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Moviprep Patient assistance program

Is your Moviprep 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 Moviprep medication with our help.

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  • NiceRx Benefit
    Secure: Your personal and medical information is safe with us
  • NiceRx Benefit
    Convenient: Your medication is delivered straight to your door
  • NiceRx Benefit
    Ongoing refills: Your medication is refilled automatically
  • NiceRx Benefit
    Secure: Your personal and medical information is safe with us
  • NiceRx Benefit
    Convenient: We manage the whole process and we’re here to assist you
  • NiceRx Benefit
    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.

How it works

  • Enroll online

    Get started by filling out the online enrollment application to find out if you are eligible for assistance.

  • Pre-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.

  • Submit documents

    We will request documents to be submitted by you and your healthcare provider that are required by the pharmaceutical company to complete your enrollment.

  • Receive medication

    Once approved, the pharmaceutical company typically ships a 90-day supply of medication to your home or healthcare provider’s address.

Your monthly Moviprep cost savings if eligible

With our assistance, you could access the Moviprep patient assistance program and obtain your medication for free. We only charge a flat monthly fee of $49 per medication for our services.

Am I eligible for Moviprep patient assistance?

We review each Moviprep enrollment application individually to determine if you are eligible. Each assistance program has its eligibility criteria 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 Moviprep patient assistance program?

Our process makes it as easy as possible to apply for the Moviprep patient assistance program. Begin by completing the enrollment application form on our website. Tell us about any medications that you are taking, including Moviprep, your healthcare provider, your insurance plan, and your household income. This information is required by the pharmaceutical manufacturers who will supply the medication, so it is important to make sure this information is accurate and up to date.

We will review the information that you have provided to determine whether you are eligible for patient assistance. If we can pre-qualify you for assistance, NiceRx will handle the full enrollment process on your behalf. If you are approved by the pharmaceutical company, you will typically start receiving your medication in 6 – 8 weeks.

Is NiceRx a Moviprep coupons provider?

NiceRx is not a Moviprep coupon, Moviprep discount card, or Moviprep copay card provider. We do not offer Moviprep manufacturer coupons, Moviprep discounts, rebates, Moviprep savings cards, trial offers, or free Moviprep samples. We are a service provider that helps eligible individuals access their medication directly from the U.S. pharmaceutical company.

Can NiceRx help me get Moviprep cheaper if I have insurance?

NiceRx may be able to help you if:

  • You have a high copay or coinsurance responsibility for Moviprep
  • Your insurance company will not pay for your Moviprep prescription
  • Your healthcare plan does not cover your medication
  • You do not have insurance

Please apply online to find out if we can help you.

How much does Moviprep cost without insurance?

Without insurance, Moviprep costs will vary depending on where you buy the medication as prices will vary by retailer. As a guide, Moviprep oral powder for reconstitution will cost around $140 for 1 powder for reconstitution.

How much does Moviprep cost with insurance?

The copay for Moviprep will depend on the terms of your healthcare plan. Your healthcare provider or pharmacist will be able to calculate your copay with your current insurance. Contact them to find out more.

What is Moviprep?

Moviprep (polyethylene glycol with electrolytes) is an FDA-approved medication manufactured by Norgine. It is an osmotic laxative bowel preparation used to clean out the intestines in preparation for a colonoscopy or barium enema X-rays in adults 18 years or older.

What doses of Moviprep are available?

Moviprep is available as a powder for oral solution. Pouch A contains 100 grams of polyethylene glycol (PEG), 7.5 grams of sodium sulfate, 2.691 grams of sodium chloride, and 1.015 grams of potassium chloride, plus aspartame, acesulfame potassium, and lemon flavoring. Each pouch B contains 4.7 grams of ascorbic acid and 5.9 grams of sodium ascorbate.

In preparation for your colonoscopy, start eating a low-fiber diet and increase your fluids two days before. One day before begin a clear liquid diet (fruit juices without pulp including apple, white grape, or white cranberry, clear broth or bouillon, coffee or tea (no creamer) Gatorade, Propel, soda, Jell-o, popsicles). Do not become dehydrated. Do not eat any solid food once you start using this treatment until after your colonoscopy is done.

Please read the drug information and labeling provided and always speak with your healthcare provider about any changes to your dose so they can monitor and evaluate your condition.

Moviprep active ingredients

The active ingredients of Moviprep are polyethylene glycol (PEG), sodium sulfate, sodium chloride, potassium chloride, ascorbic acid, and sodium ascorbate.

Moviprep side effects

The most common side effects of split dosing by Moviprep include:

  • Malaise
  • Nausea, vomiting, dizziness
  • Abdominal pain, and upper abdominal pain
  • Bloating
  • Thirst, hunger
  • Sleep disorder
  • Very watery bowel movements
  • Feelings of fullness
  • Anal irritation

In rare instances, Moviprep can cause more serious side effects. These can include:

  • Risk of fluid and electrolyte abnormalities
  • Arrhythmias
  • Seizures
  • Renal impairment

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

Moviprep drug interactions

Moviprep can interact with other medications. These include:

  • Heart or blood pressure treatments
  • Diuretics
  • Treatments for anxiety, depression, or mental health illness
  • Anticonvulsants
  • NSAIDs (nonsteroidal anti-inflammatory drugs) – ibuprofen, naproxen, celecoxib

This list is not exhaustive and other drugs may interact with Moviprep. Tell your healthcare provider about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements.

Moviprep contraindications

You should not use Moviprep if you:

  • Are allergic to the active ingredients
  • Are allergic to any of the other ingredients in Moviprep
  • Have a perforated bowel
  • Have colitis or toxic megacolon
  • Have a gastrointestinal obstruction
  • Have gastric retention
  • Have ileus
  • Are pregnant or are planning to become pregnant

Talk to your doctor before using Moviprep if you:

  • Are taking any of the medications that could interact with Moviprep
  • Have heart problems, or have had a heart attack
  • Have an electrolyte imbalance
  • Have kidney problems
  • Suffer from seizures
  • Have gastroesophageal reflux disease, ulcerative colitis, or other stomach or bowel disorders
  • Have glucose-6-phosphate dehydrogenase (G6PD) deficiency
  • Have a drug or alcohol addiction
  • Are breastfeeding or are planning to breastfeed

Moviprep generic

Moviprep is manufactured by Norgine. A generic version of Moviprep is available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Moviprep 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 the different programs and filling out all the required paperwork for each program. Subject to medication availability.

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.