Follistim AQ Patient assistance program
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.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.
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 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.