Fulphila Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Fulphila medication with our help.Get Started Now
Secure: Your personal and medical information is safe with us
Convenient: Your medication is delivered straight to your door
Ongoing refills: Your medication is refilled automatically
NiceRx works with your healthcare provider to help you access affordable medications directly from U.S. pharmaceutical companies.
How it works
Get started by filling out the online enrollment application to find out if you are eligible for assistance.
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.
We will request documents to be submitted by you and your healthcare provider that are required by the pharmaceutical company to complete your enrollment.
Once approved, the pharmaceutical company typically ships a 90-day supply of medication to your home or healthcare provider’s address.
Your monthly Fulphila cost savings if eligible
The Fulphila patient assistance program can provide your medication for free. We simply charge $49 per month for each medication to cover the cost of our services. With NiceRx, you will only pay $49 to obtain your Fulphila, regardless of the retail price.
Am I eligible for the Fulphila patient assistance program?
To find out if you are eligible for Fulphila assistance you can apply online using our enrollment application. Each pharmaceutical company sets its eligibility criteria, and we will review your application individually to determine if you may be eligible. The three main factors to consider 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 Fulphila patient assistance program?
Our application process aims to make it as easy as possible to apply for the Fulphila patient assistance program. The first step is to complete our online enrollment application. We will ask you for details about your healthcare provider, your insurance plan, and your household income as this information is required by the pharmaceutical companies. We may be able to help you apply for other patient assistance programs too, so be sure to tell us about any medications you are taking as well as Fulphila.
NiceRx will review your application and determine whether you may be eligible for Fulphila assistance. If so, we will handle the full enrollment process for you and prepare all required documents for your healthcare provider to sign. Once you are successfully enrolled in the Fulphila patient assistance program, we will help you manage your prescription refills by requesting refills on your behalf throughout your enrollment period. At the end of your enrollment period, we will contact you for updated information and seek to re-enroll you so you can continue to access affordable Fulphila.
Is NiceRx a Fulphila coupons provider?
NiceRx is a service provider that helps eligible individuals access the Fulphila patient assistance program. We do not offer trial offers or free Fulphila samples. When obtaining your medication through NiceRx, you will only pay $49 a month per medication. This will likely save you more money than if you were to use Fulphila coupons, discount cards, or Fulphila copay cards.
Can NiceRx help me get Fulphila if I have insurance?
NiceRx may be able to help you if your insurance company will not pay for your Fulphila medication. We may also be able to help if you have a high copay or coinsurance responsibility. Whether you have insurance or not, apply online using our enrollment application to find out more.
How much does Fulphila cost without insurance?
Fulphila prices without insurance will vary depending on how much you buy. Prices will also vary by retailer. As a guide, Fulphila subcutaneous solution (6 mg/0.6 mL) typically costs $4.370 for 0.6 milliliters.
How much does Fulphila cost with insurance?
The copay for Fulphila will vary by the terms of your healthcare plan. To find out what you might need to pay for Fulphila with insurance, your insurance provider or pharmacist will be able to help you calculate the copay costs with your current insurance.
What is Fulphila?
Fulphila (pegfilgrastim-jmdb) is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Mylan Pharmaceuticals Inc. Fulphila is biosimilar to Neulasta meaning it has a highly similar structure, purity, and biological activity to Neulasta.
Fulphila is a leukocyte (white blood cells) growth factor used to decrease the incidence of infection, as manifested by febrile neutropenia (low blood neutrophils), in patients with non-myeloid malignancies receiving myelosuppressive anti-cancer drugs associated with a clinically significant incidence of febrile neutropenia.
Fulphila is not indicated for the mobilization of peripheral blood progenitor cells for hematopoietic stem cell transplantation.
What doses of Fulphila are available?
Fulphila is available in injection form, in the following doses: 6 mg/0.6 mL solution in a single-dose prefilled syringe
For patients with cancer, receiving myelosuppressive chemotherapy:
- 6 mg administered subcutaneously once per chemotherapy cycle
- Do not administer between 14 days before and 24 hours after administration of cytotoxic chemotherapy
- Use weight-based dosing for pediatric patients weighing less than 45 kg
Please read the full prescribing information and always speak with a healthcare professional about any changes to your dose so they can monitor and evaluate your condition.
Fulphila active ingredients
Fulphilia contains pegfilgrastim-jmdb as the active ingredient.
Fulphila side effects
The most common side effects of Fulphila in clinical trials include:
- Bone pain
- Pain in extremity
In rare instances, Fulphila can cause more serious side effects. These can include:
- Fatal splenic rupture
- Acute respiratory distress syndrome (ARDS)
- Serious allergic reactions, including anaphylaxis
- Fatal sickle cell crises
- Increased risk of a certain bone marrow disorder (myelodysplastic syndrome-MDS) or blood cancer (acute myeloid leukemia-AML) in people with breast or lung cancer who are receiving chemotherapy/radiation
- Capillary leak syndrome has been reported after granulocyte colony-stimulating factor (G-CSF) administration. Symptoms include decreased urination, tiredness, dizziness or a light-headed feeling, trouble breathing, and sudden swelling, puffiness, or feeling of fullness.
Your doctor will assess the benefits of using Fulphila against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Fulphila to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Fulphila drug interactions
No drug interaction studies have been performed with Fulphila. However, you should tell your healthcare provider about all the medications you take, including other prescription drugs and over-the-counter medications, vitamins, and dietary or herbal supplements.
You should not use Fulphila if you:
- Are allergic to the active ingredient pegfilgrastim or filgrastim products
- Are allergic to any of the other ingredients in Fulphila
Talk to your doctor before using Fulphila if you:
- Are taking any of the medications that could interact with Fulphila
- Have sickle cell disorder
- Have kidney disease
- Are having radiation treatment
- Have myelodysplastic syndrome
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
Fulphila is the trademark brand name for pegfilgrastim manufactured by Mylan Pharmaceuticals Inc. A generic version of pegfilgrastim is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Fulphila 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 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.