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Follistim AQ Patient assistance program

Is your Follistim AQ medication too expensive? Start receiving your medication for only $49 per month.*

Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Follistim AQ medication with our help.

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  • NiceRx Benefit
    Secure: Your personal and medical information is safe with us
  • NiceRx Benefit
    Convenient: Your medication is delivered straight to your door
  • NiceRx Benefit
    Ongoing refills: Your medication is refilled automatically
  • NiceRx Benefit
    Secure: Your personal and medical information is safe with us
  • NiceRx Benefit
    Convenient: We manage the whole process and we’re here to assist you
  • NiceRx Benefit
    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.

How it works

  • Enroll online

    Get started by filling out the online enrollment application to find out if you are eligible for assistance.

  • Pre-qualification

    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.

  • Submit documents

    We will request documents to be submitted by you and your healthcare provider that are required by the pharmaceutical company to complete your enrollment.

  • Receive medication

    Once approved, the pharmaceutical company typically ships a 90-day supply of medication to your home or healthcare provider’s address.

Follistim AQ (follitropin beta)

Do you need help paying for Follistim AQ medication? With our help, you may be able to get your Follistim AQ for just $49 per month.* By working directly with your healthcare provider, we can help you to enroll in patient assistance programs for prescription medications. We’ll handle the full application process for you, helping you get easy and affordable access to the medications you need.

Your monthly Follistim AQ cost savings if eligible

You can receive your Follistim AQ prescription for a flat fee of just $49 per month. This flat fee covers the full cost of your Follistim AQ medicine, regardless of retail price.

Am I eligible for the Follistim AQ patient assistance program?

Apply online with NiceRx to find out if you are qualified for the Follistim AQ patient assistance program. We review each application individually. The main eligibility factors considered by most programs include:

  • 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 Follistim AQ patient assistance program?

Applying for patient assistance programs with NiceRx is fast and easy. Fill in our enrollment application, and tell us about any medications you’re taking, including Follistim AQ. We’ll also ask for details about your healthcare provider, insurance, and your household income, as this information is required by the pharmaceutical manufacturers who ship your medication.

Once NiceRx determines that you may be eligible for Follistim AQ assistance, we’ll handle the full application process for you. If you are successfully enrolled in the Follistim AQ patient assistance program, we’ll also request your Follistim AQ medication refills on your behalf for up to one year.

Does NiceRx provide Follistim AQ coupons?

NiceRx is a service provider that helps eligible individuals access the Follistim AQ patient assistance program. This means that we do not provide Follistim AQ coupons, Follistim AQ discount cards, or Follistim AQ copay cards. If you’re looking for coupons for Follistim AQ or cheap Follistim AQ, consider that you will likely save more with NiceRx. When obtaining your Follistim AQ medication through NiceRx, your total cost for the medication will always be $49 per month.

Can NiceRx help me get Follistim AQ if I have insurance?

We may be able to assist you if you have insurance. If your insurance company will not pay for your Follistim AQ medication, or you have a high copay or coinsurance responsibility, NiceRx will likely be able to help. This even applies if you don’t have insurance. Begin your online application to find out more.

How much is Follistim AQ with insurance?

The cost of Follistim AQ will vary by healthcare plan. Your healthcare provider or pharmacist will be able to calculate your copay with your current insurance. Remember, if you’re approved for assistance, you’ll likely save more if you get your Follistim AQ medication through NiceRx.

How much is Follistim AQ without insurance?

Follistim AQ prices without insurance will vary depending on where you buy the medication. With NiceRx the cost will always be $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 the different programs and filling out all the required paperwork for each program. Subject to medication availability.

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.