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Raptiva Patient assistance program

Is your Raptiva medication too expensive? Through NiceRx, you may be able to get Raptiva for only $49 per month.*

NiceRx works with your healthcare provider to help you access affordable medications directly from U.S. pharmaceutical companies.

Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Raptiva 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
  • 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.

  • Apply Online

    Get started by filling out the online enrollment form to find out if you are eligible.

  • Qualify

    NiceRx verifies your eligibility for medication assistance and instantly notifies you if you are qualified.

  • Receive Medication

    We handle the entire ordering process including requesting your ongoing refills once accepted.

An introduction to NiceRx

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Raptiva (efalizumab)

If you need assistance paying for your Raptiva medication, we may be able to help. With NiceRx, you may be able to get your Raptiva prescription for only $49 per month.* We work with your healthcare provider to help you enroll in the Raptiva patient assistance program. NiceRx is here to handle the full application process for you, as well as applying for your ongoing medication refills if you are successfully enrolled in the program.

Your monthly Raptiva cost savings if eligible

You can get your prescribed Raptiva medication for a flat monthly fee of just $49. This flat monthly fee covers the full cost of your Raptiva medicine, regardless of retail price.

Am I eligible for the Raptiva patient assistance program?

If you meet the eligibility criteria for the patient assistance program, you could receive your Raptiva without paying the full retail price. We review each application individually, however the main 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 Raptiva patient assistance program?

You can apply online with NiceRx to find out if you are qualified for the patient assistance program. Just fill in our enrollment application, and tell us about any medications you’re taking, including Raptiva. We’ll 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 are eligible for assistance, we’ll handle the full application process and help to enroll you in the Raptiva patient assistance program. Once enrolled in the program, we’ll also request your Raptiva medication refills on your behalf for up to one year.

Does NiceRx provide Raptiva coupons?

We are a service provider that helps eligible individuals access the Raptiva patient assistance program. NiceRx is does not provide Raptiva coupons. Neither do we offer Raptiva discount cards or Raptiva copay cards. We don’t offer printable Raptiva manufacturer coupons, Raptiva discounts, rebates, Raptiva savings cards, trial offers, or free Raptiva samples. Remember, when obtaining your Raptiva medication with our support, your total cost for the medication will always be $49 per month.

Can NiceRx help me get Raptiva if I have insurance?

If your insurance company won’t pay for your Raptiva medication, or you have a high copay or coinsurance responsibility, NiceRx may still be able to help. We may even be able to assist if you don’t have insurance.

How much is Raptiva with insurance?

The cost of Raptiva will vary by healthcare plan. Your healthcare provider or pharmacist will be able to calculate your copay with your current insurance. Remember, if you’re approved for assistance, you’ll likely save more if you get your Raptiva medication through NiceRx.

How much is Raptiva without insurance?

Raptiva prices without insurance will vary depending on the dosage and where you buy the medication. 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 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.

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