Ocaliva Coupon & Prices

Is your Ocaliva medication too expensive?

Get notified when Ocaliva medication becomes available.

Get Started Now
Medically reviewed by  Jamie Winn, PharmD

Your monthly Ocaliva cost savings if eligible

With our assistance, you could access the Ocaliva 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 Ocaliva patient assistance?

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

Our process makes it as easy as possible to apply for the Ocaliva patient assistance program. Begin by completing the enrollment application form on our website. Tell us about any medications that you are taking, including Ocaliva, 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 an Ocaliva coupons provider?

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

Can NiceRx help me if I have insurance?

NiceRx may be able to help you if:

  • You have a high copay or coinsurance responsibility for Ocaliva
  • Your insurance company will not pay for your Ocaliva 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 Ocaliva cost without insurance?

Without insurance, Ocaliva costs will vary depending on where you buy the medication as prices will vary by retailer. As a guide, Ocaliva oral tablets 5 mg will cost around $7,950 for 30 tablets.

How much does Ocaliva cost with insurance?

The copay for Ocaliva 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 Ocaliva?

Ocaliva is an FDA (U.S. Food and Drug Administration) approved medication manufactured by New York-based Intercept Pharmaceuticals, Inc. This use is approved by the FDA under accelerated approval based on a reduction in alkaline phosphatase (ALP).

Ocaliva is a farnesoid X receptor (FXR) agonist and is used to treat primary biliary cholangitis (PBC) in combination with ursodeoxycholic acid (UDCA) in adults with an inadequate response to UDCA, or as monotherapy in adults unable to tolerate UDCA.


  • In postmarketing reports, hepatic decompensation and failure, in some cases fatal, have been reported in patients with primary biliary cholangitis (PBC) with decompensated cirrhosis or Child-Pugh Class B or C hepatic impairment, when Ocaliva was given more frequently than recommended
  • The recommended starting dosage of Ocaliva is 5 mg once weekly for patients with Child-Pugh Class B or C hepatic impairment or a prior decompensation event

What doses of Ocaliva are available?

Ocaliva is available in tablet form, in the following doses: 5 mg, 10 mg.

Always speak with your healthcare professional about any changes to your dose so they can monitor and evaluate your condition.

Ocaliva active ingredients

The active ingredient of Ocaliva is obeticholic acid.

Ocaliva side effects

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

  • Pruritus (itching), rash, eczema
  • Tiredness
  • Abdominal pain and discomfort
  • Loss of appetite, constipation
  • Oropharyngeal pain
  • Dizziness
  • Arthralgia (joint pain)
  • Thyroid function abnormality

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

  • Worsening liver problems or liver failure – nausea, vomiting, diarrhea, jaundice (yellowing of skin and eyes), scleral icterus, and/or dark urine. Monitor liver function. Dosage adjustments, interruption, or discontinuation may be required. Discontinue in patients who develop complete biliary obstruction
  • Severe pruritus – use bile acid-binding resins or antihistamines, dose reduction, and/or temporary dosing interruption
  • Reduction in HDL-C – monitor serum lipid levels during treatment

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

Ocaliva drug interactions

Ocaliva can interact with other medications. These include:

  • Warfarin – potential decreased INR, monitor, and adjust the dosage as needed, to maintain the target INR range
  • CYP1A2 substrates with narrow therapeutic index – theophylline, tizanidine
  • Inhibitors of bile salt Efflux pump – cyclosporine

This list is not exhaustive and other prescription drugs may interact with Ocaliva.

Ocaliva contraindications

You should not use Ocaliva if you:

  • Are allergic to the active ingredient obeticholic acid
  • Are allergic to any of the other ingredients in Ocaliva
  • Are pregnant or are planning to become pregnant
  • Have complete biliary obstruction

Talk to your doctor before using Ocaliva if you:

  • Are taking any of the medications that could interact with Ocaliva
  • Are pregnant or are planning to become pregnant
  • Are breastfeeding or are planning to breastfeed
  • Have hepatic impairment (liver disease)

Ocaliva generic

Ocaliva is the trademark brand name for obeticholic acid manufactured by Intercept Pharmaceuticals, Inc. A generic version of obeticholic acid is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Ocaliva savings through NiceRx.

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.