Leustatin Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Leustatin 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
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. The pharmaceutical company provides your medication for free and you only pay our service fee.
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.
Do you need help when it comes to paying for your Leustatin medication? With NiceRx, you may be able to get your Leustatin for a flat fee of only $49 per month.* We work directly with your healthcare provider to help you enroll in the Leustatin patient assistance program. We’re here to handle the full application process for you, helping you to get access to affordable Leustatin medication without any stress.
Your monthly Leustatin cost savings if eligible
If eligible, you could receive your Leustatin prescription for a monthly fee of $49. This fee covers the full cost of your Leustatin medicine, regardless of retail price.
Am I eligible for the Leustatin patient assistance program?
At NiceRx we review each Leustatin assistance program application individually and 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 Leustatin patient assistance program?
We make it as easy as possible to apply for the Leustatin patient assistance program. Just fill in our enrollment application to begin. Tell us about any medications you’re taking, including Leustatin. We’ll also ask for details about your healthcare provider, insurance coverage and your household income, as this information is required by the pharmaceutical manufacturers that ship your medication.
If we determine that you may be eligible for assistance, we’ll handle the application process and help to enroll you in the Leustatin patient assistance program. Once enrolled in the program, we’ll also request your Leustatin medication refills on your behalf for up to one year.
Does NiceRx provide Leustatin coupons?
NiceRx does not offer coupons for Leustatin. We are a service provider that helps eligible individuals access the Leustatin patient assistance program. We don’t provide Leustatin discount cards, Leustatin manufacturer coupons, Leustatin discounts, rebates, Leustatin savings cards, trial offers, or free Leustatin samples.
Can NiceRx help me get Leustatin if I have insurance?
As we review each application on an individual basis, we may be able to assist you if your insurance company won’t pay for your Leustatin medication, or you have a high copay or coinsurance responsibility. We may even be able to help if you don’t have insurance.
How much is Leustatin with insurance?
The cost of Leustatin will vary by healthcare plan. To calculate your copay with your current insurance, contact your healthcare provider or speak to a pharmacist. Remember, if you’re approved for assistance, you’ll likely save more if you get your Leustatin medication through NiceRx.
How much is Leustatin without insurance?
Leustatin prices without insurance will vary depending on where you buy the medication the quantity purchased. 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.
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.