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Lazanda Patient assistance program

Is your Lazanda 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 Lazanda medication with our help.

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
    (00:33)
  • 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. The pharmaceutical company provides your medication for free and you only pay our service fee.

  • 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.

Medically reviewed by  Jamie Winn, PharmD

Your monthly Lazanda cost savings if eligible

If you are eligible to receive your Lazanda prescription through the patient assistance program, your medication will be free. We charge a flat monthly service fee of $49 per medication to cover the cost of our services.

Am I eligible for Lazanda patient assistance?

To be eligible for the Lazanda patient assistance program, you will need to meet specific eligibility criteria set by the pharmaceutical company. At NiceRx, we review each Lazanda enrollment application individually. The main factors considered 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 Lazanda patient assistance program?

Applying for the Lazanda patient assistance program through NiceRx is simple. Begin by completing the enrollment application on our website. We will ask for details about your healthcare provider, your insurance plan, and your household income. This information is required by the pharmaceutical manufacturers that supply your medication. We may be able to help you access patient assistance for other medications as well as Lazanda, so please tell us about any medications that you have been prescribed.

If we determine that you may be eligible for Lazanda assistance, we will handle the full enrollment process on your behalf. We will work with your healthcare provider to prepare and submit all the documents required for you to enroll. If you are successfully enrolled in the Lazanda patient assistance program, we will also request your Lazanda medication refills on your behalf for up to 1 year. At the end of your enrollment period, we will contact you for updated details and seek to re-enroll you in the program.

Is NiceRx a Lazanda coupons provider?

NiceRx does not provide Lazanda coupons, discount cards, or copay cards. We do not offer printable Lazanda manufacturer coupons, Lazanda discounts, rebates, Lazanda savings cards, trial offers, or free samples. We are a service provider that helps eligible individuals access patient assistance programs. Our service cost is $49 a month per medication, so you will likely save more on your Lazanda medication with NiceRx.

Can NiceRx help me get Lazanda if I have insurance?

NiceRx may be able to help you access Lazanda patient assistance if:

  • You have a high copay or coinsurance responsibility for Lazanda
  • Your insurance company will not pay for your Lazanda prescription
  • You do not have insurance

Complete your enrollment application online to find out more.

How much does Lazanda cost without insurance?

Lazanda prices without insurance will vary by retailer. As a guide, Lazanda nasal spray (100 mcg/inh) will typically cost around $1,070 for 1 spray.

How much does Lazanda cost with insurance?

Your individual healthcare plan will determine the copay of Lazanda with insurance. To find out what you will need to pay, contact your pharmacist or insurance provider. They will be able to calculate your copay with your current insurance.

What is Lazanda?

Lazanda is an FDA (U.S. Food and Drug Administration) approved medication. Lazanda is an opioid agonist for the management of breakthrough cancer pain in patients 18 years of age and older who are already receiving and who are opioid-tolerant to opioid therapy for their underlying persistent cancer pain.

Please see the full prescribing information and medication guide for the complete boxed warning and additional information:

  • Due to the risk of fatal respiratory depression, Lazanda is contraindicated in opioid non-tolerant patients and in the management of acute or postoperative pain, including headache/migraines
  • Keep out of reach of children
  • Use with CYP3A4 inhibitors may cause fatal respiratory depression
  • When prescribing, do not convert patients on an mcg per mcg basis from any other oral transmucosal fentanyl product to Lazanda. This may result in a fatal overdose
  • When dispensing, do not substitute with any other fentanyl products
  • Contains fentanyl, a Schedule II controlled substance with an abuse liability similar to other opioid analgesics such as hydromorphone, methadone, morphine, and oxycodone
  • Lazanda is available only through a restricted program called the TIRF REMS Access program. Outpatients, healthcare professionals who prescribe to outpatients, pharmacies, and distributors are required to enroll in the program

What doses of Lazanda are available?

Lazanda is available as a nasal spray, in the following doses: each spray delivers 100 mcL of the solution containing either 100 mcg or 400 mcg fentanyl base. Supplied in a 5 mL bottle containing 8 sprays.

Patients must require and use around-the-clock opioids when taking Lazanda. The initial dose of Lazanda for all patients is 100 mcg. Individually titrate patients to an effective dose, from 100 mcg to 200 mcg to 400 mcg, and up to a maximum of 800 mcg, that provides adequate analgesia with tolerable side effects. The dose is a single spray into one nostril or a single spray into each nostril (2 sprays). The maximum dose is a single spray into one nostril or a single spray into each nostril per episode, and no more than four doses per 24 hours. Wait at least 2 hours before treating another episode of breakthrough pain with Lazanda.

During an episode, if adequate pain relief is not achieved within 30 minutes, the patient may use a rescue medication as directed by their healthcare provider. Always speak with your healthcare provider about any changes to your dose so they can monitor and evaluate your condition.

Lazanda active ingredients

Lazanda (fentanyl nasal spray) contains a liquid formulation of fentanyl citrate for intranasal transmucosal administration.

Lazanda side effects

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

  • Vomiting, nausea, dizziness
  • Pyrexia
  • Constipation

In rare instances, Lazanda can cause more serious adverse events. These can include:

  • Clinically significant respiratory and CNS depression can occur
  • Physical dependence results in withdrawal symptoms in patients who abruptly discontinue the drug

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

Lazanda drug interactions

Lazanda can interact with other medications. These include:

  • Use with other Central Nervous System CNS depressants and potent CYP3A4 inhibitors (erythromycin, ketoconazole, ritonavir, grapefruit juice) may increase depressant effects including hypoventilation, hypotension (low blood pressure), and profound sedation
  • CYP3A4 inducers – rifampin, carbamazepine, phenytoin
  • Benzodiazepines and other sedatives, anxiolytics, tranquilizers, muscle relaxants, general anesthetics, antipsychotics, other opioids, alcohol
  • Serotonergic drugs
  • Tricyclic antidepressants
  • Monoamine oxidase (MAO) inhibitors – phenelzine, tranylcypromine, linezolid
  • Mixed agonist/antagonist and partial agonist opioid analgesics – pentazocine, buprenorphine
  • Concomitant use of vasoconstrictive nasal agents to treat allergic rhinitis can compromise the efficacy of Lazanda

This list is not exhaustive and other prescription drugs may interact with Lazanda. Tell your doctor about all the medicines you take, including prescription drugs and nonprescription medicines, vitamins, and herbal supplements.

Lazanda contraindications

You should not use Lazanda if you:

  • Are allergic to the active ingredient fentanyl
  • Have an intolerance or hypersensitivity to fentanyl or components of Lazanda
  • Are taking medication for the management of acute or postoperative pain including headache/migraine or dental pain

Talk to your doctor before using Lazanda if you:

  • Are taking any of the medications that could interact with Lazanda
  • Have a renal or hepatic impairment
  • Have breathing problems or sleep apnea
  • Have a head injury, brain tumor, or suffer from seizures
  • Have a drug or alcohol addiction
  • Have a mental illness
  • Have problems urinating
  • Have a blockage in your stomach or intestines
  • Have problems with your gallbladder, pancreas, or thyroid
  • Are pregnant or are planning to become pregnant
  • Are breastfeeding or are planning to breastfeed

Lazanda generic

Lazanda is the trademark brand name for fentanyl. A generic version of fentanyl is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Lazanda 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.

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.