Poteligeo Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Poteligeo 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 Poteligeo cost savings if eligible
If you are eligible for the Poteligeo 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 Poteligeo prescription for just $49 a month, regardless of the retail price of your medication.
Am I eligible for the Poteligeo patient assistance program?
We will review your application to determine whether you are eligible for the Poteligeo 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 Poteligeo patient assistance program?
We make it as easy as possible to apply for the Poteligeo patient assistance program. The first step is to complete our enrollment application. Tell us about any medications you are taking, including Poteligeo. 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 Poteligeo 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 Poteligeo patient assistance program, and we will automatically request your Poteligeo medication refills for up to 1 year.
Is NiceRx a Poteligeo coupons provider?
We are a service provider that helps eligible individuals access the Poteligeo patient assistance program. That means that we do not offer printable Poteligeo manufacturer coupons, Poteligeo discounts, or free Poteligeo samples. We are not a Poteligeo coupon provider or Poteligeo discount card. Our service extends to assisting eligible individuals to access the medications they need through patient assistance programs.
Can NiceRx help me get Poteligeo if I have insurance?
We may be able to help you to access Poteligeo patient assistance in a variety of circumstances. This includes when your insurance company will not pay for your Poteligeo 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 Poteligeo cost without insurance?
Poteligeo cost without insurance will vary depending on where you buy it. As a guide, Poteligeo intravenous solution (4 mg/mL) usually costs $4,200 for 5 milliliters. With NiceRx you will pay a flat monthly fee of $49, regardless of the retail price of your medication.
How much does Poteligeo cost with insurance?
The copay for Poteligeo 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 Poteligeo?
Poteligeo is an FDA (U.S. Food and Drug Administration) approved marketed by Kyowa Kirin, Inc. Poteligeo is a CC chemokine receptor type 4 (CCR4)- directed monoclonal antibody used for the treatment of adult patients with relapsed or refractory mycosis fungoides or Sézary syndrome after at least one prior systemic therapy.
Mycosis fungoides and Sézary syndrome are rare diseases and are hard-to-treat types of cutaneous T-cell lymphoma (CTCL), a type of non-Hodgkin lymphoma, in which lymphocytes (white blood cells) become cancerous and affect the skin. Poteligeo is more effective than vorinostat, for the treatment of either mycosis fungoides or Sezary syndrome.
What doses of Poteligeo are available?
Poteligeo is available in injection form, in the following doses: 20 mg/5 mL (4 mg/mL) solution in a single-dose vial.
The recommended dosage is 1 mg/kg as an intravenous infusion over at least 60 minutes on days 1, 8, 15, and 22 of the first 28-day cycle and on days 1 and 15 of each subsequent cycle.
Always speak with a healthcare professional for medical advice or about any changes to your dose so they can monitor and evaluate your condition.
Poteligeo active ingredients
Poteligeo contains the active ingredient mogamulizumab-kpkc. Poteligeo works against CC chemokine receptor 4 (CCR4), a G-protein coupled receptor that is overexpressed in the malignant cells of various blood cancers.
Poteligeo side effects
The most common side effects of Poteligeo in clinical trials include:
- Infusion-related reactions
- Musculoskeletal pain
- Upper respiratory tract infection
In rare instances, Poteligeo can cause more serious adverse reactions. These can include:
- Dermatologic toxicity – interrupt treatment for moderate or severe skin rashes. Discontinue treatment for life-threatening rash
- Autoimmune complications
- Complications of allogeneic HSCT – monitor for severe acute graft-versus-host disease (GVHD) and steroid-refractory GVHD. Transplant-related mortality has occurred.
Your doctor will assess the benefits of using Poteligeo against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Poteligeo to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Poteligeo drug interactions
There is currently no data for Poteligeo interactions with other medications. However, other drugs may affect mogamulizumab, including prescription drugs and over-the-counter medicines, vitamins, and herbal products.
You should not use Poteligeo if you:
- Are allergic to the active ingredient mogamulizumab
- Are allergic to any of the other ingredients in Poteligeo
- Are pregnant or are planning to become pregnant
Talk to your doctor before using Poteligeo if you:
- Are taking any of the medications that could interact with Poteligeo
- Have liver disease, including hepatitis B
- Have lung problems
- Have an autoimmune disorder – some people who already have an autoimmune disease may get worse during treatment
- Have had a stem-cell transplant from a donor
- Are breastfeeding or are planning to breastfeed
Poteligeo is the trademark brand name for mogamulizumab marketed by Kyowa Kirin, Inc. A generic version of mogamulizumab is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Poteligeo 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.
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.