Gazyva Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Gazyva 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 Gazyva cost savings if eligible
If you are eligible for the Gazyva patient assistance program you can get your medication for free. Our monthly flat rate of $49 per medication covers the cost of our services in applying for the program and requesting your ongoing refills on your behalf. If you obtain your Gazyva through NiceRx, you will only pay $49 a month regardless of the retail price of your medication.
Am I eligible for the Gazyva patient assistance program?
You could receive your Gazyva without paying the full retail price if you meet the eligibility criteria for assistance. This criteria is set by the pharmaceutical companies who are providing assistance programs. At NiceRx we review each application individually, although the main 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 Gazyva patient assistance?
We do everything that we can to take the hassle and stress out of applying for patient assistance programs. Simply start by filling in our enrollment application. We will ask for details about your healthcare provider, your insurance, and your household income. This information is required by the pharmaceutical companies you are applying to for assistance. We may also be able to help you access patient assistance for other medications that you have been prescribed, so be sure to tell us about any medications you are taking as well as Gazyva.
NiceRx will review the information you have provided, and if we determine that you may be eligible for assistance, we will seek to enroll you in the Gazyva patient assistance program. We will handle the enrollment process for you by working with your healthcare provider and preparing all the required paperwork for your doctor to sign. We will also request your Gazyva medication refills on your behalf for up to 1 year once you are enrolled in the program.
Is NiceRx a Gazyva coupons provider?
At NiceRx, we help eligible individuals access the Gazyva patient assistance program. This means that we are not a Gazyva coupon, a Gazyva discount card, or a Gazyva copay card provider. We do not offer any medication trial offers, or free Gazyva samples.
Can NiceRx help me get Gazyva if I have insurance?
We may be able to help you if you have insurance, including if your insurance company will not pay for your Gazyva medication, or you have a high copay or coinsurance responsibility. We may even be able to assist if you do not have insurance. Please fill in our enrollment application to find out more.
How much is Gazyva with insurance?
The cost of Gazyva will vary in line with the specific terms of your healthcare plan. For further details about what you may need to pay, your insurance provider or pharmacist will be able to calculate the copay costs with your current insurance.
How much does Gazyva cost without insurance?
Gazyva costs without insurance will vary depending on how much you buy and the retailer you buy it from. As a guide, Gazyva intravenous solution (25 mg/mL) will typically cost around $7,200 for 40 milliliters. If you obtain your medication through NiceRx, you will pay a flat monthly rate of $49 per medication regardless of its retail price.
What is Gazyva?
Gazyva contains the prescription medicine obinutuzumab. Obinutuzumab is a monoclonal antibody, which means it acts in a similar way to your immune system in being able to fight off viruses and other infections. Gazyva is normally used in combination with chlorambucil for the treatment of chronic lymphocytic leukemia. Gazyva can also be used with other cancer medicines to treat follicular lymphoma or to help slow this disease from becoming worse.
Gazyva active ingredients
Obinutuzumab works by attaching itself to specific points on lymphocytes (a type of immune cell). Having done this obinutuzumab has the effect of making the cells it is attacking break up and die. It is more effective than other medicines such as rituximab at doing this.
Gazyva is given as an infusion directly into a vein by a healthcare professional. It is given in a 28-day treatment cycle, but you may only need to use the medicine on certain days of each cycle. You should expect to spend most of the day at the hospital or clinic on the days you are given this medicine. Your blood will need to be tested often, as Gazyva can reduce your blood cell count.
It is important to understand that if you’ve ever had hepatitis B, using Gazyva can cause this virus to become active again or get worse. You will need regular liver function tests while using this medicine and for several months after your last dose.
Gazyva side effects
The most common side effects caused by Gazyva include:
- Diarrhea, constipation
- Stuffy nose, sneezing, sore throat, cough
- Feeling tired
- Low white blood cell counts
- Muscle or joint pain
- A reaction where the injection was given
In rare instances, Gazyva can cause more serious side effects. These can include:
- Easy bruising
- Unusual bleeding
- Feeling weak
- Burning sensation when you urinate
- Upper right-sided stomach pain, loss of appetite, yellow color to your skin or eyes
- Feeling dizzy, loss of balance, problems with vision, confusion, problems with speech or walking
- Fever, mouth sores, skin sores, difficulty breathing
- Muscle cramps, nausea, vomiting, irregular heart rate, tingling in your hands and feet or around your mouth
Your doctor will assess the benefits of using Gazyva against your risk of side effects.
Gazyva drug interactions
Gazyva can interact with other medications. These include:
- Treatments for auto-immune diseases such as rheumatoid arthritis, Crohn’s disease, ulcerative colitis – adalimumab, golimumab
- Vaccines – BCG, influenza, measles, mumps, polio, rotavirus, rubella, smallpox, typhoid, varicella, yellow fever, zoster
- Treatments for mood disorders such as schizophrenia – clozapine
- Treatments for multiple sclerosis – fingolimod, ozanimod, siponimod
- DMARDs (disease-modifying antirheumatic drugs) for rheumatoid arthritis – leflunomide, teriflunomide
This list is not exhaustive and other drugs may interact with Gazyva.
Gazyva warning and precautions
You should not use Gazyva if you:
- Are allergic to the active ingredient obinutuzumab
- Are allergic to any of the other ingredients in Gazyva
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
Talk to your doctor before using Gazyva if you:
- Are taking any of the medications that could interact with Gazyva
- Have high blood pressure
- Have hepatitis B or other liver problems
- Have kidney disease
- Have an electrolyte imbalance
- Have an infection
*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.