Hemlibra Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Hemlibra 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 Hemlibra cost savings if eligible
With our assistance, you could access the Hemlibra patient assistance program and obtain your medication for free. We only charge a flat monthly fee of $49 per medication for our services.
Am I eligible for Hemlibra patient assistance?
We review each Hemlibra enrollment application individually to determine if you are eligible. Each assistance program has its own eligibility criteria and the 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 the Hemlibra patient assistance program?
Our process makes it as easy as possible to apply for the Hemlibra patient assistance program. Begin by completing the enrollment application form on our website. Tell us about any medications that you are taking, including Hemlibra. You must also provide details about your healthcare provider, your insurance plan, and your household income. This is required by the pharmaceutical manufacturers who will supply the medication, so it is important to make sure this information is accurate and up to date.
We will review the information that you have provided to determine whether you are eligible for patient assistance. If we can pre-qualify you for assistance, NiceRx will handle the full enrollment process on your behalf. If you are approved by the pharmaceutical company, you will typically start receiving your medication in 6 – 8 weeks.
Is NiceRx a Hemlibra coupons provider?
NiceRx is not an Hemlibra coupon, Hemlibra discount card, or Hemlibra copay card provider. We do not offer Hemlibra manufacturer coupons, Hemlibra discounts, rebates, Hemlibra savings cards, trial offers, or free Hemlibra samples. We are a service provider that helps eligible individuals access the Hemlibra patient assistance program.
Can NiceRx help me get Hemlibra if I have insurance?
NiceRx may be able to help you get Hemlibra if:
- You have a high copay or coinsurance responsibility for Hemlibra
- Your insurance company will not pay for your Hemlibra prescription
- Your healthcare plan does not cover Hemlibra medication
- You do not have insurance Please apply online to find out if we can help you.
How much is Hemlibra with insurance?
The cost of Hemlibra with insurance will depend on the terms of your healthcare plan. Your healthcare provider or pharmacist will be able to calculate your copay with your current insurance. Contact them to find out more.
How much does Hemlibra cost without insurance?
Hemlibra prices without insurance will vary depending on how much you buy. Prices will also vary by retailer. As a guide, Hemlibra subcutaneous solution (30 mg/mL) will cost around $3,200 for 1 milliliter.
What is Hemlibra?
Hemlibra contains the prescription medicine emicizumab. It is classed as a monoclonal antibody, meaning it is made from cells in the immune system. Hemlibra is used to increase the chance of blood clotting. It is used to stop or reduce bleeding episodes in adults and children. Patients with Hemophilia A with or without factor VIII inhibitors are suitable to use this drug. It is essential to know that Hemlibra will not stop a bleeding episode that has already begun.
Hemlibra active ingredients
Hemlibra does not replace factor VIII but works by attaching itself to certain clotting factors in the blood. This allows the blood to clot properly (without factor VIII), helping to stop further bleeding.
Hemlibra should be used exactly as prescribed by your doctor. Your doctor may change your dosage at times. Hemlibra is injected under the skin every 1 to 4 weeks. A healthcare professional will show you how to use the medication yourself. Hemlibra can interfere with certain blood-clotting tests. You must make sure you tell any doctor treating you that you are using emicizumab.
You will need a syringe and needle to draw Hemlibra out of the vial (bottle). You will need a separate needle to inject the medicine into your skin. Use only the type of syringe and needles recommended by your pharmacist to inject Hemlibra.
Hemlibra side effects
The most common side effects caused by Hemlibra include:
- Redness or irritation at the site of injection
- Painful joints
In rare instances, Hemlibra can cause more serious side effects. These can include:
- Headaches, confusion
- Feeling weak
- Nausea, light-headed
- Stomach pain, vomiting
- Shortness of breath, chest pain, coughing up blood
- Back pain
- Difficulty urinating
- Eye pain or swelling, problems with vision
- Yellow color to skin or eyes
- Swelling or redness in your arms or legs
- Numb feeling to your face
Your doctor will assess the benefits of using Hemlibra against your risk of side effects.
Hemlibra drug interactions
Hemlibra can interact with other medications. These include:
- Drugs used to control and prevent bleeding in patients – anti-inhibitor coagulant complex, antihemophilic factor, coagulation factor VIIa, prothrombin complex
This list is not exhaustive. Other drugs may interact with Hemlibra.
Hemlibra warning and precautions
You should not use Hemlibra if you:
- Are allergic to the active ingredient emicizumab
- Are allergic to any of the other ingredients in Hemlibra
Talk to your doctor before using Hemlibra if you:
- Are taking any of the medications that could interact with Hemlibra
- Are using a bypassing agent or factor VIII
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
*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.