Home / Medications / Gilenya

Gilenya Patient assistance program

Is your Gilenya 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 Gilenya medication with our help.

Get Started Now
  • 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.

Medically reviewed by  Jamie Winn, PharmD

Your monthly Gilenya cost savings if eligible

The Gilenya patient assistance program can provide your medication for free. We simply charge $49 a month per medication to cover the cost of our services. With NiceRx, you will only pay $49 to obtain your Gilenya, regardless of the retail price.

Am I eligible for the Gilenya patient assistance program?

To find out if you are eligible for Gilenya 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 Gilenya patient assistance program?

Our application process aims to make it as easy as possible to apply for the Gilenya 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 Gilenya.

NiceRx will review your application and determine whether you may be eligible for Gilenya 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 Gilenya 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 Gilenya.

Is NiceRx a Gilenya coupons provider?

NiceRx is a service provider that helps eligible individuals access the Gilenya patient assistance program. We do not offer trial offers or free Gilenya 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 Gilenya coupons, discount cards, or Gilenya copay cards.

Can NiceRx help me get Gilenya if I have insurance?

NiceRx may be able to help you if your insurance company will not pay for your Gilenya 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 is Gilenya with insurance?

The cost of Gilenya will vary by the terms of your healthcare plan. To find out what you might need to pay for Gilenya with insurance, your insurance provider or pharmacist will be able to help you calculate the copay costs with your current insurance.

How much does Gilenya cost without insurance?

Gilenya prices without insurance will vary depending on the quantity you buy. Prices will also vary by retailer. As a guide, Gilenya oral capsules 0.5 mg typically cost $9,500 for 30 capsules.

What is Gilenya?

Gilenya is an FDA-approved medication manufactured by Novartis. It is an oral treatment approved by the U.S. Food and Drug Administration (FDA) for patients, 10 years of age or older, with relapsing forms of multiple sclerosis (MS).

Gilenya contains the prescription medicine fingolimod, which works by suppressing your immune system. Gilenya is used for the treatment of relapsing multiple sclerosis. This includes relapsing-remitting disease, and active secondary progressive disease as well as a clinically isolated syndrome in patients who are at least 10 years old. Data from clinical trials show that Gilenya decreases MS relapses, disability progression, lesion activity as seen on MRI, and loss of brain tissue.

Gilenya is not a cure for multiple sclerosis but will reduce how often symptoms occur and slow the onset of physical disability.

What doses of Gilenya are available?

Gilenya is available in capsule form, in the following doses: 0.25 mg or 0.5 mg capsule.

Fingolimod can slow your heart rate. When starting Gilenya you will be given your first dose in a hospital setting where your heart rhythm can be monitored. Your pulse and blood pressure will be checked hourly. You will have an ECG before and 6 hours after your first dose. Take this medication exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.

Gilenya active ingredients

Fingolimod is a sphingosine 1-phosphate receptor modulator. It is converted by an enzyme in the body (sphingosine kinase) to the active version, fingolimod-phosphate. This active version binds with specific receptors in the body more readily. Fingolimod-phosphate stops lymphocytes (white blood cells) from leaving lymph nodes, thereby reducing the number of lymphocytes in the blood.

The exact mechanism by which fingolimod works in multiple sclerosis is not fully understood but is thought to involve the reduction of lymphocytes passing into the central nervous system.

Gilenya side effects

The most common side effects of Gilenya include:

  • Headache
  • Back pain
  • Abdominal pain
  • Diarrhea
  • Flu-like symptoms
  • Pain in your arms or legs

In rare instances, Gilenya can cause more serious side effects. These can include:

  • Heart problems – chest pain, irregular heartbeat, slow heart rate (bradycardia), feeling dizzy or tired
  • Liver problems – jaundice (yellowing of eyes or skin), dark urine, upper stomach pain, nausea, loss of appetite
  • Posterior reversible encephalopathy syndrome (PRES) is a serious condition involving swelling in your brain
  • Increased risk of infections or serious infections – fever, chills, body aches, tiredness, vomiting, confusion, neck stiffness, or increased sensitivity to light
  • Serious (possibly life-threatening) infection (such as bronchitis, pneumonia, herpes)
  • Increased risk of developing lymphoma, basal cell carcinoma, or skin cancer (melanoma). Ask your doctor about skin symptoms to watch for
  • Eye problems – swelling in the back of the eye (macular edema) can occur, especially in diabetics or people with uveitis
  • Difficulty breathing
  • Sores in your mouth and throat
  • Sores on your genital or anal area

Call your healthcare professional immediately if you have worsening problems with speech, thought, vision, or muscle movement, this may be due to a serious brain infection (progressive multifocal leukoencephalopathy-PML) that can lead to disability or death. This may sometimes occur even after treatment has stopped. Symptoms of PML can seem like worsening MS symptoms. If PML is suspected, an MRI scan should be performed and Gilenya treatment stopped until PML has been excluded.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

Gilenya drug interactions

Gilenya can interact with other medications. These include:

  • Treatments  for infections- azithromycin, clarithromycin, telithromycin
  • Treatment for heart problems – bisoprolol, sotalol, amiodarone
  • Treatment for high blood pressure – sotalol, carvedilol
  • Medication taken for depression or mental illness – citalopram, clozapine, sertraline
  • Cancer treatment – abemaciclib, ibrutinib, nilotinib
  • Antimalaria medication – mefloquine, chloroquine
  • Antifungal treatments – ketoconazole, itraconazole, fluconazole
  • Medication taken for the treatment of HIV/AIDS – fostemsavir, saquinavir
  • Steroids – betamethasone, dexamethasone, prednisolone
  • Medicines to prevent organ transplant rejection – azathioprine, sirolimus, tacrolimus

This list is not exhaustive and other drugs may interact with Gilenya. Always let your doctor and pharmacist know about any other medications or supplements you are taking.

Gilenya contraindications

You should not use Gilenya if you:

  • Are allergic to the active ingredient fingolimod
  • Are allergic to any of the other ingredients in Gilenya
  • Have had severe heart failure (that required you to be in the hospital)
  • Have a condition “AV block” or sick sinus syndrome (unless you have a pacemaker)
  • Have long QT syndrome
  • Have had a heart attack, stroke, chest pains, or any other serious heart problem within the past 6 months

Talk to your doctor before using Gilenya if you:

  • Are taking any of the medications that could interact with Gilenya
  • Have never had chickenpox or if you have never received a varicella vaccine. You may need to have the vaccine and then wait 1 month
  • Have an active or chronic infection including hepatitis or tuberculosis
  • Have an irregular heart rhythm
  • Have chest pain (angina) or any other heart problems
  • Have had a heart attack or stroke
  • Have either high or low blood pressure
  • Ever feel light-headed or faint
  • Have diabetes
  • Have skin cancer
  • Have liver disease
  • Have asthma, sleep apnea, or any other breathing problems
  • Are pregnant or are planning to become pregnant – Women must use effective contraception during treatment and for at least two months after discontinuation of treatment. If you are pregnant, your name may be listed on a pregnancy registry to track the effects of fingolimod on the baby
  • Are breastfeeding or are planning to breastfeed

Gilenya generic

Gilenya is the trademark brand name for fingolimod manufactured by Novartis. A generic version of fingolimod is available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Gilenya savings through NiceRx.

Related medications

*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.