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Lacrisert Patient assistance program

Is your Lacrisert 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 Lacrisert 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
    (01:52)
  • Next steps after qualifying
    (00:38)
  • Uploading documents and billing
    (00:50)
  • SSN & billing information
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  • Medication delivery time
    (00:41)

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 Lacrisert cost savings if eligible

If you are eligible for the Lacrisert patient assistance program you can get your medication for free. Our monthly flat rate 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 Lacrisert through NiceRx, you will only pay $49 a month regardless of the retail price of your medication.

Am I eligible for the Lacrisert patient assistance program?

You could receive your Lacrisert without paying the full retail price if you meet the eligibility criteria for assistance. This criteria is set by the pharmaceutical companies who 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 Lacrisert 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 Lacrisert.

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 Lacrisert 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 Lacrisert medication refills on your behalf for up to 1 year once you are enrolled in the program.

Is NiceRx a Lacrisert coupons provider?

At NiceRx, we help eligible individuals access the Lacrisert patient assistance program. This means that we are not a Lacrisert coupon, a Lacrisert discount card, or a Lacrisert copay card provider. We do not offer any medication trial offers, or free Lacrisert samples.

Can NiceRx help me get Lacrisert 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 Lacrisert 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 is Lacrisert with insurance?

The cost of Lacrisert 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.

How much does Lacrisert cost without insurance?

Lacrisert costs without insurance will vary depending on how many you buy and the retailer you buy it from. As a guide, Lacrisert ophthalmic insert 5 mg will typically cost around $600 for a supply of 60 inserts. If you obtain your medication through NiceRx, you will pay a flat monthly rate of $49 per medication regardless of its retail price.

What is Lacrisert?

Lacrisert contains the prescription medicine cellulose, which is used in patients to treat moderate to severe dry eye syndromes. Lacrisert is used especially when a patient’s symptoms have not been adequately treated after using trial therapy with artificial tear solutions. Lacrisert is also used to treat exposure keratitis, a reduction in corneal sensitivity, and recurrent corneal erosions. Visual deterioration which occurs in some patients may be reduced, stopped, or sometimes reversed when using Lacrisert.

Make sure you take care when driving or doing other tasks that call for clear eyesight when using Lacrisert. Wear sunglasses, as bright lights may bother you. You are advised not to rub the eye you are treating. Also, Lacrisert is not recommended to treat contact lens irritation.

Lacrisert active ingredients

Lacrisert works by thickening and stabilizing your precorneal tear film as well as how long it takes for your tear film to break-up. The break-up of the tear film is usually accelerated when you have dry eye states. Lacrisert also helps to lubricate and protect your eye.

In studies, Lacrisert administered once a day during the waking hours was compared with artificial tears used four or more times daily. There was an increase in tear film breakup time and a decrease in the sensation of foreign bodies, (often seen with dry eye syndrome) in patients during treatment with inserts as compared to the artificial tears. Improvement in patient symptoms and eye comfort was better with Lacrisert than with artificial tears solution.

Lacrisert side effects

The most common side effects caused by Lacrisert include:

  • Eye or eyelid swelling
  • Change in your vision
  • Eye pain
  • Eye irritation

Less common side effects can include:

  • Blurred vision
  • Eye redness
  • Discomfort or irritation not present before use of this medicine
  • Increased sensitivity to light
  • Stickiness of eyelashes
  • Swollen eyelids
  • Watering of eyes

Your doctor will assess the benefits of using Lacrisert against your risk of side effects.

Lacrisert drug interactions

Lacrisert may interact with other medications you are using to treat other conditions of your eyes. Tell your health care provider that you take Lacrisert. This includes your doctor, nurse, pharmacist, and dentist.

Lacrisert warning and precautions

You should not use Lacrisert if you:

  • Are allergic to the active ingredient hydroxypropyl cellulose
  • Are allergic to any of the other ingredients in Lacrisert
  • Have eye irritation due to contact lenses

Talk to your doctor before using Lacrisert if you:

  • Are using any eye medications that could interact with Lacrisert
  • 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.