Trisenox Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Trisenox 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 Trisenox cost savings if eligible
If you are eligible for the Trisenox 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 Trisenox prescription for just $49 a month, regardless of the retail price of your medication.
Am I eligible for the Trisenox patient assistance program?
We will review your application to determine whether you are eligible for the Trisenox 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 Trisenox patient assistance program?
We make it as easy as possible to apply for the Trisenox patient assistance program. The first step is to complete our enrollment application. Tell us about any medications you are taking, including Trisenox. 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 Trisenox 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 Trisenox patient assistance program, and we will automatically request your Trisenox medication refills for up to 1 year.
Is NiceRx a Trisenox coupon provider?
We are a service provider that helps eligible individuals access the Trisenox patient assistance program. That means that we do not offer printable Trisenox manufacturer coupons, Trisenox discounts, or free Trisenox samples. We are not a Trisenox coupon provider or Trisenox discount card. Our service extends to assisting eligible individuals to access the medications they need through patient assistance programs.
Can NiceRx help me get Trisenox cheaper if I have insurance?
We may be able to help you to access Trisenox patient assistance in a variety of circumstances. This includes when your insurance company will not pay for your Trisenox 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 Trisenox cost without insurance?
Trisenox cost without insurance will vary depending on where you buy it. As a guide, Trisenox intravenous solution (2 mg/mL) usually costs $11,200 for 60 milliliters. With NiceRx you will pay a flat monthly fee of $49, regardless of the retail price of your medication.
How much does Trisenox cost with insurance?
The copay for Trisenox 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 Trisenox?
Trisenox is an FDA approved medication distributed by Teva Pharmaceuticals USA, Inc. Trisenox is indicated for induction of remission and consolidation in individuals with acute promyelocytic leukemia (APL) who are refractory to or have relapsed from, retinoid and anthracycline chemotherapy, and whose APL is characterized by the presence of the t(15;17) translocation or PML/RAR-alpha gene expression.
Individuals have experienced symptoms similar to retinoic-acid-acute promyelocytic leukemia or APL differentiation syndrome, which can be potentially fatal. If symptoms occur, take high-dose steroids and continue for at least three days until symptoms have stopped.
What doses of Trisenox are available?
Trisenox is available as an injectable solution, in the following doses:10 mg/10 ml in single-use ampules.
Before starting treatment carry out a 12-lead ECG, assess serum electrolytes and creatinine, correct any electrolyte abnormalities, and consider stopping any drugs known to prolong QT interval.
For induction therapy, administered intravenously at a dose of 0.15 mg/kg daily until bone marrow remission. Start consolidation treatment 3 to 6 weeks after completion of induction therapy. Administer intravenously at a dose of 0.15 mg/kg daily for 25 doses over a period of up to 5 weeks.
See the full prescribing information for the complete boxed warning and always speak with a healthcare professional for medical advice about any changes to your dose so they can monitor and evaluate your condition.
Trisenox active ingredients
Trisenox contains arsenic trioxide an anti-cancer (antineoplastic) chemotherapy drug, as the active ingredient.
Trisenox side effects
The most common side effect of arsenic trioxide in clinical trials include:
- Gastrointestinal (nausea, vomiting, diarrhea, and abdominal pain)
- Rash or itching
- Headaches and dizziness
In rare instances, Trisenox can cause more serious side effects. These can include:
- Symptoms of differentiation syndrome – fever, dizziness, cough, chest pain, trouble breathing, swelling, rapid weight gain, or decreased urination
- Signs of an infection such as unexplained fever, chills, or persistent sore throat
- QT interval prolongation and complete atrioventricular block leading to a torsade de pointes-type ventricular arrhythmia, which can be fatal
- Cardiac conduction abnormalities – maintain potassium, concentrations above 4 mEq/L, and magnesium concentrations above 1.8 mg/dL
- Carcinogenesis – monitor for the development of second primary malignancies
- Embryo-fetal toxicity – use effective contraception
Your doctor will assess the benefits of using Trisenox against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions to Trisenox to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Trisenox drug interactions
Trisenox can interact with other medications. These include:
- Drugs that cause QT prolongation or QTc prolongation
- Drugs that canpotentially lead to electrolyte abnormalities
- Drugs that lower blood minerals such as amphotericin B
This list is not exhaustive and other prescription drugs may interact with Trisenox.
You should not use Trisenox if you:
- Are allergic to the active ingredient arsenic trioxide
- Are allergic to any of the other ingredients in Trisenox
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
Talk to your doctor before using Trisenox if you:
- Are taking any of the medications that could interact with Trisenox
- Have renal impairment
- Have hepatic impairment – monitor individuals with severe hepatic impairment for toxicity during treatment
- Have heart problems, or an irregular heartbeat
- Have long QT syndrome
- Have an electrolyte imbalance such as low levels of potassium or magnesium in your blood
Trisenox is the trademark brand name for arsenic trioxide distributed by Teva Pharmaceuticals USA, Inc. A generic version of arsenic trioxide is available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Trisenox 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.