Soliris Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Soliris 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
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.
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 Soliris cost savings if eligible
If you are eligible to receive your Soliris prescription through the patient assistance program your medication will be free. We charge a flat monthly price of $49 per medication to cover the cost of our services.
Am I eligible for the Soliris patient assistance?
To be eligible for the Soliris patient assistance program you will need to meet specific eligibility criteria set by the pharmaceutical company. At NiceRx we review each Soliris enrollment application individually. The main factors considered 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 Soliris patient assistance program?
Applying for the Soliris patient assistance program through NiceRx is simple. Begin by completing the enrollment application on our website. We will ask for details about your healthcare provider, your insurance plan, and your household income. This information is required by the pharmaceutical manufacturers that supply your medication. We may be able to help you access patient assistance for other medications as well as Soliris, so please tell us about any medications that you have been prescribed.
If we determine that you may be eligible for Soliris assistance we will handle the full enrollment process on your behalf. We will work with your healthcare provider to prepare and submit all the documents required for you to enroll. If you are successfully enrolled in the Soliris patient assistance program we will also automatically request your Soliris medication refills for up to 1 year. At the end of your enrollment period, we will contact you for updated details and seek to re-enroll you in the program.
Is NiceRx a Soliris coupons provider?
NiceRx does not provide Soliris coupons, discount cards, or copay cards. We do not offer printable Soliris manufacturer coupons, Soliris discounts, rebates, Soliris savings cards, trial offers or free samples. We are a service provider that helps eligible individuals access patient assistance programs. Our service cost is $49 a month per medication, so you will likely save more on your Soliris medication with NiceRx.
Can NiceRx help me get Soliris if I have insurance?
NiceRx may be able to help you access Soliris patient assistance if:
- You have a high copay or coinsurance responsibility for Soliris
- Your insurance company will not pay for your Soliris prescription
- You do not have insurance
Complete your enrollment application online to find out more.
How much is Soliris with insurance?
Your individual healthcare plan will determine the cost of Soliris with insurance. To find out what you will need to pay contact your Pharmacist or insurance provider. They will be able to calculate your copay with your current insurance.
How much is Soliris without insurance?
Soliris prices without insurance will vary by retailer. As a guide, Soliris intravenous solution (10 mg/mL) is around $6,820 for a supply of 30 milliliters,
What is Soliris?
Soliris (eculizumab) is a prescription medication used to treat genetic conditions that affect the natural defenses of red blood cells, including:
- Prevention of the breakdown of red blood cells in adults with parosyxmal nocturnal hemoglobinuria (PNH)
- Treat a rare chronic blood disease called atypical hemolytic uremic syndrome (aHUS) in adults and children who weigh at least 11 pounds (5 kilograms)
- Myasthenia gravis in adults
- Neuromyelitis Optica spectrum disorder (NMOSD) in adults
If you have a genetic condition that affects your red blood cells or have one of the conditions above, your doctor may have prescribed Soliris to you. It is a medication that binds to proteins in your body that can destroy your red blood cells.
Soliris is given to you as an infusion directly into a vein (intravenous infusion) by a doctor or other healthcare professional. The infusion can take at least 35 minutes to complete in adults or up to 4 hours in children. The doctor who prescribes your Soliris to you will decide on the dose of Soliris you need and how often you will need infusions based on your condition and your medical history.
Soliris is available only under a special program. You must be registered in the program and understand the risks and benefits of this medicine.
Soliris active ingredients
The active ingredient in Soliris is called eculizumab. It is a type of antibody that specifically binds to the complement protein C5. It stops c5 from being broken down to C5a and C5b thereby stopping the production of the terminal complement complex C5b-9. How Soliris works is not completely understood, but it is thought to involve the blocking of the terminal complement complex and its actions.
Soliris side effects
Side effects not requiring immediate medical attention include:
- Thinning hair/hair loss
- Lack or loss of strength
- Bone pain
- Arm or leg pain
- Difficulty moving
- Headache, dizziness
- Runny, stuffy nose, sinus pain
- Nausea, vomiting, diarrhea, constipation, difficult bowel movements
- Increased blood pressure, blurred vision, pounding in neck or ears, headache, nosebleed
Seek emergency medical help if you have an allergic reaction to Soliris:
- Chest pain
- Difficult breathing
- Feeling like you might pass out
- Swelling of your face, lips, tongue, or throat. These symptoms may occur during the injection
Seek emergency medical attention if you have symptoms of meningitis:
- Fever, headache, or skin rash
- Headache with nausea and vomiting
- Body aches, flu-like symptoms
- Increase in sensitivity to light
- Stiff neck or back
During or after your treatment with Soliris call your doctor at once if you have:
- Burning or pain when you urinate
- Kidney problems – little or no urination, painful or difficult urination, swollen ankles or feet, feeling tired or shortness of breath
- Signs of a blood cell disorder- pale skin, unusually tired, light-headedness, cold hands and feet, easily bruised, unusual bleeding, confusion, chest pain, difficulty breathing, seizures
- Signs of a blood clot – sudden numbness or weakness, speech or balance problems, rapid breathing, coughing up blood, pain or swelling in your arms or legs
Your doctor will assess the benefits of taking Soliris against your risk of side effects.
Soliris drug interactions
Soliris is known to interact with Asceniv (immune globulin intravenous)
Soliris warning and precautions
Your doctor may recommend certain vaccinations while you are using Soliris. You must be vaccinated against meningococcal infection at least 2 weeks before you start treatment with Soliris. You may still need a booster dose if you were vaccinated in the past.
You will need to be watched closely for at least 1 hour after each treatment to make sure you do not have an allergic reaction.
Do not stop receiving Soliris without first talking to your doctor. Stopping or interrupting your treatment could cause sudden and serious effects on your red blood cells.
Soliris can have long-lasting effects on your body (up to 3 months). You may need frequent medical tests for 8 to 12 weeks if you stop using this medicine for any reason. Make sure any doctor who treats you knows that you’ve used Soliris.
You should not take Soliris if you:
- Are allergic to eculizumab
- Are allergic to any of the other ingredients in Soliris
- You have bacterial meningitis
- Have not been vaccinated against meningitis
- Are pregnant or are planning to become pregnant
Talk to your doctor before taking Soliris if you:
- Are taking any of the medications that could interact with Soliris
- Have any kidney problems
- Have a weakened immune system
- Are breastfeeding or are planning to breastfeed
- Have a fever or any type of infection
- If a child is using this medicine or if the child has any changes in weight. Doses are based on the age and weight of the child
*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.