Valtoco Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Valtoco 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.
How it works
Get started by filling out the online enrollment application to find out if you are eligible for assistance.
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.
We will request documents to be submitted by you and your healthcare provider that are required by the pharmaceutical company to complete your enrollment.
Once approved, the pharmaceutical company typically ships a 90-day supply of medication to your home or healthcare provider’s address.
Your monthly Valtoco cost savings if eligible
If you are eligible to receive your Valtoco prescription through the patient assistance program, your medication will be free. We charge a flat monthly service fee of $49 per medication to cover the cost of our services.
Am I eligible for Valtoco patient assistance?
To be eligible for the Valtoco patient assistance program, you will need to meet specific eligibility criteria set by the pharmaceutical company. At NiceRx, we review each Valtoco 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 Valtoco patient assistance program?
Applying for the Valtoco 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 Valtoco, so please tell us about any medications that you have been prescribed.
If we determine that you may be eligible for Valtoco 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 Valtoco patient assistance program, we will also request your Valtoco medication refills on your behalf 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 Valtoco coupons provider?
NiceRx does not provide Valtoco coupons, discount cards or copay cards. We do not offer printable Valtoco manufacturer coupons, Valtoco discounts, rebates, Valtoco 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 Valtoco medication with NiceRx.
Can NiceRx help me get Valtoco if I have insurance?
NiceRx may be able to help you access Valtoco patient assistance if:
- You have a high copay or coinsurance responsibility for Valtoco
- Your insurance company will not pay for your Valtoco prescription
- You do not have insurance
Complete your enrollment application online to find out more.
How much does Valtoco cost without insurance?
Valtoco prices without insurance will vary by retailer. As a guide, Valtoco nasal spray (5 mg/dose) will typically cost around $660 for 2 sprays.
How much does Valtoco cost with insurance?
Your individual healthcare plan will determine the copay of Valtoco 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.
What is Valtoco?
Valtoco is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Neurelis Inc. Valtoco is a benzodiazepine used for the acute treatment of intermittent, stereotypic episodes of frequent seizure activity (i.e., seizure clusters, acute repetitive seizures) that are distinct from a patient’s usual seizure pattern in patients with epilepsy 6 years of age and older.
What doses of Valtoco are available?
Valtoco is available as a nasal spray, in the following doses: 5 mg, 7.5 mg, or 10 mg of diazepam in 0.1 mL.
Valtoco is for intranasal use only. The dosage will depend on your age and weight. The first dose of Valtoco 5 mg and 10 mg doses are administered as a single spray intranasally into one nostril. Administration of 15 mg and 20 mg doses requires two nasal spray devices, one spray into each nostril.
A second dose may be administered at least 4 hours after the initial dose when required. Do not use more than 2 doses to treat a single episode, and do not use Valtoco to treat more than one episode every five days and no more than five episodes per month. You should limit dosages and durations to the minimum required. Do not stop using diazepam without speaking to your healthcare provider. You may have life-threatening withdrawal symptoms if you stop using the medicine suddenly.
Please see the full prescribing information and medication guide for the full drug information and instructions for use, and always speak with your caregiver for medical advice or about any changes to your dose so they can monitor and evaluate your condition.
Valtoco active ingredients
Valtoco contains diazepam, a Schedule IV controlled substance (CIV), as the active ingredient.
Valtoco side effects
The most common side effects of Valtoco in clinical trials include:
- Nasal discomfort
- Serious adverse reactions in infants due to benzyl alcohol preservative
In rare instances, Valtoco can cause more serious side effects. These can include:
- Central nervous system depression
- New or worsening suicidal thoughts
Your doctor will assess the benefits of using Valtoco against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Valtoco to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Valtoco drug interactions
Valtoco can interact with other medications. These include:
- CYP2C19 and CYP3A4 inhibitors
- Inducers of CYP2C19 and CYP3A4 inducers
- Opioid medicines
- Antiepileptic drugs increase the risk of suicidal ideation and behavior
This list is not exhaustive and other prescription drugs may interact with Valtoco. Tell your healthcare professional about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
You should not use Valtoco if you:
- Are allergic to the active ingredient diazepam nasal spray
- Are allergic to any of the other ingredients in Valtoco
- Have acute narrow-angle glaucoma
- Are pregnant or are planning to become pregnant – may harm an unborn baby
Talk to your doctor before using Valtoco if you:
- Are taking any of the medications that could interact with Valtoco
- Have glaucoma
- Have asthma, emphysema, bronchitis, chronic obstructive pulmonary disorder (COPD), or other breathing problems
- Have liver or kidney disease
- Have a drug or alcohol addiction
- Have depression, a mood disorder, or suicidal thoughts or behavior
- Are breastfeeding or are planning to breastfeed
Valtoco is the trademark brand name for diazepam nasal spray manufactured by Neurelis Inc. A generic version of diazepam nasal spray is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Valtoco 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.