Ortho Tri-Cyclen Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Ortho Tri-Cyclen 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.
Ortho Tri-Cyclen (ethinyl estradiol/norgestimate)
Are you struggling to afford the cost of your prescription Ortho Tri-Cyclen medication? Are you looking for assistance to make your medication more affordable? We may be able to help. By working directly with your healthcare provider, we take the stress out of applying for patient assistance programs. The full application process is handled by us, helping you to get access to Ortho Tri-Cyclen for just $49 per month.*
Your monthly Ortho Tri-Cyclen cost savings if eligible
If your application is successful, you could get your Ortho Tri-Cyclen prescription for a flat fee of only $49 per month. This fee covers the full cost of your prescription.
Am I eligible for the Ortho Tri-Cyclen patient assistance program?
At NiceRx we review each application individually. We will determine if you will be eligible for the patient assistance program based on all of the information provided. 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 Ortho Tri-Cyclen patient assistance program?
We make it as easy as possible to apply for the Ortho Tri-Cyclen patient assistance program. Start with our enrollment application. We will need to know the full details of the medications you are taking, including Ortho Tri-Cyclen. We’ll also need details about your healthcare provider, insurance, and your household income.
If we determine you may be eligible for the assistance program, we’ll handle the full application process for you. If successfully enrolled, we’ll also request your Ortho Tri-Cyclen medication refills on your behalf for up to one year.
Does NiceRx provide Ortho Tri-Cyclen coupons?
NiceRx is a service provider that helps eligible individuals access the Ortho Tri-Cyclen patient assistance program. Our service does not include the provision of Ortho Tri-Cyclen coupons or Ortho Tri-Cyclen discount cards. We also don’t offer free Ortho Tri-Cyclen samples, Ortho Tri-Cyclen manufacturer coupons, or Ortho Tri-Cyclen discounts. If you’re looking for coupons for Ortho Tri-Cyclen or cheap Ortho Tri-Cyclen, remember you will likely save more with NiceRx. All you will pay is a flat monthly fee of $49 per medication.
Can NiceRx help me get Ortho Tri-Cyclen if I have insurance?
Every application for the Ortho Tri-Cyclen patient assistance program is reviewed individually. We may be able to help you if your insurance company won’t pay for your medication, your copay is too high, or you do not have insurance.
How much is Ortho Tri-Cyclen with insurance?
Contact your healthcare provider to find out the cost of Ortho Tri-Cyclen with your current healthcare plan, as this will vary between plans.
How much is Ortho Tri-Cyclen without insurance?
Ortho Tri-Cyclen prices without insurance vary depending on where you buy it. Remember the cost will always be $49 with 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.