Mitosol Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Mitosol 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.
Your monthly Mitosol cost savings if eligible
If you are eligible for the Mitosol patient assistance program you can receive your medication for free. Our monthly service fee 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 Mitosol through NiceRx, you will only pay $49 a month regardless of the retail price of your medication.
Am I eligible for the Mitosol patient assistance program?
You could receive your Mitosol without paying the full retail price if you meet the eligibility criteria for assistance. The eligibility requirements are set by the pharmaceutical companies that 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 Mitosol 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 Mitosol.
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 Mitosol 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 Mitosol medication refills on your behalf for up to 1 year once you are enrolled in the program.
Is NiceRx a Mitosol coupon provider?
At NiceRx, we help eligible individuals access the Mitosol patient assistance program. This means that we are not a Mitosol coupon, a Mitosol discount card, or a Mitosol copay card provider. We do not offer any medication trial offers, or free Mitosol samples.
Can NiceRx help me get Mitosol cheaper 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 Mitosol medication, or if 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 does Mitosol cost without insurance?
Mitosol costs without insurance will vary depending on how much you buy and the retailer you buy it from. As a guide, Mitosol ophthalmic kit 0.2 mg will typically cost around $1,300 for 3 kits. If you obtain your medication through NiceRx, you will pay a flat monthly rate of $49 per medication regardless of its retail price.
How much does Mitosol cost with insurance?
The copay of Mitosol 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.
What is Mitosol?
Mitosol is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Mobius Therapeutics LLC. Mitosol is an antimetabolite for ophthalmic use as an adjunct to ab externo glaucoma surgery. It is not recommended for use in pediatric patients.
What doses of Mitosol are available?
Mitosol is available as a sterile lyophilized mixture of 0.2 mg mitomycin and 0.4 mg mannitol. When reconstituted with 1 mL of sterile water for injection, the solution contains 0.2 mg/mL mitomycin.
Reconstituted Mitosol should be used within 1 hour of reconstitution. If the mixture does not dissolve, allow it to stand at room temperature until it has completely dissolved into the solution.
Mitosol is for topical application to the surgical site of glaucoma filtration surgery. It is not for intraocular administration. Fully soak the sponges provided in the Kit using the entire reconstituted contents of the vial according to the instructions for use. Apply sponges equally to the treatment area, in a single layer, using surgical forceps. Keep the sponges on the treatment area for two minutes, before removing for disposal.
Always speak with your healthcare provider about any changes to your treatment so they can monitor and evaluate your condition.
Mitosol active ingredients
Mitosol contains mitomycin as the active ingredient.
Mitosol side effects
The most common side effects of Mitosol in clinical trials include:
- Blebitis – bleb ulceration, chronic leak, related infection, conjunctival necrosis, and thin-walled bleb
- Corneal endothelial damage, Descemet’s detachment, induced astigmatism
- Iritis, fibrin reaction
- Vascular reactions – hyphema, hemiretinal vein occlusion, vitreal hemorrhage, and blood clot, disk hemorrhage
- Disk swelling, lacrimal drainage system obstruction, corneal vascularization, upper eyelid retraction, severe loss of vision
- Cell Death
- Cataract development – use in phakic patients is proportional to a higher rate of lenticular change and cataract formation
Your doctor will assess the benefits of using Mitosol against your risk of side effects. Patients are encouraged to report negative adverse events or adverse reactions of Mitosol to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Mitosol drug interactions
Other drugs may interact with Mitosol, including prescription drugs and over-the-counter medicines, vitamins, and herbal products. Tell your health care provider about all of your medication including any supplements you are taking.
You should not use Mitosol if you:
- Have known hypersensitivity to the active ingredient mitomycin
- Are allergic to any of the other ingredients in Mitosol
- Are pregnant or are planning to become pregnant – Mitosol can cause fetal harm when administered to a pregnant woman
Talk to your doctor before using Mitosol if you:
- Are taking any of the medications that could interact with Mitosol
- Are breastfeeding or are planning to breastfeed
Mitosol is the trademark brand name for mitomycin manufactured by Mobius Therapeutics LLC. St. Louis. A generic version of mitomycin is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Mitosol 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.