Lorbrena Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Lorbrena 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
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.
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.
Your monthly Lorbrena cost savings if eligible
If you are eligible for the Lorbrena 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 Lorbrena through NiceRx, you will only pay $49 a month regardless of the retail price of your medication.
Am I eligible for the Lorbrena patient assistance program?
You could receive your Lorbrena 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 Lorbrena 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 Lorbrena.
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 Lorbrena 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 Lorbrena medication refills on your behalf for up to 1 year once you are enrolled in the program.
Is NiceRx a Lorbrena coupons provider?
At NiceRx, we help eligible individuals access the Lorbrena patient assistance program. This means that we are not a Lorbrena coupon, a Lorbrena discount card, or a Lorbrena copay card provider. We do not offer any medication trial offers, or free Lorbrena samples.
Can NiceRx help me get Lorbrena 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 Lorbrena 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 Lorbrena with insurance?
The cost of Lorbrena 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 Lorbrena cost without insurance?
Lorbrena costs without insurance will vary depending on how much you buy and the retailer you buy it from. As a guide, Lorbrena tablets 25 mg will typically cost around $6,200 for 30 tablets. 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 Lorbrena?
Lorbrena contains the prescription medicine lorlatinib. Lorbrena is used for the treatment of certain types of non-small cell lung cancer (NSCLC):
- That is caused by an abnormal anaplastic lymphoma kinase (ALK) gene
- That has spread to other parts of your body
- In patients that have already tried alectinib or ceritinib or who have taken both the medicine crizotinib and at least 1 other medicine, but their NSCLC is no longer responding to these treatments
Lorbrena active ingredients
Lorlatinib blocks certain enzymes in the body from working. Lorlatinib has been shown to work against various mutant forms of the ALK enzyme. This includes some mutated enzymes found in tumors when being treated with crizotinib and other ALK enzyme blockers. Lorlatinib results in antitumor activity. The overall antitumor effect of lorlatinib depends on the dose given.
Lorbrena should be taken exactly as prescribed by your doctor. The tablet should be swallowed whole. Do not crush, chew, or break it. Take the medicine at the same time each day, with or without food. If you do vomit after taking Lorbrena, do not take another dose. You must wait until your next dose is due, to take the medicine again. Do not stop or change your dose of Lorbrena without consulting your doctor.
Lorbrena side effects
The most common side effects caused by Lorbrena include:
- Swelling in your arms, hands, legs, or feet
- Feeling numb, tingling, or burning pain in your hands or feet
- Changes in mood
- Weight gain
- Joint pain
In rare instances, Lorbrena can cause more serious side effects. These can include:
- Sudden chest pain, wheezing, dry cough, cough with mucus
- Difficulty breathing
- Feeling light-headed
- Problems with speech, thought, or memory
Your doctor will assess the benefits of using Lorbrena against your risk of side effects.
Lorbrena drug interactions
Lorbrena can interact with other medications. These include:
- Antiviral treatments – atazanavir, boceprevir, nelfinavir, ritonavir
- Anticonvulsants for the treatment of seizures – carbamazepine, fosphenytoin, phenytoin, phenobarbital
- Antibiotics for bacterial infection – clarithromycin, rifampin, telithromycin
- Corticosteroids – dexamethasone
- Antifungal treatments – fluconazole, itraconazole, ketoconazole
- Opioid pain killers – fentanyl, hydrocodone, methadone, oxycodone
This list is not exhaustive and other drugs may interact with Lorbrena.
Lorbrena warning and precautions
You should not use Lorbrena if you:
- Are allergic to the active ingredient lorlatinib
- Are allergic to any of the other ingredients in Lorbrena
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
Talk to your doctor before using Lorbrena if you:
- Are taking any of the medications that could interact with Lorbrena
- Have heart problems, such as AV block
- Have lung disease, breathing problems
- Have liver disease
- Have depression
- Suffer from seizures
- Have high blood cholesterol or triglycerides
*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.