Radicava Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Radicava 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 Radicava cost savings if eligible
If you are eligible to receive your Radicava prescription through the patient assistance program, your medication will be free. We charge a flat monthly service fee of $49 per medication to cover the cost of our services.
Am I eligible for Radicava patient assistance?
To be eligible for the Radicava patient assistance program, you will need to meet specific eligibility criteria set by the pharmaceutical company. At NiceRx, we review each Radicava enrollment application individually. The main factors considered 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 Radicava patient assistance program?
Applying for the Radicava patient assistance program through NiceRx is simple. Begin by completing the enrollment application on our website. We will ask for details about your healthcare provider, your insurance plan, and your household income. This information is required by the pharmaceutical manufacturers that supply your medication. We may be able to help you access patient assistance for other medications as well as Radicava, so please tell us about any medications that you have been prescribed.
If we determine that you may be eligible for Radicava assistance, we will handle the full enrollment process on your behalf. We will work with your healthcare provider to prepare and submit all the documents required for you to enroll. If you are successfully enrolled in the Radicava patient assistance program, we will also request your Radicava medication refills on your behalf for up to 1 year. At the end of your enrollment period, we will contact you for updated details and seek to re-enroll you in the program.
Is NiceRx a Radicava coupons provider?
NiceRx does not provide Radicava coupons, discount cards, or copay cards. We do not offer printable Radicava manufacturer coupons, Radicava discounts, rebates, Radicava savings cards, trial offers, or free samples. We are a service provider that helps eligible individuals access patient assistance programs. Our service cost is $49 a month per medication, so you will likely save more on your Radicava medication with NiceRx.
Can NiceRx help me get Radicava if I have insurance?
NiceRx may be able to help you access Radicava patient assistance if:
- You have a high copay or coinsurance responsibility for Radicava
- Your insurance company will not pay for your Radicava prescription
- You do not have insurance
Complete your enrollment application online to find out more.
How much does Radicava cost without insurance?
Radicava prices without insurance will vary by retailer. As a guide, Radicava intravenous solution (30 mg/100 mL) will typically cost around $1,260 for 200 milliliters.
How much does Radicava cost with insurance?
Your individual healthcare plan will determine the copay of Radicava with insurance. To find out what you will need to pay, contact your pharmacist or insurance provider. They will be able to calculate your copay with your current insurance.
What is Radicava?
Radicava is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Mitsubishi Tanabe Pharma Corporation (MTPC) and commercialized in the U.S. by Mitsubishi Tanabe Pharma America, Inc.
It is used for the treatment of amyotrophic lateral sclerosis (ALS) and is the only treatment option with FDA approval for ALS patients shown to slow the loss of physical function, as measured by the ALS Functional Rating Scale-Revised (ALSFRS-R).
What doses of Radicava are available?
Radicava is available in injection form, in the following doses: 30 mg/100 mL in a single-dose polypropylene bag.
The recommended dosage is 60 mg as an intravenous infusion, given by a healthcare provider over 60 minutes. The initial treatment cycle is daily dosing for 14 days followed by a 14- day drug-free period. Subsequent treatment cycles are daily dosing for 10 days out of a 14- day period, followed by a 14-day drug-free period.
Always speak to your healthcare professional for medical advice or about any changes to your dose so they can monitor and evaluate your condition. Also, see full Prescribing Information and Patient Information.
Radicava active ingredients
Radicava contains the active ingredient edaravone which is a free-radical scavenger, meaning it helps to remove reactive molecules that can cause oxidative stress. The exact mechanism by which Radicava works in patients with ALS is unknown.
Radicava side effects
The most common adverse reactions of Radicava in clinical trials (at least 10% and greater than placebo) include:
- Gait disturbance (trouble walking)
In rare instances, Radicava can cause more serious side effects. These can include:
- Hypersensitivity Reactions – wheezing, chest tightness, trouble breathing
- Sulfite allergic reactions – Radicava contains sodium bisulfite, which may cause allergic-type reactions
Your doctor will assess the benefits of using Radicava against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Radicava to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Radicava drug interactions
Other drugs may interact with edaravone, including prescription drugs and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines.
You should not use Radicava if you:
- Are allergic to the active ingredient edaravone
- Are allergic to any of the other ingredients in Radicava
Talk to your doctor before using Radicava if you:
- Are taking any of the medications that could interact with Radicava
- Are breastfeeding or are planning to breastfeed
- Are pregnant or are planning to become pregnant
- Have asthma or a sulfite allergy
Radicava is the trademark brand name for edaravone manufactured by Mitsubishi Tanabe Pharma Corporation. A generic version of edaravone is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Radicava 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.