Relpax Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Relpax 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.
How it works
Get started by filling out the online enrollment application to find out if you are eligible for assistance.
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.
We will request documents to be submitted by you and your healthcare provider that are required by the pharmaceutical company to complete your enrollment.
Once approved, the pharmaceutical company typically ships a 90-day supply of medication to your home or healthcare provider’s address.
Your monthly Relpax cost savings if eligible
If you are eligible to receive your Relpax 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 Relpax patient assistance?
To be eligible for the Relpax patient assistance program, you will need to meet specific eligibility criteria set by the pharmaceutical company. At NiceRx, we review each Relpax 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 Relpax patient assistance program?
Applying for the Relpax 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 Relpax, so please tell us about any medications that you have been prescribed.
If we determine that you may be eligible for Relpax 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 Relpax patient assistance program, we will also request your Relpax 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 Relpax coupon provider?
NiceRx does not provide Relpax coupons, discount cards, or copay cards. We do not offer printable Relpax manufacturer coupons, Relpax discounts, rebates, Relpax 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 Relpax medication with NiceRx.
Can NiceRx help me get Relpax cheaper if I have insurance?
NiceRx may be able to help you access Relpax patient assistance if:
- You have a high copay or coinsurance responsibility for Relpax
- Your insurance company will not pay for your Relpax prescription
- You do not have insurance
Complete your enrollment application online to find out more.
How much does Relpax cost without insurance?
Relpax prices without insurance will vary by retailer. As a guide, Relpax oral tablets 40 mg will typically cost around $465 for 6 tablets.
How much does Relpax cost with insurance?
Your healthcare plan will determine the copay of Relpax 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 Relpax?
Relpax is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Pfizer. It is a serotonin receptor agonist (triptan) used for the acute treatment of migraine headaches with or without an aura in adults. It works by narrowing the blood vessels around your brain.
Relpax is not recommended for the prophylactic treatment of migraine attacks or the treatment of cluster headaches
What doses of Relpax are available?
Relpax is available in tablet form, in the following doses: 20 mg and 40 mg.
As a single-dose take 20 mg or 40 mg. You may repeat the dose after 2 hours if needed. Do not exceed 80 mg in any 24-hour period.
Always speak with a healthcare professional for medical advice about any changes to your dose so they can monitor and evaluate your condition.
Relpax active ingredients
Relpax contains eletriptan hydrobromide (eletriptan HBr) as the active ingredient.
Relpax side effects
The most common side effects of Relpax in clinical trials include:
- Nausea, dizziness
- Dry mouth
In rare instances, Relpax can cause more serious side effects. These can include:
- Myocardial infarction or Prinzmetal’s angina
- Cerebral hemorrhage, subarachnoid hemorrhage, or stroke
- Medication overuse headache
- Serotonin syndrome
- Sudden severe stomach pain, constipation or diarrhea, weight loss
- Fever, bloody diarrhea
- Signs of a stroke – sudden numbness or weakness on one side of the body, sudden severe headache, problems with vision or balance
- Symptoms of a heart attack – chest pain or pressure spreading to your jaw or shoulder, nausea, sweating
Your doctor will assess the benefits of using Relpax against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Relpax to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Relpax drug interactions
Relpax can interact with other medications. These include:
- Ergot-containing drugs and other 5-HT1B/1D agonists
- CYP3A4 inhibitors
- Selective serotonin reuptake inhibitors
- Serotonin-norepinephrine reuptake inhibitors
This list is not exhaustive and other prescription drugs may interact with Relpax. Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
You should not use Relpax if you:
- Are allergic to the active ingredient eletriptan hydrobromide
- Have had an allergic reaction to any of the other ingredients in Relpax
- Have a history of coronary artery disease or coronary artery vasospasm
- Have Wolff-Parkinson-White syndrome
- Have a history of heart disease, stroke, or transient ischemic attack
- Have a history of hemiplegic or basilar migraine
- Have peripheral vascular disease
- Have ischemic bowel disease
- Have uncontrolled hypertension
- Have taken another ergot medicine – dihydroergotamine, ergotamine, ergonovine, methylergonovine or almotriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, or zolmitriptan within 24 hours
- Have taken a CYP3A4 inhibitor such as ketoconazole, itraconazole, nefazodone, troleandomycin, clarithromycin, ritonavir, or nelfinavir within 72 hours
- Have circulation problems affecting your legs, arms, stomach, intestines, or kidneys
- Have uncontrolled high blood pressure
- Have a headache that is different from your usual migraine headaches
- Are pregnant or are planning to become pregnant
Talk to your doctor before using Relpax if you:
- Are taking any of the medications that could interact with Relpax
- Have liver or renal disease
- Have any heart problems
- Have risk factors for coronary artery disease such as high blood pressure, high cholesterol, diabetes, menopause, smoking, a family history of coronary artery disease, being overweight, or being male and over 40 years of age
- Are breastfeeding or are planning to breastfeed
Relpax is the trademark brand name for eletriptan hydrobromide manufactured by Pfizer. A generic version of eletriptan hydrobromide is available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Relpax 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 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.