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Simbrinza Patient assistance program

Is your Simbrinza 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 Simbrinza medication.

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
  • Next steps after qualifying
  • Uploading documents and billing
  • SSN & billing information
  • Medication delivery time

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.

  • 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.

Your monthly Simbrinza cost savings if eligible

The Simbrinza patient assistance program can provide your medication for free. We simply charge $49 a month per medication to cover the cost of our services. With NiceRx, you’ll only pay $49 to obtain your Simbrinza, regardless of the retail price.

Am I eligible for the Simbrinza patient assistance program?

To find out if you are eligible for Simbrinza 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 Simbrinza patient assistance program?

Our application process aims to make it as easy as possible to apply for the Simbrinza patient assistance program. The first step is to complete our online enrollment application. We’ll 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 Simbrinza.

NiceRx will review your application and determine whether you may be eligible for Simbrinza assistance. If so, we’ll 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 Simbrinza patient assistance program, we’ll help you manage your prescription refills by requesting refills on your behalf throughout your enrollment period. At the end of your enrollment period, we’ll contact you for updated information and seek to re-enroll you so you can continue to access affordable Simbrinza.

Is NiceRx a Simbrinza coupons provider?

NiceRx is a service provider that helps eligible individuals access the Simbrinza patient assistance program. We do not offer trial offers or free Simbrinza samples. When obtaining your medication through NiceRx, you’ll only pay $49 a month per medication. This will likely save you more money than if you were to use Simbrinza coupons, discount cards, or Simbrinza copay cards.

Can NiceRx help me get Simbrinza if I have insurance?

NiceRx may be able to help you if your insurance company won’t pay for your Simbrinza 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 is Simbrinza with insurance?

The cost of Simbrinza will vary by the terms of your healthcare plan. To find out what you might need to pay for Simbrinza with insurance, your insurance provider or pharmacist will be able to help you calculate the copay costs with your current insurance.

How much does Simbrinza cost without insurance?

Simbrinza prices without insurance will vary by retailer. As a guide, an 8 ml bottle of 1%-0.2% Simbrinza solution will cost around $210. With NiceRx you’ll always pay a flat monthly fee of $49.

What is Simbrinza?

Simbrinza is a prescription eye-drop medication used to reduce high pressure in the eyes (intraocular pressure) caused by either ocular hypertension or open-angle glaucoma. You typically drop Simbrinza into affected eyes three times a day, although make sure you take the medication exactly as directed by your prescribing doctor.

If you have elevated intraocular pressure, your doctor may have prescribed Simbrinza to you. It’s a prescription medication you take by dropping it into your eye. The medication contains two active ingredients that work together to lower the pressure inside your eyes.

Simbrinza active ingredients

Simbrinza contains two active ingredients: brinzolamide and brimonidine tartrate. They work together to decrease intraocular pressure by reducing how much aqueous humor is produced in your eyes. When you drop Simbrinza onto your eye, both of the active ingredients are absorbed through your cornea (the front of your eye), where they begin to work.

Brinzolamide belongs to a class of drugs called carbonic anhydrase inhibitors. It works by reducing how much of a certain kind of salt you have in your eye (called bicarbonate ions), which helps to reduce how much aqueous humor is produced in your eyes.

Brimonidine tartrate is a type of drug called an alpha-2 adrenergic receptor agonist. It attaches to the surface of cells in your eye at sites called alpha-2 adrenergic receptors. This turns the receptors on, making them start a process that reduces how much aqueous humor is produced.

Simbrinza side effects & Simbrinza drug interactions

The most common side effects caused by Simbrinza include:

  • Eye irritation
  • Eye redness
  • Blurred vision
  • A dry mouth
  • Changes in your sense of taste (dysgeusia)

Simbrinza can sometimes cause more serious side effects including severe allergic reactions to the medication, and/or a loss of corneal endothelium cells (a layer of cells in your cornea) that can be serious and can cause vision loss. However, these side effects are rarer.

As Simbrinza can interact with other medications, it is important to tell your prescribing doctor about all drugs you’re taking, particularly:

  • Any other medications or products you put into your eyes
  • Any medications that contain an oral carbonic anhydrase inhibitor, found in some diuretics (water pills), usually taken to treat high blood pressure, some epilepsy medications, and treatments for gastric and intestinal ulcers
  • Any other medications taken to reduce your blood pressure
  • Aspirin or other medications based on salicylic acid
  • Any tricyclic antidepressants
  • Any monoamine oxidase inhibitor (MAOI) antidepressants

Simbrinza warnings & precautions

Make sure you don’t touch the tip of the Simbrinza dropper bottle to your eye, eyelids, or any other surface, including your fingers, as this can contaminate it with bacteria. Using contaminated eye products can cause serious damage to the eye, which can result in a loss of vision.

You should not use Simbrinza whilst wearing contact lenses. Wait for 15 minutes after using Simbrinza until you put your contact lenses in. The medication should also not be given to children under two years of age.

Don’t take Simbrinza if you are allergic to the active ingredient brinzolamide and brimonidine tartrate or are allergic to any of the other ingredients in Simbrinza.

Talk to your doctor before taking Simbrinza if you:

  • Are taking any of the medications that could interact with Simbrinza
  • Have or have had any other eye problems
  • Are pregnant or are planning to become pregnant
  • Are breastfeeding or are planning to breastfeed

*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.