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 with our help.Get Started Now
Secure: Your personal and medical information is safe with us
Convenient: Your medication is delivered straight to your door
Ongoing refills: Your medication is refilled automatically
NiceRx works with your healthcare provider to help you access affordable medications directly from U.S. pharmaceutical companies.
How it works
Get started by filling out the online enrollment application to find out if you are eligible for assistance.
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.
We will request documents to be submitted by you and your healthcare provider that are required by the pharmaceutical company to complete your enrollment.
Once approved, the pharmaceutical company typically ships a 90-day supply of medication to your home or healthcare provider’s address.
Your monthly Jivi cost savings if eligible
If you are eligible for the Jivi patient assistance program you can receive your medication for free. Our monthly service fee of $49 per medication covers the cost of our services in applying for the program and requesting your ongoing refills on your behalf. If you obtain your Jivi through NiceRx, you will only pay $49 a month regardless of the retail price of your medication.
Am I eligible for the Jivi patient assistance program?
You could receive your Jivi without paying the full retail price if you meet the eligibility criteria for assistance. The eligibility requirements are set by the pharmaceutical companies that are providing assistance programs. At NiceRx, we review each application individually, although the main 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 Jivi patient assistance?
We do everything that we can to take the hassle and stress out of applying for patient assistance programs. Simply start by filling in our enrollment application. We will ask for details about your healthcare provider, your insurance, and your household income. This information is required by the pharmaceutical companies you are applying to for assistance. We may also be able to help you access patient assistance for other medications that you have been prescribed, so be sure to tell us about any medications you are taking as well as Jivi.
NiceRx will review the information you have provided, and if we determine that you may be eligible for assistance, we will seek to enroll you in the Jivi patient assistance program. We will handle the enrollment process for you by working with your healthcare provider and preparing all the required paperwork for your doctor to sign. We will also request your Jivi medication refills on your behalf for up to 1 year once you are enrolled in the program.
Is NiceRx a Jivi coupon provider?
At NiceRx, we help eligible individuals access the Jivi patient assistance program. This means that we are not a Jivi coupon, a Jivi discount card, or a Jivi copay card provider. We do not offer any medication trial offers or free Jivi samples.
Can NiceRx help me get Jivi cheaper if I have insurance?
We may be able to help you if you have insurance, including if your insurance company will not pay for your Jivi medication, or you have a high copay or coinsurance responsibility. We may even be able to assist if you do not have insurance. Please fill in our enrollment application to find out more.
How much does Jivi cost without insurance?
Jivi costs without insurance will vary depending on how much you buy and the retailer you buy it from. As a guide, Jivi intravenous powder for injection will typically cost around $12 for 1 powder for injection. If you obtain your medication through NiceRx, you will pay a flat monthly rate of $49 per medication regardless of its retail price.
How much does Jivi cost with insurance?
The copay of Jivi will vary in line with the specific terms of your healthcare plan. For further details about what you may need to pay, your insurance provider or pharmacist will be able to calculate the copay costs with your current insurance.
What is Jivi?
Jivi is an FDA (U.S. Food and Drug Administration) approved injectable medication used to replace clotting factor (Factor VIII or antihemophilic factor), manufactured by Bayer Healthcare, Inc. Jivi, antihemophilic factor (recombinant), PEGylated-aucl, is a recombinant DNA-derived, Factor VIII concentrate used in previously treated adults and adolescents (12 years of age and older) with hemophilia A (congenital Factor VIII deficiency) for:
- On-demand treatment and management of bleeding episodes
- Perioperative management of bleeding
- Routine prophylaxis to decrease the frequency of bleeding episodes
Jivi is not recommended to be used in children less than 12 years of age due to a greater risk for hypersensitivity reactions. It is also not recommended for use in previously untreated patients or for the treatment of von Willebrand disease.
What doses of Jivi are available?
Jivi is available as a lyophilized powder, in the following doses: nominally 500, 1000, 2000, or 3000 IU.
Please see the full prescribing information and always speak with a healthcare professional for medical advice about any changes to your dose so they can monitor and evaluate your condition.
Jivi active ingredients
Jivi contains antihemophilic factor (recombinant), PEGylated-aucl, as the active ingredient.
Jivi side effects
The most common side effects of Jivi in clinical trials in previously treated patients ≥ 12 years of age include:
In rare instances, Jivi can cause more serious side effects. These can include:
- Hypersensitivity reactions, including severe allergic reactions (related to antibodies against polyethylene glycol (PEG))
- Development of Factor VIII neutralizing antibodies
- Immune response to PEG seen as symptoms of acute hypersensitivity and/or loss of drug effect, seen in adolescents less than 6 years of age
Your doctor will assess the benefits of using Jivi against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions to Jivi to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Jivi drug interactions
Other drugs may interact with Jivi, including prescription drugs and over-the-counter medicines, vitamins, and herbal products. Tell your health care provider about all of your medications including any supplements you are taking.
You should not use Jivi if you:
- Have had hypersensitivity reactions to the active ingredient antihemophilic factor (recombinant), PEGylated-aucl, polyethylene glycol (PEG), mouse or hamster proteins
- Are allergic to any of the other ingredients in Jivi
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
Talk to your doctor before using Jivi if you:
- Are taking any of the medications that could interact with Jivi
- Have heart disease
- Have a latex allergy
- Have ever been told that you have inhibitors to Factor VIII
Jivi is the trademark brand name for antihemophilic factor (recombinant), PEGylated-aucl manufactured by Bayer Healthcare, Inc. A generic version of antihemophilic factor (recombinant), PEGylated-aucl is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Jivi 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.