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Gimoti Patient assistance program

Is your Gimoti 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 Gimoti 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.

An introduction to NiceRx

Play video (01:52)
  • An introduction to NiceRx
    (01:52)
  • Next steps after qualifying
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  • Uploading documents and billing
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  • SSN & billing information
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  • Medication delivery time
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How it works

  • Apply Online

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

  • 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.

  • Upload Documents

    You may be required to submit further information and documents required by the pharmaceutical company which can be securely uploaded online.

  • Application Created

    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.

  • Receive Medication

    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.

Medically reviewed by  Jamie Winn, PharmD

Your monthly Gimoti cost savings if eligible

The Gimoti 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 Gimoti, regardless of the retail price.

Am I eligible for the Gimoti patient assistance program?

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

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

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

Is NiceRx a Gimoti coupon provider?

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

Can NiceRx help me get Gimoti cheaper if I have insurance?

NiceRx may be able to help you if your insurance company will not pay for your Gimoti 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 Gimoti cost without insurance?

Gimoti prices without insurance will vary depending on how much you buy. Prices will also vary by retailer. As a guide, Gimoti nasal spray (15 mg/actuation) typically costs $1,850 for 9.8 milliliters.

How much does Gimoti cost with insurance?

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

What is Gimoti?

Gimoti is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Evoke Pharma, Inc. Gimoti is a dopamine-2 (D2) antagonist indicated for the relief of symptoms in adults with acute and recurrent diabetic gastroparesis. Gimoti is not recommended for use in pediatric patients due to the risk of tardive dyskinesia (TD) and other extrapyramidal symptoms as well as the risk of methemoglobinemia in neonates, moderate or severe hepatic impairment, moderate or severe renal impairment, and for patients using strong CYP2D6 inhibitors due to the risk of increased drug exposure and adverse reactions.

Metoclopramide can cause tardive dyskinesia (TD), a serious movement disorder that is often irreversible. The risk of developing TD increases with the duration of treatment and total cumulative dosage. Avoid treatment with metoclopramide with all dosage forms and routes of administration for longer than 12 weeks because of the risk of developing TD with longer-term use.

What doses of Gimoti are available?

Gimoti is available in nasal spray form, in the following doses: 15 mg metoclopramide in each 70 microliter spray.

For adults less than 65 years of age the recommended dosage is 1 spray (15 mg) in one nostril, 30 minutes before each meal and at bedtime (maximum of 4 sprays daily) for 2 to 8 weeks. Gimoti is not recommended in geriatric patients as initial therapy. Geriatric patients receiving an alternative metoclopramide product at a stable dosage of 10 mg four times daily can be switched to Gimoti, 1 spray in one nostril, 30 minutes before each meal and at bedtime (maximum four times daily) for 2 to 8 weeks.

If a dose is missed, take the next dose at the regularly scheduled time. Do not make up for the missed dose or double the next dose. See the full prescribing information for the complete boxed warning and medication guide and always speak with your healthcare provider about any changes to your dose so they can monitor and evaluate your condition.

Gimoti active ingredients

Gimoti contains metoclopramide as the active ingredient.

Gimoti side effects

The most common side effects of Gimoti in clinical trials include:

  • Dysgeusia
  • Headache
  • Tiredness

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

  • Tardive dyskinesia
  • Other extrapyramidal symptoms (EPS)
  • Neuroleptic malignant syndrome (NMS)
  • Depression and suicidal ideation
  • Fluid retention
  • High blood pressure
  • Hyperprolactinemia – elevated prolactin levels

Your doctor will assess the benefits of using Gimoti against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Gimoti to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Gimoti drug interactions

Gimoti can interact with other medications. These include:

  • Antipsychotics
  • Central nervous system (CNS) depressants
  • Monoamine oxidase inhibitors (MAOIs) – increased risk of hypertension
  • Strong CYP2D6 inhibitors – quinidine, bupropion, fluoxetine, paroxetine
  • CYP2D6 poor metabolizers

This list is not exhaustive and other prescription drugs may interact with Gimoti. Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

Gimoti contraindications

You should not use Gimoti if you:

  • Are allergic to the active ingredient metoclopramide
  • Are allergic to any of the other ingredients in Gimoti
  • Have a history of tardive dyskinesia or dystonic reactions to metoclopramide
  • Gastrointestinal motility stimulation might be dangerous (e.g., in the presence of gastrointestinal hemorrhage, mechanical obstruction, or perforation)
  • Have pheochromocytoma, catecholamine-releasing paragangliomas, or epilepsy
  • Have Parkinson’s disease

Talk to your doctor before using Gimoti if you:

  • Are taking any of the medications that could interact with Gimoti
  • Are taking insulin for your diabetes
  • Have problems controlling your muscle movements after taking any medicine
  • Have kidney or liver disease
  • Have mental health issues
  • Have high blood pressure
  • Have heart failure or heart rhythm problems
  • Have breast cancer
  • Are pregnant or are planning to become pregnant
  • Are breastfeeding or are planning to breastfeed

Gimoti generic

Gimoti is the trademark brand name for metoclopramide manufactured by Evoke Pharma, Inc. A generic version of metoclopramide is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Gimoti 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.