Eloctate Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Eloctate 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 Eloctate cost savings if eligible
If you are eligible for the Eloctate patient assistance program you can receive your medication for free. Our monthly service fee of $49 per medication covers the cost of our services in applying for the program and requesting your ongoing refills on your behalf. If you obtain your Eloctate through NiceRx, you will only pay $49 a month regardless of the retail price of your medication.
Am I eligible for the Eloctate patient assistance program?
You could receive your Eloctate without paying the full retail price if you meet the eligibility criteria for assistance. The eligibility requirements are set by the pharmaceutical companies that are providing assistance programs. At NiceRx, we review each 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 Eloctate patient assistance?
We do everything that we can to take the hassle and stress out of applying for patient assistance programs. Simply start by filling in our enrollment application. We will ask for details about your healthcare provider, your insurance, and your household income. This information is required by the pharmaceutical companies you are applying to for assistance. We may also be able to help you access patient assistance for other medications that you have been prescribed, so be sure to tell us about any medications you are taking as well as Eloctate.
NiceRx will review the information you have provided, and if we determine that you may be eligible for assistance, we will seek to enroll you in the Eloctate patient assistance program. We will handle the enrollment process for you by working with your healthcare provider and preparing all the required paperwork for your doctor to sign. We will also request your Eloctate medication refills on your behalf for up to 1 year once you are enrolled in the program.
Is NiceRx an Eloctate coupons provider?
At NiceRx, we help eligible individuals access the Eloctate patient assistance program. This means that we are not an Eloctate coupon, an Eloctate discount card, or an Eloctate copay card provider. We do not offer any medication trial offers or free Eloctate samples.
Can NiceRx help me get Eloctate if I have insurance?
We may be able to help you if you have insurance, including if your insurance company will not pay for your Eloctate medication, or you have a high copay or coinsurance responsibility. We may even be able to assist if you do not have insurance. Please fill in our enrollment application to find out more.
How much does Eloctate cost without insurance?
Eloctate costs without insurance will vary depending on how much you buy and the retailer you buy it from. As a guide, Eloctate intravenous powder for injection recombinant Fc fusion protein will typically cost around $12 for 1 powder for injection. If you obtain your medication through NiceRx, you will pay a flat monthly rate of $49 per medication regardless of its retail price.
How much does Eloctate cost with insurance?
The copay of Eloctate will vary in line with the specific terms of your healthcare plan. For further details about what you may need to pay, your insurance provider or pharmacist will be able to calculate the copay costs with your current insurance.
What is Eloctate?
Eloctate is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Bioverativ Therapeutics Inc., a Sanofi company.
Eloctate is an antihemophilic Factor (recombinant), Fc fusion protein. It is a recombinant DNA-derived, antihemophilic factor used in adults and adolescents with Hemophilia A (congenital Factor VIII deficiency) for:
- On-demand treatment and control of bleeding episodes
- Perioperative management of bleeding
- Routine prophylaxis to reduce the frequency of bleeding episodes
Eloctate is not recommended for the treatment of von Willebrand disease.
What doses of Eloctate are available?
Eloctate is available in injection form, in the following doses: nominally 250, 500, 750, 1000, 1500, 2000, or 3000 IU, lyophilized powder in single-use vials for reconstitution.
For intravenous use after reconstitution only. One unit per kilogram of body weight will raise the FVIII level by 2% IU/dL. For on-demand treatment and control of bleeding episodes and perioperative management, calculate the dose using the following formulas:
- Estimated increment of FVIII (IU/dL or % of normal) = [Total Dose (IU)/body weight (kg)] x 2 (IU/dL per IU/kg)
- Or required dose (IU) = body weight (kg) x desired FVIII rise (IU/dL or % of normal) x 0.5 (IU/kg per IU/dL)
- For routine prophylaxis – 50 IU/kg every 4 days. Adjust the dose based on patient response
- For routine prophylaxis in children less than 6 years of age – 50 IU/kg twice weekly. Adjust the dose based on patient response
Please see the full prescribing information, and always speak with your healthcare provider about any changes to your dose so they can monitor and evaluate your condition.
Eloctate active ingredients
B-domain deleted recombinant Factor VIII, Fc fusion protein (BDD-rFVIIIFc) is the active ingredient in Eloctate.
Eloctate contains the Fc region of human immunoglobulin G1 (IgG1). This binds to the neonatal Fc receptor (FcRn). FcRn is part of a naturally occurring pathway that delays the lysosomal breakdown of immunoglobulins by cycling them back into circulation and prolonging their plasma half-life.
Eloctate side effects
The most common side effects of Eloctate in clinical trials include:
- Myalgia, headache
In rare instances, Eloctate can cause more serious adverse reactions. These can include:
- Hypersensitivity reactions, including anaphylaxis
- Development of Factor VIII neutralizing antibodies (inhibitors) can occur. If plasma Factor VIII activity levels are not attained, or if bleeding is not controlled with an appropriate dose, carry out an assay that measures Factor VIII inhibitor concentration
Call your doctor for medical advice about side effects. Patients are encouraged to report negative side effects or adverse reactions of Eloctate to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Eloctate drug interactions
There is currently no data for Eloctate and its interactions with other medications. Tell your healthcare provider about all the medicines you take, including all prescription drugs and non-prescription medicines such as over-the-counter medicines, supplements, or herbal remedies.
You should not use Eloctate if you:
- Have had an allergic reaction to the active ingredient antihemophilic factor (recombinant), Fc fusion protein
- Are allergic to any of the other ingredients in Eloctate
Talk to your doctor before using Eloctate if you:
- Are taking any of the medications that could interact with Eloctate
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
- Have heart disease
- Have a latex allergy
- Have ever been told that you have inhibitors to Factor VIII
- Have risk factors for developing abnormal blood clots in your body, such as an indwelling venous catheter
Eloctate is the trademark brand name for antihemophilic factor (recombinant), Fc fusion protein manufactured by Bioverativ Therapeutics Inc., a Sanofi company. A generic version of the antihemophilic factor (recombinant), Fc fusion protein is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Eloctate 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.