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Peptamen AF Patient assistance program

Is your Peptamen AF 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 Peptamen AF 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.

Medically reviewed by  Jamie Winn, PharmD

Your monthly Peptamen AF cost savings if eligible

If you are eligible for the Peptamen AF patient assistance program you can receive your medication for free. Our monthly service fee of $49 per medication covers the cost of our services in applying for the program and requesting your ongoing refills on your behalf. If you obtain your Peptamen AF through NiceRx, you will only pay $49 a month regardless of the retail price of your medication.

Am I eligible for the Peptamen AF patient assistance program?

You could receive your Peptamen AF without paying the full retail price if you meet the eligibility criteria for assistance. The eligibility requirements are set by the pharmaceutical companies who are providing assistance programs. At NiceRx, we review each application individually, although the main 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 Peptamen AF patient assistance?

We do everything that we can to take the hassle and stress out of applying for patient assistance programs. Simply start by filling in our enrollment application. We will ask for details about your healthcare provider, your insurance, and your household income. This information is required by the pharmaceutical companies you are applying to for assistance. We may also be able to help you access patient assistance for other medications that you have been prescribed, so be sure to tell us about any medications you are taking as well as Peptamen AF.

NiceRx will review the information you have provided, and if we determine that you may be eligible for assistance, we will seek to enroll you in the Peptamen AF patient assistance program. We will handle the enrollment process for you by working with your healthcare provider and preparing all the required paperwork for your doctor to sign. We will also request your Peptamen AF medication refills on your behalf for up to 1 year once you are enrolled in the program.

Is NiceRx a Peptamen AF coupon provider?

At NiceRx, we help eligible individuals access the Peptamen AF patient assistance program. This means that we are not a Peptamen AF coupon, a Peptamen AF discount card, or a Peptamen AF copay card provider. We do not offer any medication trial offers, or free Peptamen AF samples.

Can NiceRx help me get Peptamen AF cheaper if I have insurance?

We may be able to help you if you have insurance, including if your insurance company will not pay for your Peptamen AF medication, or you have a high copay or coinsurance responsibility. We may even be able to assist if you do not have insurance. Please fill in our enrollment application to find out more.

How much does Peptamen AF cost without insurance?

Peptamen AF costs without insurance will vary depending on how much you buy and the retailer you buy it from. As a guide, Peptamen AF tube feed will typically cost around $30 for 500 mL. If you obtain your medication through NiceRx, you will pay a flat monthly rate of $49 per medication regardless of its retail price.

How much does Peptamen AF cost with insurance?

The copay of Peptamen AF will vary in line with the specific terms of your healthcare plan. For further details about what you may need to pay, your insurance provider or pharmacist will be able to calculate the copay costs with your current insurance.

What is Peptamen AF?

Peptamen AF is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Nestlé Health Science. Peptamen AF is a peptide-based nutritionally complete formula with added fish oil designed for those with impaired GI function who are facing metabolic-stress medical conditions such as sepsis and critical illness with GI dysfunction. Peptamen AF:

  • Has a balanced peptide profile that promotes GI absorption and tolerance
  • Is suitable for gluten-free and lactose intolerance diets
  • Is not suitable for people with galactosemia
  • Is not appropriate for individuals with cow’s milk protein allergy

What doses of Peptamen AF are available?

Peptamen AF is available in unflavored liquid form, in the following doses: 1.5 kcal/mL.

Peptamen tube-feeding formulas are specialized enteral nutrition designed to support absorption and tolerance in individuals with gastrointestinal disorders (GI). Peptamen tube-feeding formulas are recommended for patients who:

  • Cannot tolerate formulas with intact or whole protein
  • Have digestive tract impairment, which may lead to diarrhea, vomiting, or discomfort associated with tube feeding
  • May have problems digesting or absorbing protein or fat

Peptamen is for use under medical supervision. Always speak with your healthcare provider about any changes to your dose so they can monitor and evaluate your condition.

Peptamen AF ingredients

Water, Carbohydrate, Maltodextrin, Enzymatically Hydrolyzed Whey Protein (Milk), Medium Chain Triglycerides (MCT), And Less Than 2% Of Cornstarch, Refined Fish Oil (Anchovy, Sardine), Soybean Oil, Vitamins And Minerals‡, Fructooligosaccharides, Soy Lecithin, Inulin (From Chicory), Guar Gum, Salt, Citric Acid ‡Vitamins And Minerals: Magnesium Chloride, Calcium Phosphate, Choline Chloride, Calcium Citrate, Sodium Ascorbate, Sodium Phosphate, Magnesium Oxide, Taurine, L-Carnitine, Sodium Citrate, Potassium Chloride, Ferrous Sulfate, Zinc Sulfate, Dl-Alpha Tocopheryl Acetate, Niacinamide, Manganese Sulfate, Calcium Pantothenate, Copper Sulfate, Thiamine Mononitrate, Pyridoxine Hydrochloride, Riboflavin, Vitamin A Palmitate, Beta-Carotene, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium Selenate, Sodium Molybdate, Vitamin K1, Biotin, Vitamin D, Vitamin C, Vitamin B12

Peptamen AF side effects

Your doctor will assess the benefits of using Peptamen AF against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Vital 1.5 Cal to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Peptamen AF drug interactions

Other drugs may interact with Peptamen AF, including prescription drugs and over-the-counter medicines, vitamins, and herbal products. Tell your health care provider about all of your medicines including any supplements you are taking.

Peptamen AF contraindications

You should not use Peptamen AF if you:

  • Are allergic to the active ingredients in Peptamen AF
  • Are allergic to any of the other ingredients in Peptamen AF

Talk to your doctor before using Peptamen AF if you:

  • Are taking any of the medications that could interact with Peptamen AF

Peptamen AF generic

Peptamen AF is manufactured by Nestlé Health Science. A generic version of Peptamen AF is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Peptamen AF 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.