Jivi Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Jivi 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.
Jivi (antihemophilic factor (recombinant) pegylated-aucl)
Are you worried that you can’t afford to pay for your Jivi medication? NiceRx may be able to get your prescription Jivi for just $49 per month.* We work directly with your healthcare provider to help you enroll in the Jivi patient assistance program. We’ll handle the full application process, helping you get access to affordable Jivi medication without any hassle and stress.
Your monthly Jivi cost savings if eligible
You can receive your Jivi prescription for a flat fee of just $49 per month. This fee covers the full cost of your Jivi medicine, regardless of the retail price.
Am I eligible for the Jivi patient assistance program?
If you meet the eligibility criteria for the Jivi assistance program, you could receive your Jivi without paying the full retail price. We review each program application individually and in line with the criteria set out by the program. Most programs consider the following factors:
- 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 Jivi patient assistance program?
NiceRx makes it as simple as possible to apply for the Jivi patient assistance program. Fill in our enrollment application, and tell us about any medications you’re taking, including Jivi. We’ll ask you for details about your healthcare provider, insurance, and your household income, as this is required by the pharmaceutical manufacturers who ship the medication.
If we determine that you may be eligible for the Jivi patient assistance program, we’ll handle the application process and help to enroll you in the program. Once enrolled, we’ll also request your Jivi medication refills on your behalf for up to twelve months.
Does NiceRx provide Jivi coupons?
We do not provide Jivi coupons, Jivi discount cards or Jivi copay cards. We don’t offer printable Jivi manufacturer coupons, Jivi discounts, rebates, Jivi savings cards, trial offers, or free Jivi samples. We are a service provider that helps eligible individuals access the Jivi patient assistance program. If you’re looking for coupons for Jivi or cheap Jivi, keep in mind you can likely save more with NiceRx. When obtaining your Jivi medication through NiceRx, you will only pay $49 per month for each medication.
Can NiceRx help me get Jivi if I have insurance?
If your insurance company won’t pay for your Jivi medication, or you have a high copay or coinsurance responsibility, we may still be able to assist you. We may even be able to help if you don’t have insurance.
How much is Jivi with insurance?
The cost of Jivi will vary by healthcare plan. Your healthcare provider or pharmacist will be able to calculate your copay with your current insurance plan. Remember, if you’re approved for assistance, you’ll likely save more if you get your Jivi medication through NiceRx.
How much is Jivi without insurance?
Jivi prices without insurance will vary depending on the retailer you buy it from. With NiceRx you’ll always pay a flat monthly fee of $49.
*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.