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Koselugo Patient assistance program

Is your Koselugo 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 Koselugo 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
  • 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

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

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.

  • 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.

Your monthly Koselugo cost savings if eligible

If you are eligible for the Koselugo patient assistance program, the cost of your medication will be free. We only charge $49 per month for each medication, to cover our service fees. You could receive your Koselugo prescription for just $49 a month, regardless of the retail price of your medication.

Am I eligible for the Koselugo patient assistance program?

We will review your application to determine whether you are eligible for the Koselugo patient assistance program. Each program has its own eligibility criteria which are 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 Koselugo patient assistance program?

We make it as easy as possible to apply for the Koselugo patient assistance program. The first step is to complete our enrollment application. Tell us about any medications you are taking, including Koselugo. 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 Koselugo 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 Koselugo patient assistance program, and we will automatically request your Koselugo medication refills for up to 1 year.

Is NiceRx a Koselugo coupons provider?

We are a service provider that helps eligible individuals access the Koselugo patient assistance program. That means that we do not offer printable Koselugo manufacturer coupons, Koselugo discounts, or free Koselugo samples. We are not a Koselugo coupon provider or Koselugo discount card. Our service extends to assisting eligible individuals to access the medications they need through patient assistance programs.

Can NiceRx help me get Koselugo if I have insurance?

We may be able to help you to access Koselugo patient assistance in a variety of circumstances. This includes when your insurance company will not pay for your Koselugo 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 does Koselugo cost without insurance?

Koselugo’s cost without insurance will vary depending on where you buy it. As a guide, Koselugo oral capsules 10 mg usually cost $2,300 for 28 capsules. With NiceRx you will pay a flat monthly fee of $49, regardless of the retail price of your medication.

How much does Koselugo cost with insurance?

The copay for Koselugo 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.

What is Koselugo?

Koselugo is an FDA (U.S. Food and Drug Administration) approved medication manufactured by AstraZeneca Pharmaceuticals lp. It is a kinase inhibitor for the treatment of pediatric patients 2 years of age and older with neurofibromatosis type 1 (NF1) who have symptomatic, inoperable plexiform neurofibromas (PN).

The FDA approved Koselugo based on a clinical trial conducted by the National Cancer Institute (NCI) of pediatric patients who had NF1 and inoperable PN.

What doses of Koselugo are available?

Koselugo is available in capsule form, in the following doses: 10 mg and 25 mg.

The recommended dose is 25 mg/m2 orally twice daily on an empty stomach until disease progression or unacceptable toxicity. Do not consume food 2 hours before or 1 hour after each dose. Reduce the dosage to 20 mg/m2 orally twice daily for patients with moderate hepatic impairment.

Always speak with a healthcare professional about any changes to your dose so they can monitor and evaluate your condition.

Koselugo active ingredients

Koselugo contains the active ingredient selumetinib, an inhibitor of mitogen-activated protein kinase, kinases 1 and 2 (MEK1/2). Both MEK and ERK are critical parts of the RAS-regulated RAF-MEK-ERK pathway, which is often activated in different types of cancers.

Koselugo side effects

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

  • Vomiting, abdominal pain, diarrhea, bowel dysfunction, nausea
  • Dry skin, acneiform rash, stomatitis
  • Fatigue, musculoskeletal pain
  • Pyrexia, headache
  • Paronychia, pruritus

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

  • Cardiomyopathy
  • Ocular Toxicity – carry out ophthalmic assessments before and during treatment. Stop treatment if retinal vein occlusion (RVO) occurs. Withhold treatment if retinal pigment epithelial detachment (RPED) occurs, resume at a lower dose
  • Gastrointestinal Toxicity
  • Skin Toxicity
  • Increased Creatinine Phosphokinase (CPK)
  • Increased Vitamin E Levels and risk of bleeding

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

Koselugo drug interactions

Koselugo can interact with other medications. These include:

  • Strong or Moderate CYP3A4 Inhibitors or Fluconazole
  • Strong or Moderate CYP3A4 Inducers

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

Koselugo contraindications

You should not use Koselugo if you:

  • Are allergic to the active ingredient selumetinib
  • Are allergic to any of the other ingredients in Koselugo
  • Are pregnant or are planning to become pregnant – Koselugo can harm your unborn baby. Females who could become pregnant and males with female partners who could become pregnant should use birth control (contraception) during treatment and for 1 week after your last dose

Talk to your doctor before using Koselugo if you:

  • Are taking any of the medications that could interact with Koselugo
  • Are breastfeeding or are planning to breastfeed – do not breastfeed during treatment and for 1 week after your last dose

Koselugo generic

Koselugo is the trademark brand name for selumetinib manufactured by AstraZeneca pharmaceuticals lp. A generic version of selumetinib is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Koselugo 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 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.