Pifeltro Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Pifeltro 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.
Your monthly Pifeltro cost savings if eligible
With our assistance, you could access the Pifeltro 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 Pifeltro patient assistance?
We review each Pifeltro 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 Pifeltro patient assistance program?
Our process makes it as easy as possible to apply for the Pifeltro patient assistance program. Begin by completing the enrollment application form on our website. Tell us about any medications that you are taking, including Pifeltro. 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 Pifeltro coupons provider?
NiceRx is not an Pifeltro coupon, Pifeltro discount card, or Pifeltro copay card provider. We do not offer Pifeltro manufacturer coupons, Pifeltro discounts, rebates, Pifeltro savings cards, trial offers, or free Pifeltro samples. We are a service provider that helps eligible individuals access the Pifeltro patient assistance program.
Can NiceRx help me get Pifeltro if I have insurance?
NiceRx may be able to help you get Pifeltro if:
- You have a high copay or coinsurance responsibility for Pifeltro
- Your insurance company will not pay for your Pifeltro prescription
- Your healthcare plan does not cover Pifeltro medication
- You do not have insurance
Please apply online to find out if we can help you.
How much is Pifeltro with insurance?
The cost of Pifeltro 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 Pifeltro cost without Insurance?
Pifeltro prices without insurance will vary depending on how much you buy. Prices will also vary by retailer. As a guide, the cost for Pifeltro oral tablet 100 mg is around $1,598 for a supply of 30 tablets.
What is Pifeltro?
Pifeltro contains the prescription medicine doravirine, which is classed as an antiviral medicine. Pifeltro may be used on its own or in combination with other medicines to treat the symptoms and to stop the spread of human immunodeficiency virus (HIV) in your body. HIV is the virus that can cause acquired immunodeficiency syndrome (AIDS). It is important to understand that Pifeltro is not a cure for HIV or AIDS. Also, it is not known if Pifeltro is safe to use in children under 18 years of age.
Pifeltro active ingredients
Doravirine works by blocking a specific enzyme known as HIV reverse transcriptase from working in your body. Blocking this enzyme prevents the production of more HIV DNA. This reduces the amount of the HIV virus in your body and slows it from spreading.
Doravirine should be taken exactly as prescribed by your doctor. Usually in adults, one tablet is taken orally once daily with or without food. If you are taking a medicine called rifabutin, you may need to take doravirine twice per day. You may need regular blood tests, as well as kidney and liver function tests while taking Pifeltro. You should make sure you get your medication refilled before you run out completely. Your disease may become resistant to doravirine if you stop taking it, even for a short time. If you have hepatitis B you may develop liver symptoms after stopping taking this medication, even months after. You may need to have your liver function checked for several months after you have stopped using Pifeltro. HIV/AIDS is usually treated with a combination of drugs.
Pifeltro side effects
The most common side effects caused by Pifeltro include:
- Nausea, vomiting
- Headache, dizziness
- Feeling weak
- Indigestion, stomach pain, diarrhea
- Strange dreams
In rare instances, Pifeltro can cause more serious side effects. These can include:
- Problems with balance or eye movement
- Difficulty speaking or swallowing
- Swelling in your neck or throat
- Menstrual changes
- Impotence, changes in your sex drive
Your doctor will assess the benefits of using Pifeltro against your risk of side effects.
Pifeltro drug interactions
Pifeltro can interact with other medications. These include:
- Antibiotics for bacterial infection – rifabutin, rifampin, rifapentine
- Corticosteroids – dexamethasone
- Treatment for epilepsy – eslicarbazepine, carbamazepine, fosphenytoin, oxcarbazepine, phenobarbital, primidone
- Anti-psychotic medication – lumateperone
- Treatments for cancer – dabrafenib, lorlatinib, mitotane
- Treatment of AIDS/HIV – nevirapine
This list is not exhaustive and other drugs may interact with Pifeltro.
Pifeltro warning and precautions
You should not use Pifeltro if you:
- Are allergic to the active ingredient doravirine
- Have taken the medicine enzalutamide in the past 4 weeks
- Have taken the medicine mitotane in the past 4 weeks
- Have taken the medicine rifampin in the past 4 weeks
- Have taken the medicine rifapentine in the past 4 weeks
- Have taken the medicine St. John’s wort in the past 4 weeks
- Have taken seizure medicines in the past 4 weeks
- Are allergic to any of the other ingredients in Pifeltro
- Are pregnant or are planning to become pregnant
Talk to your doctor before using Pifeltro if you:
- Are taking any of the medications that could interact with Pifeltro
- Are breastfeeding or are planning to breastfeed
*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.