Elzonris Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Elzonris 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 Elzonris cost savings if eligible
If you are eligible for the Elzonris patient assistance program, the cost of your medication will be free. We only charge $49 per month for each medication, to cover our service fees. You could receive your Elzonris prescription for just $49 a month, regardless of the retail price of your medication.
Am I eligible for the Elzonris patient assistance program?
We will review your application to determine whether you are eligible for the Elzonris patient assistance program. Each program has its own eligibility criteria which are set by the pharmaceutical companies, however, 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 Elzonris patient assistance program?
We make it as easy as possible to apply for the Elzonris patient assistance program. The first step is to complete our enrollment application. Tell us about any medications you are taking, including Elzonris. We will also ask for details about your healthcare provider, insurance, and your household income. This information is required by the pharmaceutical manufacturers who ship your medication.
If we determine that you may be eligible for Elzonris assistance, we will handle the application process for you. We will work directly with your healthcare provider to prepare your application documents. Once we have received the signed application and supporting documents, we will submit them to the patient assistance program on your behalf. Our service continues once you are enrolled in the Elzonris patient assistance program, and we will automatically request your Elzonris medication refills for up to 1 year.
Is NiceRx an Elzonris coupons provider?
We are a service provider that helps eligible individuals access the Elzonris patient
assistance program. That means that we do not offer printable Elzonris manufacturer coupons, Elzonris discounts, or free Elzonris samples. We are not an Elzonris coupon provider or Elzonris discount card. Our service extends to assisting eligible individuals to access the medications they need through patient assistance programs.
Can NiceRx help me get Elzonris if I have insurance?
We may be able to help you to access Elzonris patient assistance in a variety of circumstances. This includes when your insurance company will not pay for your Elzonris medication or if you have a high copay or coinsurance responsibility. We may also be able to help you if you do not have insurance. Please apply online to find out more.
How much does Elzonris cost without insurance?
Elzonris’ cost without insurance will vary depending on where you buy it. As a guide, Elzonris intravenous solution (1000 mcg/mL) usually costs $29,300 for 1 milliliter. With NiceRx you will pay a flat monthly fee of $49, regardless of the retail price of your medication.
How much does Elzonris cost with insurance?
The copay for Elzonris with insurance depends on the terms of your healthcare plan. To find out how much this is, your healthcare provider or pharmacist will be able to calculate your copay with your current insurance.
What is Elzonris?
Elzonris is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Stemline Therapeutics Inc. Elzonris is a CD123-directed cytotoxin for the treatment of blastic plasmacytoid dendritic cell neoplasm BPDCN (a type of blood cancer that can affect many organs including the skin and the bone marrow) in adults and in pediatric patients 2 years of age and older.
What doses of Elzonris are available?
Elzonris is available in injection form, in the following doses: 1,000 mcg in 1 mL in a single-dose vial.
Premedicate with an H1-histamine antagonist, acetaminophen, corticosteroid, and H2-histamine antagonist before each infusion. Administer Elzonris intravenous injection at 12 mcg/kg over 15 minutes once daily on days 1 to 5 of a 21-day cycle. Give the first cycle of Elzonris in the inpatient setting. Subsequent cycles may be given in the inpatient or outpatient setting. Additional important preparation and administration information are in the full prescribing information. Continue treatment until disease progression or unacceptable toxicity.
Always speak with a healthcare professional about any changes to your dose so they can monitor and evaluate your condition.
Elzonris active ingredients
Tagraxofusp is a fusion protein consisting of interleukin 3 (IL-3) fused to diphtheria toxin.
Elzonris side effects
The most common side effects of Elzonris in clinical trials include:
- Nausea, fatigue
- Peripheral edema
- Weight increase
- Decreases in albumin, platelets, hemoglobin, calcium, and sodium
- Increase in glucose, ALT, and AST
In rare instances, Elzonris can cause more serious side effects. These can include:
- Hypersensitivity reactions
- Hepatotoxicity – monitor ALT and AST
- Capillary leak syndrome – fluid can leak from small blood vessels into your body’s tissues. Symptoms include fast weight gain, swelling of your face, arms, hands, legs, or feet, shortness of breath, low blood pressure
Your doctor will assess the benefits of using Elzonris against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Elzonris to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Elzonris drug interactions
There is currently no data for Elzonris’ interactions with other medications. Tell your healthcare provider about all the medicines you take, including prescription drugs and over-the-counter medicines, vitamins, and herbal supplements.
You should not use Elzonris if you:
- Are allergic to the active ingredient tagraxofusp-erzs
- Are allergic to any of the other ingredients in Elzonris
- Are pregnant or are planning to become pregnant – use effective birth control during treatment and for at least 1 week after the last dose
- Are breastfeeding or are planning to breastfeed
Talk to your doctor before using Elzonris if you:
- Are taking any of the medications that could interact with Elzonris
Elzonris is the trademark brand name for tagraxofusp manufactured by Stemline Therapeutics Inc. A generic version of tagraxofusp is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Elzonris 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.