Quillivant XR Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Quillivant XR medication with our help.Get Started Now
Secure: Your personal and medical information is safe with us
Convenient: Your medication is delivered straight to your door
Ongoing refills: Your medication is refilled automatically
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.
Quillivant XR (methylphenidate hcl)
If you need help paying for Quillivant XR, NiceRx may be able to help you get your medication for just $49 per month.* We work with your healthcare provider to help you enroll in the Quillivant XR patient assistance program. The full application process will be handled by us, providing you with regular access to affordable Quillivant XR without any hassle or stress.
Your monthly Quillivant XR cost savings if eligible
You can receive your Quillivant XR prescription for just $49 per month, every month. This flat fee covers the full cost of your medication, regardless of retail price.
Am I eligible for the Quillivant XR patient assistance program?
If you meet the eligibility criteria, you could receive Quillivant XR without paying the full retail price. Every individual Quillivant XR assistance program application is reviewed by us.
- 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 Quillivant XR patient assistance program?
NiceRx takes the stress out of applying for the Quillivant XR patient assistance program. Start by completing our enrollment application and tell us about all medications you’re taking, including Quillivant XR. We’ll also require details about your healthcare provider, insurance, and your household income, as this information is required by the pharmaceutical manufacturers who ship your medication.
The application process will be handled by us if we determine you may be eligible for assistance. We will submit your application on your behalf and help to enroll you in the Quillivant XR patient assistance program. Once you are accepted and enrolled in the program, we’ll request your Quillivant XR medication refills on your behalf for up to one year.
Is NiceRx a Quillivant XR coupon provider?
NiceRx does not provide Quillivant XR coupons or Quillivant XR discount cards. We don’t offer printable coupons, Quillivant XR manufacturer coupons, Quillivant XR discounts, rebates, Quillivant XR savings cards, trial offers, free Quillivant XR, or free samples of Quillivant XR. NiceRx is a service provider that helps eligible individuals access the Quillivant XR patient assistance program. Remember that when obtaining your Quillivant XR medication through NiceRx, your total cost for the medication will always be $49 per month. You’ll likely save more with NiceRx than with a coupon.
Can NiceRx help me get Quillivant XR if I have insurance?
If your insurance company won’t pay for your Quillivant XR medication, or you have a high copay or coinsurance responsibility, we may be able to help. We could also help you if you don’t have insurance.
How much is Quillivant XR with insurance?
The cost of Quillivant XR varies between healthcare plans. You can find out your copay with your current insurance by speaking to your healthcare provider or pharmacist. Remember, if you are approved for assistance, you’ll likely save more if you get your Quillivant XR medication through NiceRx.
How much is Quillivant XR without insurance?
Quillivant XR prices without insurance will vary depending on where you buy it. With NiceRx you’ll always pay a flat monthly fee of $49.
*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 the different programs and filling out all the required paperwork for each program. Subject to medication availability.
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.