Verkazia Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Verkazia 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 Verkazia cost savings if eligible
If you are eligible for the Verkazia 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 Verkazia prescription for just $49 a month, regardless of the retail price of your medication.
Am I eligible for the Verkazia patient assistance program?
We will review your application to determine whether you are eligible for the Verkazia 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 Verkazia patient assistance program?
We make it as easy as possible to apply for the Verkazia patient assistance program. The first step is to complete our enrollment application. Tell us about any medications you are taking, including Verkazia. 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 Verkazia 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 Verkazia patient assistance program, and we will automatically request your Verkazia medication refills for up to 1 year.
Is NiceRx a Verkazia coupon provider?
We are a service provider that helps eligible individuals access the Verkazia patient assistance program. That means that we do not offer printable Verkazia manufacturer coupons, Verkazia discounts, or free Verkazia samples. We are not a Verkazia coupon provider or Verkazia discount card. Our service extends to assisting eligible individuals to access the medications they need through patient assistance programs.
Can NiceRx help me get Verkazia cheaper if I have insurance?
We may be able to help you to access Verkazia patient assistance in a variety of circumstances. This includes when your insurance company will not pay for your Verkazia 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 Verkazia cost without insurance?
Verkazia cost without insurance will vary depending on where you buy it. As a guide, Verkazia ophthalmic emulsion 0.1% usually costs $1,550 for 120 emulsions. With NiceRx you will pay a flat monthly fee of $49, regardless of the retail price of your medication.
How much does Verkazia cost with insurance?
The copay for Verkazia 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 Verkazia?
Verkazia is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Santen Inc. Verkazia eye drops are a topical cationic emulsion immunomodulator with FDA approval for the treatment of vernal keratoconjunctivitis (VKC) in children and adults.
VKC is a rare and recurrent allergic eye condition that mainly affects children and adolescents. Unlike seasonal ocular conjunctivitis, VKC causes severe inflammation of the surface of the eye that may lead to vision loss. Verkazia has been shown to improve inflammation of the cornea (keratitis score) and ocular itching.
What doses of Verkazia are available?
Verkazia is available as an ophthalmic emulsion, in the following doses: 0.1% (1 mg/mL).
Verkazia treatment must be initiated by an ophthalmologist or a healthcare provider qualified in ophthalmology. Instill one drop of Verkazia, 4 times daily in each affected eye. Remove contact lenses before applying Verkazia and reinsert 15 minutes after instillation.
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.
Verkazia active ingredients
Verkazia contains cyclosporine, a calcineurin inhibitor immunosuppressant, as the active ingredient.
Verkazia side effects
The most common adverse reactions of Verkazia in clinical trials include:
- Eye pain
- Eye pruritus
Your doctor will assess the benefits of using Verkazia against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Verkazia to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Verkazia drug interactions
Other drugs may interact with Verkazia, including prescription drugs and over-the-counter medicines, vitamins, and herbal products. Tell your health care provider about all of your medication including any supplements you are taking.
You should not use Verkazia if you:
- Are allergic to the active ingredient cyclosporine ophthalmic emulsion
- Are allergic to any of the other ingredients in Verkazia
- Are pregnant or are planning to become pregnant
Talk to your doctor before using Verkazia if you:
- Are taking any of the medications that could interact with Verkazia
- Are breastfeeding or are planning to breastfeed
Verkazia is the trademark brand name for cyclosporine ophthalmic emulsion manufactured by Santen Inc. A generic version of cyclosporine ophthalmic emulsion is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Verkazia 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.