Siliq Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Siliq 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 Siliq cost savings if eligible
The Siliq patient assistance program can provide your medication for free. We simply charge $49 per month for each medication to cover the cost of our services. With NiceRx, you will only pay $49 to obtain your Siliq, regardless of the retail price.
Am I eligible for the Siliq patient assistance program?
To find out if you are eligible for Siliq 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 Siliq patient assistance program?
Our application process aims to make it as easy as possible to apply for the Siliq 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 Siliq.
NiceRx will review your application and determine whether you may be eligible for Siliq 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 Siliq 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 Siliq.
Is NiceRx a Siliq coupons provider?
NiceRx is a service provider that helps eligible individuals access the Siliq patient assistance program. We do not offer trial offers or free Siliq 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 Siliq coupons, discount cards, or Siliq copay cards.
Can NiceRx help me get Siliq if I have insurance?
NiceRx may be able to help you if your insurance company will not pay for your Siliq 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 does Siliq cost without insurance?
Siliq prices without insurance will vary depending on how much you buy. Prices will also vary by retailer. As a guide, Siliq subcutaneous solution (210 mg/1.5 mL) typically costs $4,100 for a supply of 3 milliliters.
How much does Siliq cost with insurance?
The copay for Siliq will vary by the terms of your healthcare plan. To find out what you might need to pay for Siliq with insurance, your insurance provider or pharmacist will be able to help you calculate the copay costs with your current insurance.
What is Siliq?
Siliq is a human interleukin-17 receptor A (IL-17RA) antagonist with FDA approval (U.S. Food and Drug Administration) for the treatment of moderate to severe plaque psoriasis in adult patients who are candidates for systemic therapy or phototherapy and have not responded or have lost response to other systemic therapies.
Warning – Suicidal ideation and behavior, including completed suicides, have occurred in patients treated with Siliq. Before prescribing, weigh potential risks and benefits in patients with a history of depression and/or suicidal ideation or behavior. Patients with new or worsening suicidal thoughts and behavior should be referred to a mental health professional, as appropriate. Patients and caregivers are advised to seek medical attention for manifestations of suicidal ideation or behavior, new-onset or worsening depression, anxiety, or other mood changes. Siliq is available only through a restricted program called the Siliq REMS Program.
What doses of Siliq are available?
Siliq is available in injection form, in the following doses: 210 mg/1.5 mL solution in a single-dose prefilled syringe.
Administer 210 mg of Siliq by subcutaneous injection at weeks 0, 1, and 2 followed by 210 mg every 2 weeks.
Take Siliq out of the refrigerator and let it reach room temperature for 30 minutes before injecting your dose. Do not heat the medicine. Leave the needle cap in place while the medicine warms to room temperature. You may store a prefilled syringe in its original container at room temperature for up to 14 days. Protect it from heat and light. Do not place a warmed syringe back in the refrigerator.
Please see the medication guide, including the drug information, and always speak with a healthcare professional about any changes to your dose so they can monitor and evaluate your condition.
Siliq active ingredients
Siliq contains brodalumab, a type of biological drug (made from parts of living organisms). Siliq is part of a group of medications called monoclonal antibodies.
Siliq’s mechanism of action is to selectively bind to human IL-17RA and inhibit its interactions with cytokines. Blocking IL-17RA inhibits IL-17 cytokine-induced responses including the release of pro-inflammatory cytokines and chemokines.
Siliq side effects
The most common side effects of Siliq in clinical trials relative to placebo include:
- Arthralgia (joint pain), muscle pain
- Headache, tiredness
- Diarrhea, weight loss
- Influenza, sore throat, throat pain
- Injection site reactions
- Tinea infections (fungal infections of the skin)
In rare instances, Siliq can cause more serious adverse effects. These can include:
- Serious infections – patients should seek medical advice if signs or symptoms of clinically important chronic or acute infection occur
- Tuberculosis (TB)
- Crohn’s Disease
Your doctor will assess the benefits of using Siliq against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Siliq to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Siliq drug interactions
Siliq can interact with other medications. These include:
- CYP450 substrate (cyclosporine)
- Live vaccines
This list is not exhaustive and other prescription drugs may interact with Siliq. Tell your healthcare provider about all the medicines you take, including all prescription drugs and non-prescription medicines such as over-the-counter medicines, supplements, or herbal remedies.
You should not use Siliq if you:
- Are allergic to the active ingredient brodalumab
- Are allergic to any of the other ingredients in Siliq
- Have Crohn’s disease
Talk to your doctor before using Siliq if you:
- Are taking any of the medications that could interact with Siliq
- Have an active or chronic infection
- Have tuberculosis
- Have anxiety, depression, mental illness, or a mood disorder
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed – It is not known if Siliq passes into your breast milk
Siliq is the trademark brand name for brodalumab. A generic version of brodalumab is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Siliq 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.