Eylea Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Eylea 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.
Your monthly Eylea cost savings if eligible
If you are eligible for the Eylea patient assistance program, the cost of your medication will be free. We only charge $49 a month, per medication, to cover our service fees. You could receive your Eylea prescription for just $49 a month, regardless of the retail price of your medication.
Am I eligible for the Eylea patient assistance program?
We will review your application to determine whether you are eligible for the Eylea patient assistance program. Each program has its own eligibility criteria which is set by the pharmaceutical companies, however the factors considered by most programs are:
How do I apply for the Eylea patient assistance program?
We make it as easy as possible to apply for the Eylea patient assistance program. The first step is to complete our enrollment application. Tell us about any medications you are taking, including Eylea. 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 Eylea 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 Eylea patient assistance program, and we will automatically request your Eylea medication refills for up to 1 year.
Is NiceRx an Eylea coupons provider?
We are a service provider that helps eligible individuals access the Eylea patient
assistance program. That means that we do not offer printable Eylea manufacturer coupons, Eylea discounts, or free Eylea samples. We are not an Eylea coupon provider or Eylea discount card. Our service extends to assisting eligible individuals to access the medications they need through patient assistance programs.
Can NiceRx help me get Eylea if I have insurance?
We may be able to help you to access Eylea patient assistance in a variety of circumstances. This includes when your insurance company will not pay for your Eylea 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 is Eylea with insurance?
The cost of Eylea 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.
How much does Eylea cost without insurance?
Eylea prices without insurance will vary depending on where you buy it and if you buy pre-filled syringes of Eylea or a vial kit with injection components. As a guide, Eylea usually costs around $2,000 for 0.05 ml or 40 mg Eylea solution for injection. With NiceRx you will pay a flat monthly fee of $49, regardless of the retail price of your medication.
What is Eylea?
Eylea is a prescription medication given to adults to treat a range of eye conditions, including:
- Neovascular age-related wet macular degeneration
- Macular edema following retinal vein occlusion
- Diabetic macular edema
- Diabetic retinopathy
The above conditions all cause damage to the blood vessels in your retina, an area at the back of your eye that’s involved in vision. Each condition causes damage to the retina that primarily affects the central part of your field of vision. This can cause blurring, vitreous floaters, loss of color, and total central vision loss over time. Although these conditions usually don’t cause a total loss of all vision, loss of central vision can make it hard to read, drive, see faces properly, and perform the day-to-day tasks of your life.
If you have one of the above conditions, your physician may have prescribed Eylea to you. It helps to prevent the growth of unwanted blood vessels in your retina and can reduce fluid buildup and swelling (edema) in your retina, helping to slow or prevent damage and central vision loss.
You take Eylea by having it injected into your eye (ophthalmic intravitreal injection) by a qualified physician, typically once every four weeks. Your physician will decide how often and what dose of Eylea you need based on your condition and medical history.
Eylea active ingredients
The active ingredient in Eylea is called aflibercept. It’s a type of medication called a vascular endothelial growth factor inhibitor that can stop the growth of new blood vessels in your retina and reduce the buildup of fluid.
When you take Eylea, the aflibercept it contains blocks a substance called vascular endothelial growth factor (VEGF) that causes new blood vessels to be created. By blocking VEGF in your retina, aflibercept stops unwanted blood vessels being formed, and also reduces fluid buildup in your retina, limiting and preventing any damage from occurring to your retina.
Eylea side effects
The most common side effects caused by Eylea include:
- Eye pain
- Cataracts – a clouding of the front of the eye caused by a buildup of proteins
- An increase in pressure inside the eye (intraocular pressure)
- Conjunctival hemorrhage – spots of blood on the white part of the eye
- Vitreous floaters – shapes floating across your vision
- Vitreous detachment – part of the eye separating from the retina (that usually doesn’t cause permanent damage)
In rare instances, Eylea can cause more serious side effects. These include:
- Retinal detachment – where the retina detaches from the back of the eye. If untreated, this can lead to permanent damage and blindness
- Increases in pressure inside the eye (intraocular pressure) to a degree that can cause glaucoma and can damage your vision
- Arterial embolism – a serious condition where a blockage in an artery (usually a blood clot) reduces the flow of blood to one or more organs that can cause permanent organ damage
Your doctor will assess the benefits of taking Eylea against your risk of side effects.
Eylea drug interactions
Medications can interact with each other, altering how they work and making some side effects more likely. Tell your prescribing doctor about all drugs you’re taking, including vitamins, and herbal and dietary supplements, particularly any products you put into your eyes.
Eylea warning and precautions
Eylea isn’t suitable for everyone. Don’t take Eylea if you:
- Are allergic to the active ingredient aflibercept
- Are allergic to any of the other ingredients in Eylea
- Currently have an eye infection
- Currently have any eye inflammation
- Are under 18 years of age
Talk to your doctor before taking Eylea if you:
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
*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.