Perjeta Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Perjeta 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 Perjeta cost savings if eligible
With our assistance, you could access the Perjeta 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 Perjeta patient assistance?
We review each Perjeta 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 Perjeta patient assistance program?
Our process makes it as easy as possible to apply for the Perjeta patient assistance program. Begin by completing the enrollment application form on our website. Tell us about any medications that you are taking, including Perjeta. You must also provide details about your healthcare provider, your insurance plan, and your household income. This 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 a Perjeta coupons provider?
NiceRx is not a Perjeta coupon, Perjeta discount card, or Perjeta copay card provider. We do not offer Perjeta manufacturer coupons, Perjeta discounts, rebates, Perjeta savings cards, trial offers, or free Perjeta samples. We are a service provider that helps eligible individuals access the Perjeta patient assistance program.
Can NiceRx help me get Perjeta if I have insurance?
NiceRx may be able to help you get Perjeta if:
- You have a high copay or coinsurance responsibility for Perjeta
- Your insurance company will not pay for your Perjeta prescription
- Your healthcare plan does not cover Perjeta medication
- You do not have insurance
Please apply online to find out if we can help you.
How much is Perjeta with insurance?
The cost of Perjeta with insurance 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.
How much does Perjeta cost without insurance?
Perjeta prices without insurance will vary depending on how much you buy. Prices will also vary by retailer. As a guide, Perjeta intravenous solution (420 mg/14 mL) will cost around $5,800 for 14 milliliters.
What is Perjeta?
Perjeta contains the prescription medicine pertuzumab and is used for the treatment of cancer. Perjeta is used to treat metastatic breast cancer (MBC), which is breast cancer that has spread to other parts of the body. Treatment is given in combination with trastuzumab and docetaxel as this improves the ability of Perjeta to fight the cancer. Perjeta can also be used in combination with these medicines to treat early breast cancer.
Perjeta is given directly into a vein as an infusion, this will be done by your doctor or healthcare professional. The infusion is normally given once every 3 weeks. Your doctor will decide the exact dose you will take.
Your heart function will need to be monitored before and during treatment with Perjeta as it can cause serious heart problems. You should not use Perjeta if you are pregnant as it can cause birth defects or death to your unborn baby. You are advised to not get pregnant when using Perjeta and for at least 7 months after you stop taking it.
Perjeta active ingredients
Pertuzumab is classed as a recombinant humanized monoclonal antibody, meaning it is grown from animal cells, but changed using recombinant DNA technology to be suitable for human use.
Pertuzumab works by blocking what is known as the HER2 (human epidermal growth factor) receptor from interacting with specific proteins that would normally attach themselves to it. Through a process of chemical signals in your body, this leads to cell death, helping to get rid of unwanted abnormal cells in your body.
Also, pertuzumab itself is known to coat the target cancer cells. Certain white blood cells then bind to these antibodies on the surface and release toxins into the cancer cell helping to kill it. This is known as antibody-dependent cell mediated cytotoxicity, (ADCC).
Perjeta side effects
The most common side effects caused by Perjeta include:
- Feeling tired
- Burning, tingling, or numb feeling in your hands and feet
- Temporary hair loss
In rare instances, Perjeta can cause more serious side effects. These can include:
- Irregular heartbeat
- Feeling light-headed or dizziness
- Feeling short of breath or a cough that gets worse
- Swelling in your lower legs
- Fever, chills, skin and mouth sores, easily bruised, cold hands and feet, pale skin
- Muscle cramps and weakness, a tingling sensation around your mouth, hands or feet, nausea, vomiting
Your doctor will assess the benefits of using Perjeta against your risk of side effects.
Perjeta drug interactions
Perjeta can interact with other medications. These include:
- Idelalisib – used for the treatment of certain blood cancers
- Vaccines – Influenza (live), measles, mumps, rubella, rotavirus, typhoid, varicella-zoster, yellow fever
This list is not exhaustive and other drugs may interact with Perjeta.
Perjeta warning and precautions
You should not use Perjeta if you:
- Are allergic to the active ingredient pertuzumab
- Are allergic to any of the other ingredients in Perjeta
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
Talk to your doctor before using Perjeta if you:
- Are taking any of the medications that could interact with Perjeta
- Have or have had heart disease, congestive heart failure, or an irregular heartbeat
- Have untreated or uncontrolled high blood pressure (hypertension)
- Have had a heart attack
- Have had any radiation treatment
*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.