Prialt Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Prialt 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 cost savings if eligible
With our assistance, you could access the Prialt 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 Prialt patient assistance?
We review each Prialt 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 Prialt patient assistance program?
Our process makes it as easy as possible to apply for the Prialt patient assistance program. Begin by completing the enrollment application form on our website. Tell us about any medications that you are taking, including Prialt. 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 Prialt coupons provider?
NiceRx is not a Prialt coupon, Prialt discount card, or Prialt copay card provider. We do not offer Prialt manufacturer coupons, Prialt discounts, rebates, Prialt savings cards, trial offers, or free Prialt samples. We are a service provider that helps eligible individuals access the Prialt patient assistance program.
Can NiceRx help me get Prialt if I have insurance?
NiceRx may be able to help you get Prialt if:
- You have a high copay or coinsurance responsibility for Prialt
- Your insurance company will not pay for your Prialt prescription
- Your healthcare plan does not cover Prialt medication
- You do not have insurance
Please apply online to find out if we can help you.
How much is Prialt with insurance?
The cost of Prialt 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 Prialt cost without Insurance?
Prialtprices without insurance will vary depending on how much you buy. Prices will also vary by retailer. As a guide, the cost for Prialt intrathecal solution (100 mcg/mL) is around $850 for a supply of 1 milliliter(s).
What is Prialt?
Prialt contains the prescription medicine ziconotide, which is classed as a non-narcotic (not addictive) pain killer. It works by blocking pain signals from the nerves in your body to your brain. It is used to treat severe long term pain that cannot be treated with other pain medications.
Prialt is given continuously day and night using an infusion pump attached to a catheter placed into the area near your spinal cord (intrathecal injection). This medicine must be given or under the direct supervision of a healthcare professional experienced in the technique of intrathecal administration, and who is familiar with the drug and device labeling. Strict procedures must be used during the preparation of the Prialt solution and refilling of the infusion pump to reduce the risk of infection. It is possible you may need to use Prialt for many months to many years. Your progress with this treatment will be checked regularly by your doctor.
Prialt active ingredients
Prialt works by blocking calcium channels on the surface of the nerve cells that transmit the pain signals. The flow of calcium into the nerve cells is blocked and ziconotide interferes with the transmission of pain signals within the spine. This results in pain relief.
Prialt must only be given in the form of an intrathecal injection through an infusion pump attached to the body. Your healthcare professional will give you this injection. There is an option to surgically implant the infusion pump into your body, or alternatively worn on the outside of your body. The pump controls how quickly the medicine is injected into your body. Ziconotide doses are based on weight. Inform your doctor if you gain or lose weight as your dose will need adjusting.
Prialt side effects
The most common side effects caused by Prialt include:
- Changes in eye movements
In rare instances, Prialt can cause more serious side effects. These can include:
- Feeling like you might pass out
- Itching skin and blisters
- Changes in mood and well being
- Memory problems
Your doctor will assess the benefits of using Prialt against your risk of side effects.
Prialt drug interactions
Prialt can interact with other medications. These include:
- Anti-psychotic medication – aripiprazole, risperidone, olanzapine, quetiapine
- Opioid pain killers – methadone, morphine, fentanyl, hydrocodone, oxycodone
- SSRI’s (selective serotonin reuptake inhibitors) anti-depressants – fluvoxamine, citalopram, escitalopram
- Anti-convulsants – carbamazepine, lamotrigine, levetiracetam, topiramate, vigabatrin
This list is not exhaustive and other drugs may interact with Prialt.
Prialt warning and precautions
You should not use Prialt if you:
- Are allergic to the active ingredient ziconotide
- Are allergic to any of the other ingredients in Prialt
- Have a history of psychiatric illness or psychotic event
- Have a blood clotting disorder
- Are pregnant or are planning to become pregnant
Talk to your doctor before using Prialt if you:
- Are taking any of the medications that could interact with Prialt
- Regularly use other medicines that make you sleepy
- 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.