Rectiv Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Rectiv 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 Rectiv cost savings if eligible
The Rectiv 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 Rectiv, regardless of the retail price.
Am I eligible for the Rectiv patient assistance program?
To find out if you are eligible for Rectiv 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 Rectiv patient assistance program?
Our application process aims to make it as easy as possible to apply for the Rectiv 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 Rectiv.
NiceRx will review your application and determine whether you may be eligible for Rectiv 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 Rectiv 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 Rectiv.
Is NiceRx a Rectiv coupons provider?
NiceRx is a service provider that helps eligible individuals access the Rectiv patient assistance program. We do not offer trial offers or free Rectiv 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 Rectiv coupons, discount cards, or Rectiv copay cards.
Can NiceRx help me get Rectiv if I have insurance?
NiceRx may be able to help you if your insurance company will not pay for your Rectiv 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 Rectiv with insurance?
The cost of Rectiv will vary by the terms of your healthcare plan. To find out what you might need to pay for Rectiv with insurance, your insurance provider or pharmacist will be able to help you calculate the copay costs with your current insurance.
How much does Rectiv cost without insurance?
Rectiv prices without insurance will vary depending on how much you buy. Prices will also vary by retailer. As a guide, Rectiv rectal ointment 0.4% typically costs $680 for 30 grams.
What is Rectiv?
Rectiv contains the prescription medicine nitroglycerin. Nitroglycerin is classed as a nitrate which has the effect of widening blood vessels in the body. Rectiv ointment is used for the treatment of moderate to severe pain caused by tears in the skin lining of your rectum (chronic anal fissures).
Rectiv should not be used if you are taking certain other medications such as riociguat, sildenafil, or tadalafil as it could lower your blood pressure suddenly. Rectiv should not be used without consulting your doctor if you have low blood pressure, congestive heart failure, glaucoma, liver disease, a history of circulation problems, heart attack, or stroke.
Rectiv can cause severe headaches each time you use the medication. Your doctor may recommend treating this with a pain reliever such as Tylenol.
Rectiv active ingredients
Nitroglycerin is converted in the body into nitric oxide. Nitric oxide stimulates an enzyme called guanylate cyclase causing an increase in the production of cyclic GMP. This happens in specific types of muscle known as smooth muscle which are in blood vessels in your body. This chemical process causes the smooth muscle to relax and the blood vessels to widen.
Rectiv can take up to 3 weeks to work, you should speak to your doctor if you have any concerns or if your symptoms become worse.
Rectiv side effects
The most common side effects caused by Rectiv include:
In rare instances, Rectiv can cause more serious side effects. These can include:
- Increased or decreased heart rate
- Feeling light headed or faint
- Chest pain or pressure spreading to your shoulder or jaw with nausea and sweating
Your doctor will assess the benefits of using Rectiv against your risk of side effects.
Rectiv drug interactions
Rectiv can interact with other medications. These include:
- Treatments for erectile dysfunction – avanafil, sildenafil, tadalafil, vardenafil
- Topical anesthetics (pain killers) – prilocaine
- Treatments for pulmonary hypertension – riociguat
- Calcium channel blockers for the treatment of high blood pressure (hypertension) – amlodipine, felodipine, nifedipine
- Treatments for high blood pressure – captopril, enalapril, lisinopril, ramipril, diltiazem
- Blood thinners – heparin
This list is not exhaustive and other drugs may interact with Rectiv.
Rectiv warning and precautions
You should not use Rectiv if you:
- Are allergic to the active ingredient nitroglycerin
- Are allergic to any of the other ingredients in Rectiv
- Have severe anemia (lack of red blood cells)
- Have signs of a heart attack
- Are younger than 18 years of age
Talk to your doctor before using Rectiv if you:
- Are taking any of the medications that could interact with Rectiv
- Have congestive heart failure
- Have had a heart attack
- Have a blood vessel disorder
- Have low blood pressure
- Suffer from headaches
- Are pregnant or are planning to become pregnant
- 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.