Uplizna Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Uplizna medication with our help.Get Started Now
Secure: Your personal and medical information is safe with us
Convenient: Your medication is delivered straight to your door
Ongoing refills: Your medication is refilled automatically
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 Uplizna cost savings if eligible
If you are eligible for the Uplizna patient assistance program you can receive your medication for free. Our monthly service fee of $49 per medication covers the cost of our services in applying for the program and requesting your ongoing refills on your behalf. If you obtain your Uplizna through NiceRx, you will only pay $49 a month regardless of the retail price of your medication.
Am I eligible for the Uplizna patient assistance program?
You could receive your Uplizna without paying the full retail price if you meet the eligibility criteria for assistance. The eligibility requirements are set by the pharmaceutical companies that are providing assistance programs. At NiceRx, we review each application individually, although the main 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 Uplizna patient assistance?
We do everything that we can to take the hassle and stress out of applying for patient assistance programs. Simply start by filling in our enrollment application. We will ask for details about your healthcare provider, your insurance, and your household income. This information is required by the pharmaceutical companies you are applying to for assistance. We may also be able to help you access patient assistance for other medications that you have been prescribed, so be sure to tell us about any medications you are taking as well as Uplizna.
NiceRx will review the information you have provided, and if we determine that you may be eligible for assistance, we will seek to enroll you in the Uplizna patient assistance program. We will handle the enrollment process for you by working with your healthcare provider and preparing all the required paperwork for your doctor to sign. We will also request your Uplizna medication refills on your behalf for up to 1 year once you are enrolled in the program.
Is NiceRx a Uplizna coupon provider?
At NiceRx, we help eligible individuals access the Uplizna patient assistance program. This means that we are not a Uplizna coupon, a Uplizna discount card, or a Uplizna copay card provider. We do not offer any medication trial offers or free Uplizna samples.
Can NiceRx help me get Uplizna cheaper if I have insurance?
We may be able to help you if you have insurance, including if your insurance company will not pay for your Uplizna medication, or if you have a high copay or coinsurance responsibility. We may even be able to assist if you do not have insurance. Please fill in our enrollment application to find out more.
How much does Uplizna cost without insurance?
Uplizna costs without insurance will vary depending on how much you buy and the retailer you buy it from. As a guide, Uplizna intravenous solution (100 mg/10 mL) will typically cost around $138,000 for 30 milliliters. If you obtain your medication through NiceRx, you will pay a flat monthly rate of $49 per medication regardless of its retail price.
How much does Uplizna cost with insurance?
The copay of Uplizna will vary in line with the specific terms of your healthcare plan. For further details about what you may need to pay, your insurance provider or pharmacist will be able to calculate the copay costs with your current insurance.
What is Uplizna?
Uplizna is an FDA (U.S. Food and Drug Administration) approved medication, developed by Viela Bio, but later acquired by Horizon Therapeutics. Uplizna is a CD19-directed cytolytic antibody used for the treatment of neuromyelitis optica spectrum disorder (NMOSD) in adults who are anti-aquaporin-4 (AQP4) antibody positive. NMOSD is a rare autoimmune disease of the central nervous system that mainly affects the optic nerves and spinal cord.
What doses of Uplizna are available?
Uplizna is available as an injection, in the following doses: 100 mg/10 mL (10 mg/mL).
Determine if there is an active infection before each infusion. Hepatitis B virus, (HBV) quantitative serum immunoglobulins, and tuberculosis screening are required before the first dose. Premedicate with a corticosteroid, an antihistamine, and an antipyretic. The recommended initial dose is a 300 mg intravenous infusion followed 2 weeks later by a second 300 mg intravenous infusion.
Please read the prescribing information and always speak with a healthcare professional about any changes to your dose so they can monitor and evaluate your condition.
Uplizna active ingredients
Uplizna contains inebilizumab-cdon, a monoclonal antibody, as the active ingredient.
Uplizna side effects
The most common side effects of Uplizna in clinical trials compared to placebo include:
- Urinary tract infection
- Arthralgia (joint pain)
- Back pain
In rare instances, Uplizna can cause more serious side effects. These can include:
- Infusion reactions
- Recurrent infections
- May cause fetal harm – females of reproductive potential are advised to use an effective method of contraception during treatment and for 6 months after
- Progressive Multifocal Leukoencephalopathy (PML)
Your doctor will assess the benefits of using Uplizna against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Uplizna to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Uplizna drug interactions
Uplizna can interact with other medications. These include:
- Concomitant use with immunosuppressant drugs, such as systemic corticosteroids, may increase the risk of infection
- Vaccination with live-attenuated or live vaccines is not advised during or following treatment, until B-cell repletion
This list is not exhaustive and other prescription drugs may interact with Uplizna.
You should not use Uplizna if you:
- Are allergic to the active ingredient inebilizumab-cdon
- Are allergic to any of the other ingredients in Uplizna
- Have an active hepatitis B infection
- Have active or untreated latent tuberculosis
- Are pregnant or are planning to become pregnant
Talk to your doctor before using Uplizna if you:
- Are taking any of the medications that could interact with Uplizna
- Have an infection
- Have taken, or plan to take medicines that affect your immune system
- Are a carrier of the hepatitis B virus
- Are breastfeeding or are planning to breastfeed
Uplizna is the trademark brand name for inebilizumab-cdon manufactured by Horizon Therapeutics. A generic version of inebilizumab-cdon is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Uplizna 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 the different programs and filling out all the required paperwork for each program. Subject to medication availability.
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.