Rescriptor Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Rescriptor medication with our help.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. 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.
Rescriptor (delavirdine mesylate)
Are you unable to afford the cost of your Rescriptor medication? Through NiceRx, you may be able to get Rescriptor for just $49 per month.* NiceRx works with your healthcare provider to help you enroll in the Rescriptor patient assistance program. We’ll handle the full application process, providing you with access to affordable Rescriptor without any hassle and stress.
Your monthly Rescriptor cost savings if eligible
You can receive your Rescriptor prescription for a flat fee of just £49 per month, every month. This covers our costs and the full price of your Rescriptor medicine, regardless of retail price.
Am I eligible for the Rescriptor patient assistance program?
If you meet the eligibility criteria, you could receive your Rescriptor without paying the full retail price. Every Rescriptor assistance program application is reviewed individually by us. The 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 Rescriptor patient assistance program?
NiceRx makes it as easy as possible for you to apply for the Rescriptor patient assistance program. Begin the process by completing our enrollment application. It’s important to tell us about all medications you’re taking, including Rescriptor, as well as provide details about your healthcare provider, insurance, and your household income. These details are required by the pharmaceutical manufacturers who ship your medication.
If we determine that you may be eligible for assistance, we’ll handle the application process for you and help to enroll you in the Rescriptor patient assistance program. Once you are enrolled in the program, we’ll also request your Rescriptor medication refills on your behalf for up to one year.
Does NiceRx provide Rescriptor coupons?
NiceRx is a service provider that helps eligible individuals access the Rescriptor patient assistance program. We do not provide Rescriptor coupons or Rescriptor discount cards We also don’t offer printable Rescriptor manufacturer coupons, Rescriptor discounts, rebates, Rescriptor savings cards, trial offers, or free Rescriptor samples. When obtaining your Rescriptor medication through NiceRx, your total cost for the medication will always be $49 per month, which is likely cheaper than coupons or other offers.
Can NiceRx help me get Rescriptor if I have insurance?
When your insurance company won’t pay for your Rescriptor medication, or if you have a high copay or coinsurance responsibility, NiceRx may be able to help. We may also be able to assist if you don’t have insurance.
How much is Rescriptor with insurance?
The cost of Rescriptor varies depending on your healthcare plan. To calculate your copay with your current insurance, speak to your healthcare provider or pharmacist. If you are approved for assistance through the patient assistance program, you’ll likely save more on your Rescriptor medication.
How much is Rescriptor without insurance?
Rescriptor prices without insurance will vary depending on where you purchase it. You will always pay a flat monthly fee of $49 per month with 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.
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.