Pylera Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Pylera 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 Pylera cost savings if eligible
The Pylera patient assistance program can provide your medication for free. We simply charge $49 a month per medication to cover the cost of our services. With NiceRx, you will only pay $49 to obtain your Pylera, regardless of the retail price.
Am I eligible for the Pylera patient assistance program?
To find out if you are eligible for Pylera assistance you can apply online using our enrollment application. Each pharmaceutical company sets its eligibility criteria, and we will review your application individually to determine if you may be eligible. The three main factors to consider 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 Pylera patient assistance program?
Our application process aims to make it as easy as possible to apply for the Pylera patient assistance program. The first step is to complete our online enrollment application. We will ask you for details about your healthcare provider, your insurance plan, and your household income as this information is required by the pharmaceutical companies. We may be able to help you apply for other patient assistance programs too, so be sure to tell us about any medications you are taking as well as Pylera.
NiceRx will review your application and determine whether you may be eligible for Pylera assistance. If so, we will handle the full enrollment process for you and prepare all required documents for your healthcare provider to sign. Once you are successfully enrolled in the Pylera patient assistance program, we will help you manage your prescription refills by requesting refills on your behalf throughout your enrollment period. At the end of your enrollment period we will contact you for updated information and seek to re-enroll you so you can continue to access affordable Pylera.
Is NiceRx a Pylera coupons provider?
NiceRx is a service provider that helps eligible individuals access the Pylera patient assistance program. We do not offer trial offers or free Pylera samples. When obtaining your medication through NiceRx, you will only pay $49 a month per medication. This will likely save you more money than if you were to use Pylera coupons, discount cards, or Pylera copay cards.
Can NiceRx help me get Pylera if I have insurance?
NiceRx may be able to help you if your insurance company will not pay for your Pylera medication. We may also be able to help if you have a high copay or coinsurance responsibility. Whether you have insurance or not, apply online using our enrollment application to find out more.
How much is Pylera with insurance?
The cost of Pylera will vary by the terms of your healthcare plan. To find out what you might need to pay for Pylera with insurance, your insurance provider or pharmacist will be able to help you calculate the copay costs with your current insurance.
How much does Pylera cost without insurance?
Pylera prices without insurance will vary depending on where you buy it. As a guide, Pylera oral capsule (140 mg-125 mg-125 mg) typically costs $972 for a supply of 120 capsules.
What is Pylera?
Pylera is a prescription medicine used with omeprazole to treat Helicobacter pylori infection in patients with duodenal ulcers or a history of duodenal ulcer disease. Treating the Helicobacter pylori infection reduces the risk of duodenal ulcer recurring.
Pylera should be used to treat those infections only that are strongly suspected to be caused by the susceptible infection. This is to reduce drug-resistant bacteria developing and to ensure the effectiveness of Pylera.
Pylera active ingredients
Pylera contains a combination of bismuth subcitrate potassium, metronidazole, and tetracycline. Bismuth subcitrate potassium is a mineral. Metronidazole is an antibiotic that works well against anaerobic bacteria (bacteria not requiring oxygen to grow), and tetracycline, which is classed as a broad spectrum antibiotic that fights bacteria in the body by blocking the production of their protiens. The combined effect of the ingredients in Pylera together with omeprazole has been found to be more effective in the eradication of th H. pylori infection.
Pylera side effects
The most common side effects caused by Pylera include:
- tongue darker in color, dry mouth
- dark or black stools
- nausea (feeling sick)
In rare cases Pylera can cause more serious side effects, these can include:
- Liver problems – yallowing of eyes or skin, stomach pain, nausea, darker stools
- Flu symptoms – fever, chills, sore throat
- severe headaches, dizziness, nausea, eye pain, vision problems, ringing in your ears
- watery or bloody diarrhea
- stiff neck, light sensitivity, purple spots on the skin
- tingling or numbness in arms and legs
Pylera drug interactions
Pylera can interact with other medications, these include:
- acitretin, etretinate
- cholera vaccine, typhoid vaccine
- isotretinoin, tretinoin
- warfarin, dicumarol
This list is not exhaustive and other drugs may interact with Pylera.
Pylera warnings and precautions
You should not take Pylera if you:
- Are allergic to the active ingredients bismuth subcitrate potassium, metronidazole, or tetracycline.
- Are allergic to any of the other ingredients in Pylera
- Have any kidney problems
- Drink alcohol daily
- Have taken disulfiram within the past 2 weeks
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
- Are under 18 years of age
You should avoid taking Pylera with milk or other dairy products. Also avoid taking the medicine at the same time you take any multivitamins, mineral supplements, or antacids. These products make it more difficult for your body to absorb Pylera.
Talk to your doctor before taking Pylera if you:
- Are taking any of the medications that could interact with Pylera
- Take any medicine that contains propylene glycol.
- Have any liver problems
- Have Cockayne syndrome (a rare genetic disorder)
- Have a blood cell disorder
- Have an infection of any type
*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.