Tavalisse Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Tavalisse 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 Tavalisse cost savings if eligible
If you are eligible for the Tavalisse 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 Tavalisse prescription for just $49 a month, regardless of the retail price of your medication.
Am I eligible for the Tavalisse patient assistance program?
We will review your application to determine whether you are eligible for the Tavalisse patient assistance program. Each program has its own eligibility criteria which are 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 Tavalisse patient assistance program?
We make it as easy as possible to apply for the Tavalisse patient assistance program. The first step is to complete our enrollment application. Tell us about any medications you are taking, including Tavalisse. 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 Tavalisse 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 Tavalisse patient assistance program, and we will automatically request your Tavalisse medication refills for up to 1 year.
Is NiceRx a Tavalisse coupons provider?
We are a service provider that helps eligible individuals access the Tavalisse patient.
assistance program. That means that we do not offer printable Tavalisse manufacturer coupons, Tavalisse discounts, or free Tavalisse samples. We are not a Tavalisse coupon provider or Tavalisse discount card. Our service extends to assisting eligible individuals to access the medications they need through patient assistance programs.
Can NiceRx help me get Tavalisse if I have insurance?
We may be able to help you to access Tavalisse patient assistance in a variety of circumstances. This includes when your insurance company will not pay for your Tavalisse 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 Tavalisse cost without insurance?
Tavalisse cost without insurance will vary depending on where you buy it. As a guide, Tavalisse oral tablets 100 mg usually cost $13,000 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 Tavalisse cost with insurance?
The copay for Tavalisse 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 Tavalisse?
Tavalisse is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Rigel Pharmaceuticals, Inc. It is a kinase inhibitor used for the treatment of thrombocytopenia in adult patients with chronic immune thrombocytopenia (chronic ITP) who have had an insufficient response to a previous treatment.
What doses of Tavalisse are available?
Tavalisse is available in tablet form, in the following doses: 100 mg, 150 mg.
Start Tavalisse dose at 100 mg orally twice daily with or without food. Increase to 150 mg twice daily, after 4 weeks if needed, to achieve a platelet count of at least 50 x 109 /L as necessary to reduce the risk of bleeding. Manage adverse reactions using reduction of dose, interruption of treatment, or stopping treatment. Discontinue Tavalisse after 12 weeks if the platelet count does not increase to a level sufficient to avoid clinically important bleeding.
See the full prescribing information. Always speak with your healthcare provider about any changes to your dose so they can monitor and evaluate your condition.
Tavalisse active ingredients
Tavalisse contains the active ingredient fostamatinib disodium hexahydrate. Fostamatinib is a tyrosine kinase inhibitor shown to work against spleen tyrosine kinase (SYK). The major metabolite of fostamatinib, R406, prevents signal transduction of Fc-activating receptors and B-cell receptors. The fostamatinib metabolite R406 reduces antibody-mediated destruction of platelets.
Tavalisse side effects
The most common side effects of Tavalisse in clinical trials include:
- Diarrhea, nausea, abdominal pain
- Respiratory infection, chest pain
- Increased ALT/AST
In rare instances, Tavalisse can cause more serious side effects. These can include:
- Hypertension – monitor blood pressure every 2 weeks until stable
- Hepatotoxicity -monitor with liver function tests
- Diarrhea – if diarrhea becomes severe, interrupt, reduce or stop treatment
- Neutropenia (decreased white blood cell count)
Your healthcare professional will assess the benefits of using Tavalisse against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Tavalisse to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Tavalisse drug interactions
Tavalisse can interact with other medications. These include:
- Strong CYP3A4 Inhibitors
- Strong CYP3A4 Inducers
- BCRP substrate drugs – rosuvastatin
- P-Glycoprotein (P-gp) substrates – digoxin
This list is not exhaustive and other prescription drugs may interact with Tavalisse.
You should not use Tavalisse if you:
- Are allergic to the active ingredient fostamatinib
- Are allergic to any of the other ingredients in Tavalisse
- Are pregnant or are planning to become pregnant – Embryo-fetal toxicity. Tavalisse can cause fetal harm and should not be used in pregnant women. Females of reproductive potential to use effective contraception during treatment and for at least 1 month after the last dose
- Are breastfeeding or are planning to breastfeed
- Are younger than 18 years old
Talk to your doctor before using Tavalisse if you:
- Are taking any of the medications that could interact with Tavalisse
- Have high blood pressure
- Have liver problems
Tavalisse is the trademark brand name for fostamatinib manufactured by Rigel Pharmaceuticals, Inc. A generic version of fostamatinib is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Tavalisse 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.