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Oxervate Patient assistance program

Is your Oxervate 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 Oxervate 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
  • 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

Play video (01:52)
  • An introduction to NiceRx
  • Next steps after qualifying
  • Uploading documents and billing
  • SSN & billing information
  • Medication delivery time

How it works

  • Apply Online

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

  • Qualification

    NiceRx verifies your eligibility for medication assistance and notifies you if you are qualified.

  • Upload Documents

    You may be required to submit further information and documents required by the pharmaceutical company which can be securely uploaded online.

  • Application Created

    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.

  • Receive Medication

    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 Oxervate cost savings if eligible

If you are eligible for the Oxervate patient assistance program, the cost of your medication will be free. We only charge $49 per month for each medication, to cover our service fees. You could receive your Oxervate prescription for just $49 a month, regardless of the retail price of your medication.

Am I eligible for the Oxervate patient assistance program?

We will review your application to determine whether you are eligible for the Oxervate patient assistance program. Each program has its own eligibility criteria which are set by the pharmaceutical companies, however, 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 Oxervate patient assistance program?

We make it as easy as possible to apply for the Oxervate patient assistance program. The first step is to complete our enrollment application. Tell us about any medications you are taking, including Oxervate. We will also ask for details about your healthcare provider, insurance, and your household income. This information is required by the pharmaceutical manufacturers who ship your medication.

If we determine that you may be eligible for Oxervate assistance, we will handle the application process for you. We will work directly with your healthcare provider to prepare your application documents. Once we have received the signed application and supporting documents, we will submit them to the patient assistance program on your behalf. Our service continues once you are enrolled in the Oxervate patient assistance program, and we will automatically request your Oxervate medication refills for up to 1 year.

Is NiceRx an Oxervate coupons provider?

We are a service provider that helps eligible individuals access the Oxervate patient assistance program. That means that we do not offer printable Oxervate manufacturer coupons, Oxervate discounts, or free Oxervate samples. We are not an Oxervate coupon provider or Oxervate discount card. Our service extends to assisting eligible individuals to access the medications they need through patient assistance programs.

Can NiceRx help me get Oxervate if I have insurance?

We may be able to help you to access Oxervate patient assistance in a variety of circumstances. This includes when your insurance company will not pay for your Oxervate medication or if you have a high copay or coinsurance responsibility. We may also be able to help you if you do not have insurance. Please apply online to find out more.

How much does Oxervate cost without insurance?

Oxervate cost without insurance will vary depending on where you buy it. As a guide, Oxervate usually costs $70,000 for a one-time treatment. With NiceRx you will pay a flat monthly fee of $49, regardless of the retail price of your medication.

How much does Oxervate cost with insurance?

The copay for Oxervate with insurance depends on the terms of your healthcare plan. To find out how much this is, your healthcare provider or pharmacist will be able to calculate your copay with your current insurance.

What is Oxervate?

Oxervate is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Dompé U.S. Inc. Oxervate is the first topical biologic medication with FDA approval in the field of ophthalmology.

It is a recombinant human nerve growth factor used for the treatment of neurotrophic keratitis (eye disease of the cornea).

What doses of Oxervate are available?

Oxervate as an Ophthalmic solution dosage form, in the following doses: cenegermin-bkbj 0.002% (20 mcg/mL) in a multiple-dose vial.

The recommended dose of Oxervate is one drop in the affected eye(s), 6 times per day at 2-hour intervals, for eight weeks.

See full prescribing information for Oxervate eye drops. Always speak with your ophthalmologist for medical advice or about any changes to your dose so they can monitor and evaluate your condition.

Oxervate active ingredients

Oxervate contains the active ingredient cenegermin-bkbj.

Oxervate side effects

The most common adverse reactions of Oxervate in clinical trials include:

  • Eye inflammation and increased lacrimation
  • Mild to moderate eye discomfort
  • Eye irritation
  • Feeling that something is in the eye
  • Eye redness

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

  • Ocular hyperemia
  • Eye pain
  • Eyelid swelling

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

Oxervate drug interactions

Speak to your healthcare professional about all the medicines you take, including prescription drugs and over-the-counter medicines, vitamins, and herbal supplements.

Oxervate contraindications

You should not use Oxervate if you:

  • Are allergic to the active ingredient cenegermin-bkbj
  • Are allergic to any of the other ingredients in Oxervate

Talk to your doctor before using Oxervate if you:

  • Are taking any of the medications that could interact with Oxervate
  • Are pregnant or are planning to become pregnant
  • Are breastfeeding or are planning to breastfeed
  • Use contact lenses – remove contact lenses before applying Oxervate and wait 15 minutes after use before replacing your lenses

Oxervate generic

Oxervate is the trademark brand name for cenegermin-bkbj manufactured by Dompé U.S. Inc. A generic version of cenegermin-bkbj is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Oxervate 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.