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Rilutek Patient assistance program

Is your Rilutek medication too expensive? Start receiving your medication for only $49 per month.*

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

Play video (01:52)
  • An introduction to NiceRx
    (01:52)
  • Next steps after qualifying
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  • Uploading documents and billing
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  • SSN & billing information
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  • Medication delivery time
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How it works

  • Apply Online

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

  • Qualification

    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.

  • Upload Documents

    You may be required to submit further information and documents required by the pharmaceutical company which can be securely uploaded online.

  • Application Created

    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.

  • Receive Medication

    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.

Medically reviewed by  Jamie Winn, PharmD

Your monthly Rilutek cost savings if eligible

If you are eligible for the Rilutek patient assistance program, the cost of your medication will be free. We only charge $49 per month for each medication, to cover our service fees. You could receive your Rilutek prescription for just $49 a month, regardless of the retail price of your medication.

Am I eligible for the Rilutek patient assistance program?

We will review your application to determine whether you are eligible for the Rilutek patient assistance program. Each program has its own eligibility criteria which is set by the pharmaceutical companies, however 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 Rilutek patient assistance program?

We make it as easy as possible to apply for the Rilutek patient assistance program. The first step is to complete our enrollment application. Tell us about any medications you are taking, including Rilutek. We will also 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 may be eligible for Rilutek assistance, we will handle the application process for you. We will work directly with your healthcare provider to prepare your application documents. Once we have received the signed application and supporting documents, we will submit them to the patient assistance program on your behalf. Our service continues once you are enrolled in the Rilutek patient assistance program, and we will automatically request your Rilutek medication refills for up to 1 year.

Is NiceRx a Rilutek coupons provider?

We are a service provider that helps eligible individuals access the Rilutek patient

assistance program. That means that we do not offer printable Rilutek manufacturer coupons, Rilutek discounts, or free Rilutek samples. We are not a Rilutek coupon provider or Rilutek discount card. Our service extends to assisting eligible individuals to access the medications they need through patient assistance programs.

Can NiceRx help me get Rilutek if I have insurance?

We may be able to help you to access Rilutek patient assistance in a variety of circumstances. This includes when your insurance company will not pay for your Rilutek medication or if you have a high copay or coinsurance responsibility. We may also be able to help you if you do not have insurance. Please apply online to find out more.

How much does Rilutek cost without insurance?

Rilutek cost without insurance will vary depending on where you buy it. As a guide, Rilutek oral tablet 50 mg usually costs $3,200 for 60 tablets. With NiceRx you will pay a flat monthly fee of $49, regardless of the retail price of your medication.

How much does Rilutek cost with insurance?

The copay for Rilutek with insurance depends on the terms of your healthcare plan. To find out how much this is, your healthcare provider or pharmacist will be able to calculate your copay with your current insurance.

What is Rilutek?

Rilutek is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Sanofi. It is indicated for the treatment of amyotrophic lateral sclerosis (ALS). ALS is also called Lou Gehrig’s disease, a condition that affects the nervous system and severely limits physical function. Riluzole works by blocking the release of glutamate. Too much glutamate is believed to injure nerve cells.

What doses of Rilutek are available?

Rilutek is available in tablet form, in the following doses: 50 mg.

Take the tablets by mouth on an empty stomach at least 1 hour before or 2 hours after a meal twice daily. Measure serum aminotransferases before and during treatment

Always speak with your healthcare provider for medical advice or about any changes to your dose so they can monitor and evaluate your condition.

Rilutek active ingredients

Rilutek contains riluzole as the active ingredient.

Rilutek side effects

The most common side effects of riluzole in clinical trials compared to placebo include:

  • Asthenia
  • Nausea, vomiting, dizziness, tiredness
  • Decreased lung function
  • Drowsiness
  • Numbness, tingling around the mouth

In rare instances, Rilutek can cause more serious side effects. These can include:

  • Hepatic injury – loss of appetite, stomach pain/abdominal pain, yellowing eyes/skin, dark urine
  • Neutropenia
  • Interstitial lung disease
  • Sudden chest pain, wheezing, shortness of breath

Your doctor will assess the benefits of using Rilutek against your risk of adverse effects. Patients are encouraged to report negative side effects or adverse reactions of Rilutek to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Rilutek drug interactions

Rilutek can interact with other medications. These include:

  • Strong to moderate CYP1A2 inhibitors – enoxacin, fluvoxamine, methoxsalen, mexiletine, oral contraceptives, thiabendazole
  • Strong to moderate CYP1A2 inducers
  • Hepatotoxic drugs – allopurinol, methyldopa, sulfasalazine

This list is not exhaustive and other prescription drugs may interact with Rilutek. This includes nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

Rilutek contraindications

You should not use Rilutek if you:

  • Are allergic to the active ingredient riluzole
  • Have had an allergic reaction to any of the other ingredients in Rilutek
  • Are pregnant or are planning to become pregnant

Talk to your doctor about your medical condition before using Rilutek if you:

  • Are taking any of the medications that could interact with Rilutek
  • Have Japanese ancestry – you may need a lower dose of this medicine to avoid unwanted effects
  • Have liver disease
  • Are breastfeeding or are planning to breastfeed

Rilutek generic

Rilutek is the trademark brand name for riluzole manufactured by Sanofi. A generic version of riluzole is available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Rilutek 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.