Retisert Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Retisert 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.
Your monthly Retisert cost savings if eligible
With our assistance, you could access the Retisert patient assistance program and obtain your medication for free. We only charge a flat monthly fee of $49 per medication for our services.
Am I eligible for Retisert patient assistance?
We review each Retisert enrollment application individually to determine if you are eligible. Each assistance program has its own eligibility criteria and 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 Retisert patient assistance program?
Our process makes it as easy as possible to apply for the Retisert patient assistance program. Begin by completing the enrollment application form on our website. Tell us about any medications that you are taking, including Retisert, your healthcare provider, your insurance plan, and your household income. This information is required by the pharmaceutical manufacturers who will supply the medication, so it is important to make sure this information is accurate and up to date.
We will review the information that you have provided to determine whether you are eligible for patient assistance. If we can pre-qualify you for assistance, NiceRx will handle the full enrollment process on your behalf. If you are approved by the pharmaceutical company, you will typically start receiving your medication in 6 – 8 weeks.
Is NiceRx a Retisert coupon provider?
NiceRx is not a Retisert coupon, Retisert discount card, or Retisert copay card provider. We do not offer Retisert manufacturer coupons, Retisert discounts, rebates, Retisert savings cards, trial offers, or free Retisert samples. We are a service provider that helps eligible individuals access their medication directly from the U.S. pharmaceutical company.
Can NiceRx help me get Retisert cheaper if I have insurance?
NiceRx may be able to help you if:
- You have a high copay or coinsurance responsibility for Retisert
- Your insurance company will not pay for your Retisert prescription
- Your healthcare plan does not cover your medication
- You do not have insurance
Please apply online to find out if we can help you.
How much does Retisert cost without insurance?
Without insurance, Retisert costs will vary depending on where you buy the medication as prices will vary by retailer. As a guide, a Retisert intravitreal implant 0.59 mg will cost around $20,000 for 1 implant.
How much does Retisert cost with insurance?
The copay for Retisert will depend on the terms of your healthcare plan. Your healthcare provider or pharmacist will be able to calculate your copay with your current insurance. Contact them to find out more.
What is Retisert?
Retisert (fluocinolone acetonide implant) is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Bausch & Lomb Incorporated. Retisert is a corticosteroid (steroid) indicated for the treatment of chronic non-infectious uveitis affecting the posterior segment of the eye (back of the eye).
What doses of Retisert are available?
Retisert is available as an eye implant in the following doses: 0.59 mg.
Retisert is surgically implanted into the posterior segment of the affected eye through a pars plana incision. Aseptic technique should be maintained at all times, prior to and during the surgical implantation procedure. Post implantation; patients should be advised to have ophthalmologic follow-up examinations of both eyes at appropriate intervals following implantation of Retisert.
Always speak with a healthcare professional about any changes to your dose so they can monitor and evaluate your condition.
Retisert active ingredients
The active ingredient of Retisert is the fluocinolone acetonide.
Retisert side effects
The most common side effects of Retisert in clinical trials include:
- Ocular adverse events such as procedural complications, eye pain, ocular/conjunctival hyperemia, reduced visual acuity, conjunctival hemorrhage
In rare instances, Retisert can cause more serious side effects. These can include:
- Cataract formation – nearly all phakic patients are expected to develop cataracts and require cataract surgery
- Increase in intraocular pressure (IOP) – use of corticosteroids may result in elevated IOP and/or glaucoma
- Choroidal detachment, endophthalmitis, hypotony, exacerbation of intraocular inflammation, retinal detachment, vitreous hemorrhage, vitreous loss, and wound dehiscence after the surgical procedure
Your doctor will assess the benefits of using Retisert against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Retisert to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Retisert drug interactions
Other drugs may interact with Retisert, including prescription drugs and over-the-counter medicines, vitamins, and herbal products. Tell your health care provider about all of your medicines including any supplements you are taking.
You should not use Retisert if you:
- Are allergic to the active ingredient fluocinolone acetonide
- Are allergic to any of the other ingredients in Retisert
- Have active viral, bacterial, mycobacterial, and fungal infections of ocular structures
- Are breastfeeding or are planning to breastfeed
Talk to your doctor before using Retisert if you:
- Are taking any of the medications that could interact with Retisert
- Have glaucoma
- Have a herpes simplex infection
- Have had cataract surgery
- Have a detached retina
- Are pregnant or are planning to become pregnant
Retisert is the trademark brand name for the fluocinolone acetonide intravitreal implant manufactured by Bausch & Lomb Incorporated. A generic version of the fluocinolone acetonide intravitreal implant is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Retisert 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.
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.