, or smoothies
- Low-sugar applesauce
- Fat-free cottage cheese
- Skim (fat-free) milk
- Fat-free baby food
- Whole-grain hot cereal
Do not store products in containers made of polystyrene or polyvinyl chloride (PVC). Always speak with a healthcare professional for medical advice or about any changes to your dose so they can monitor and evaluate your condition.
Dojolvi active ingredients
The active ingredient of Dojolvi is triheptanoin.
Dojolvi side effects
The most common adverse effects of Dojolvi in clinical trials include:
- Abdominal pain
- Nausea and vomiting
In rare instances, Dojolvi can cause more serious side effects. These can include:
- Feeding tube dysfunction
- Intestinal malabsorption in patients with pancreatic insufficiency
Your doctor will assess the benefits of using Dojolvi against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Dojolvi to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Dojolvi drug interactions
Dojolvi can interact with other medications. These include:
- Pancreatic lipase inhibitors such as orlistat (Xenical)
- Medium-chain triglyceride (MCT) formulations
This list is not exhaustive and other prescription drugs may interact with Dojolvi. Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
You should not use Dojolvi if you:
- Are allergic to the active ingredient triheptanoin
- Are allergic to any of the other ingredients in Dojolvi
Talk to your doctor before using Dojolvi if you:
- Are taking any of the medications that could interact with Dojolvi
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
Dojolvi is the trademark brand name for triheptanoin manufactured by Ultragenyx Pharmaceutical Inc. A generic version of triheptanoin is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Dojolvi 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.