Palforzia Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Palforzia 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
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.
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 Palforzia cost savings if eligible
If you are eligible to receive your Palforzia prescription through the patient assistance program, your medication will be free. We charge a flat monthly service fee of $49 per medication to cover the cost of our services.
Am I eligible for Palforzia patient assistance?
To be eligible for the Palforzia patient assistance program, you will need to meet specific eligibility criteria set by the pharmaceutical company. At NiceRx, we review each Palforzia enrollment application individually. The main factors considered 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 Palforzia patient assistance program?
Applying for the Palforzia patient assistance program through NiceRx is simple. Begin by completing the enrollment application on our website. We will ask for details about your healthcare provider, your insurance plan, and your household income. This information is required by the pharmaceutical manufacturers that supply your medication. We may be able to help you access patient assistance for other medications as well as Palforzia, so please tell us about any medications that you have been prescribed.
If we determine that you may be eligible for Palforzia assistance, we will handle the full enrollment process on your behalf. We will work with your healthcare provider to prepare and submit all the documents required for you to enroll. If you are successfully enrolled in the Palforzia patient assistance program, we will also request your Palforzia medication refills on your behalf for up to 1 year. At the end of your enrollment period, we will contact you for updated details and seek to re-enroll you in the program.
Is NiceRx a Palforzia coupons provider?
NiceRx does not provide Palforzia coupons, discount cards, or copay cards. We do not offer printable Palforzia manufacturer coupons, Palforzia discounts, rebates, Palforzia savings cards, trial offers, or free samples. We are a service provider that helps eligible individuals access patient assistance programs. Our service cost is $49 a month per medication, so you will likely save more on your Palforzia medication with NiceRx.
Can NiceRx help me get Palforzia if I have insurance?
NiceRx may be able to help you access Palforzia patient assistance if:
- You have a high copay or coinsurance responsibility for Palforzia
- Your insurance company will not pay for your Palforzia prescription
- You do not have insurance
Complete your enrollment application online to find out more.
How much does Palforzia cost without insurance?
Palforzia prices without insurance will vary by retailer. As a guide, Palforzia oral powder 300 mg will typically cost around $520 for 15 powders.
How much does Palforzia cost with insurance?
Your individual healthcare plan will determine the copay of Palforzia with insurance. To find out what you will need to pay, contact your pharmacist or insurance provider. They will be able to calculate your copay with your current insurance.
What is Palforzia?
Palforzia [Peanut (Arachis hypogaea) Allergen Powder-dnfp] is an FDA-approved (Food and Drug Administration) medication manufactured by Aimmune Therapeutics, Inc.
Palforzia is oral immunotherapy for the treatment of allergic reactions, including anaphylaxis, that may occur with accidental exposure to peanuts.
Palforzia is approved for use in patients with a confirmed diagnosis of peanut allergy. Peanut allergies are one of the most common food allergies in the world, affecting more than 1.6 million children and teens in the United States alone.
Initial dose escalation may be given to patients aged 4 to 17 years of age. Up-dosing and maintenance treatment may be continued in patients 4 years of age and older. Palforzia is to be used in combination with a peanut-avoidant diet.
It is only available through the Palforzia Risk Evaluation and Mitigation Strategy (REMS) program with a certified healthcare provider.
What doses of Palforzia are available?
Palforzia is in capsule or powder for oral administration form, in the following doses: 0.5 mg 1 mg, 10 mg, 20 mg, and 100 mg Capsules or 300 mg Sachets.
You will receive your first dose of Palforzia treatment or any increases in dose in a hospital or healthcare setting by a healthcare professional. You will be monitored closely after being given your first dose.
Do not swallow a Palforzia capsule whole or inhale the powder medicine. Open the capsule or powder and mix the medicine into a spoonful of applesauce, yogurt, or pudding (do not mix with liquid).
You must keep injectable epinephrine with you at all times while you are using Palforzia. Read and carefully follow any Instructions for use provided with your epinephrine.
Take Palforzia as prescribed by your doctor. Follow all directions on your prescription label and medication guides. Your doctor may occasionally change your dosing levels. Always speak with your allergist about any changes to your dose so they can monitor and evaluate your condition.
Palforzia active ingredients
Palforzia contains peanuts (Arachis hypogaea) which gives children with a peanut allergy controlled exposure to precise amounts of peanut protein every day. This may help them decrease their sensitivity to small amounts of peanuts over time.
Palforzia side effects
The most common side effects of Palforzia in clinical trials include:
- Abdominal pain vomiting, nausea
- Oral pruritus, oral paresthesia – itching or burning in your mouth
- Throat irritation, cough, rhinorrhea, sneezing, throat tightness
- Wheezing, dyspnea, pruritus, urticaria, anaphylactic reaction
- Ear pruritus – itching around the ear
In rare instances, Palforzia can cause more serious side effects. These can include:
- Hives, chest discomfort, wheezing, tightness in your throat, trouble speaking or swallowing, swelling of your face, lips, eyes, or tongue, sudden warmth, redness, or tingly feeling, severe stomach pain, vomiting, or diarrhea, light-headed feeling, like you might pass out
- Your caregiver may prescribe epinephrine injection in case you have a risk of anaphylaxis, (a severe allergic reaction). Get emergency medical help if you have an allergic reaction, even if you have used epinephrine to treat it
Your doctor will assess the benefits of using Palforzia against your risk of adverse events. Patients are encouraged to report negative side effects or adverse reactions of Palforzia to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Palforzia drug interactions
No interactions are listed for Palforzia however, you should tell your doctor if you are taking or have recently taken any other medicines, including medicines obtained without a prescription and herbal supplements.
You should not use Palforzia if you:
- Are allergic to the active ingredient Peanut (Arachis hypogaea)
- Are allergic to any of the other ingredients in Palforzia
Talk to your doctor before using Palforzia if you:
- Are taking any of the medications that could interact with Palforzia
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
- Have uncontrolled asthma
- Have a history of eosinophilic esophagitis or other eosinophilic gastrointestinal diseases
- Have gastrointestinal reactions
- Are unable to give yourself an epinephrine injection if you had an allergic reaction
- Have a life-threatening medical condition or use a medicine that would cause problems if you had an allergic reaction
Palforzia is the trademark brand name for Peanut (Arachis hypogaea) manufactured by Aimmune Therapeutics, Inc. A generic version of Peanut (Arachis hypogaea) is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Palforzia 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.