Hizentra Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Hizentra 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 Hizentra cost savings if eligible
If you are eligible for the Hizentra patient assistance program the cost of your medication will be free. We only charge $49 a month, per medication to cover our service fees. You could receive your Hizentra prescription for just $49 a month, regardless of the retail price of your medication.
Am I eligible for the Hizentra patient assistance program?
We will review your application to determine whether you are eligible for the Hizentra patient assistance program. Each program has its own eligibility criteria which is set by the pharmaceutical companies, however 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 Hizentra patient assistance program?
We make it as easy as possible to apply for the Hizentra patient assistance program. The first step is to complete our enrollment application. Tell us about any medications you are taking, including Hizentra. We will also ask for details about your healthcare provider, insurance, and your household income. This information is required by the pharmaceutical manufacturers who ship your medication.
If we determine that you may be eligible for Hizentra assistance, we will handle the application process for you. We will work directly with your healthcare provider to prepare your application documents. Once we have received the signed application and supporting documents, we will submit them to the patient assistance program on your behalf. Our service continues once you are enrolled in the Hizentra patient assistance program and we will automatically request your Hizentra medication refills for up to 1 year.
Is NiceRx a Hizentra coupons provider?
We are a service provider that helps eligible individuals access the Hizentra patient assistance program. That means that we do not offer printable Hizentra manufacturer coupons, Hizentra discounts, or free Hizentra samples. We are not an Hizentra coupon provider or Hizentra discount card. Our service extends to assisting eligible individuals to access the medications they need through patient assistance programs.
Can NiceRx help me get Hizentra if I have insurance?
We may be able to help you to access Hizentra patient assistance in a variety of circumstances. This includes when your insurance company will not pay for your Hizentra medication or if you have a high copay or coinsurance responsibility. We may also be able to help you if you do not have insurance. Please apply online to find out more.
How much is Hizentra with insurance?
The cost of Hizentra with insurance depends on the terms of your healthcare plan. To find out how much this is, your healthcare provider or pharmacist will be able to calculate your copay with your current insurance.
How much is Hizentra without insurance?
Hizentra prices without insurance will vary depending on where you buy it. As a guide, Hizentra subcutaneous solution 20% is around $390 for a supply of 10 milliliters. With NiceRx you will pay a flat monthly fee of $49, regardless of the retail price of your medication.
What is Hizentra?
Hizentra is a medicine prescribed to adults to treat primary immunodeficiency diseases, such as X-linked agammaglobulinemia, Wiskott-Aldrich syndrome, the humoral immune defect in congenital agammaglobulinemia, and common variable immunodeficiency.
It is also used for the treatment of chronic inflammatory demyelinating polyneuropathy, an autoimmune disorder where the immune system attacks its own nerves, causing numbness and muscle weakness.
Hizentra (immune globulin) is a sterilized solution made from human plasma. It contains antibodies that help your body protect you from infections. It is given as a subcutaneous injection.
Hizentra active ingredients
Hizentra contains a wide variety of IgG antibodies. It is thought that it acts as a marker or tag on many different bacteria and viruses. This allows your immune system to recognize the bacteria or virus. Exactly how this happens is not fully understood.
Hizentra side effects
The most common side effects caused by Hizentra include:
- Nausea, vomiting, or diarrhea
- Bloating, stomach pain
- Wheezing or trouble breathing
- Skin reactions, swelling, or a hard lump where the medicine was injected
- Fever, tiredness, dizziness
- Itching, rash, or other skin problems
- Cold or flu like symptoms – stuffy nose, sneezing, sore throat, cough
- Headache or migraine
- Pain anywhere in your body
Speak to your doctor immediately if you get the following side effects
- Pale or yellow skin, dark colored urine, fever, confusion, or weakness
- Little or no urination, rapid weight gain, shortness of breath
- Chest pain, blue colored lips, fingers, or toes
- Signs of a new infection – fever with a severe headache, neck stiffness, eye pain, and increased sensitivity to light
- Signs of a blood clot – shortness of breath, chest pain with deep breathing, rapid heart rate, numbness or weakness down one side of the body, swelling and warmth or discoloration in an arm or leg
Hizentra drug interactions
Hizentra can interact with other medications. When this occurs it can change how Hizentra and the other medications work. It can also make some side effects more likely. Do not have a “live” vaccine while using Hizentra. The vaccine may not work as well and may not fully protect you.
Immune globulin can damage your kidneys, especially if you are using certain medicines for infections, cancer, osteoporosis, organ transplant rejection, bowel disorders, or pain or arthritis (including aspirin, Tylenol, Advil, and Aleve). Tell your prescribing doctor about all drugs you are taking, particularly:
- Rotavirus vaccine
- Measles vaccine
- Mumps vaccine
- Nasal flu (influenza vaccine)
- Rubella virus vaccine
- Smallpox vaccine
- Typhoid vaccine
- Varicella (chickenpox) vaccine
- Yellow fever vaccine
- Zoster (shingles) vaccine
- Eculizumab, ravulizumab
- Phenytoin, fosphenytoin, mephenytoin
Hizentra warning and precautions
Hizentra is not suitable for everyone. Do not use Hizentra if you:
- Have immune globulin A (IgA) deficiency with antibody to IgA
- Are allergic to an immune globulin or blood product
- Have a condition called hyperprolinemia (high level of a certain amino acid in the blood)
- Have ever had an allergic reaction to polysorbate 80
- Are allergic to any of the other ingredients in Hizentra
Talk to your Doctor before using Hizentra if you:
- Are taking any of the medications that could interact with Hizentra
- Have heart problems, blood circulation problems or “thick blood”
- Have had a stroke or a blood clot
- Have kidney disease
- Have diabetes
- Have an infection called sepsis
- Are taking birth control pills or hormone replacement therapy (estrogens)
- Have been on long term bed rest
- Have a central intravenous (IV) catheter in place
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
Make sure you drink plenty of liquids while you are using Hizentra to help improve your blood flow and to make sure your kidneys are working properly.
*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.