Vistogard Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Vistogard 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 Vistogard cost savings if eligible
If you are eligible for the Vistogard 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 Vistogard prescription for just $49 a month, regardless of the retail price of your medication.
Am I eligible for the Vistogard patient assistance program?
We will review your application to determine whether you are eligible for the Vistogard 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 Vistogard patient assistance program?
We make it as easy as possible to apply for the Vistogard patient assistance program. The first step is to complete our enrollment application. Tell us about any medications you are taking, including Vistogard. 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 Vistogard 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 Vistogard patient assistance program, and we will automatically request your Vistogard medication refills for up to 1 year.
Is NiceRx a Vistogard coupon provider?
We are a service provider that helps eligible individuals access the Vistogard patient assistance program. That means that we do not offer printable Vistogard manufacturer coupons, Vistogard discounts, or free Vistogard samples. We are not a Vistogard coupon provider or Vistogard discount card. Our service extends to assisting eligible individuals to access the medications they need through patient assistance programs.
Can NiceRx help me get Vistogard cheaper if I have insurance?
We may be able to help you to access Vistogard patient assistance in a variety of circumstances. This includes when your insurance company will not pay for your Vistogard 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 Vistogard cost without insurance?
Vistogard cost without insurance will vary depending on where you buy it. As a guide, Vistogard oral granules 10 g usually cost $16,900 for 4 packets. With NiceRx you will pay a flat monthly fee of $49, regardless of the retail price of your medication.
How much does Vistogard cost with insurance?
The copay for Vistogard 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 Vistogard?
Vistogard is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Wellstat Therapeutics Corporation. Vistogard is a pyrimidine analog used for the emergency treatment of adult and pediatric patients after a fluorouracil or capecitabine overdose regardless of the presence of symptoms, or in patients who have early-onset, severe or life-threatening toxicity affecting the cardiac or central nervous system, and/or early-onset, abnormally severe adverse reactions (such as gastrointestinal toxicity and/or neutropenia) within 96 hours of ending treatment with fluorouracil or capecitabine administration.
Vistogard has certain limitations of use, including not being recommended for the non-emergent treatment of adverse reactions associated with 5-fluorouracil or capecitabine because it may reduce the efficacy of these drugs.
What doses of Vistogard are available?
Vistogard is available as oral granules, in the following doses: 10-gram packets.
The recommended dosage for adults is 10 grams orally every 6 hours for 20 doses, with or without meals. For pediatrics, the dose is 6.2 grams/m2 of body surface area, (but not to exceed 10 grams per dose) every 6 hours for 20 doses, with or without meals.
Measure the correct dose to 0.1 gram, or a graduated teaspoon accurate to ¼ teaspoon. Mix each dose with 3 to 4 ounces of soft foods such as applesauce, yogurt, or pudding, and consume within 30 minutes. Drink at least 4 ounces of water.
If you vomit within 2 hours of taking a dose of Vistogard, take another dose as soon as possible. Take the next dose at the regular scheduled time. If you miss a dose of Vistogard, take your next dose at the regular time. Take Vistogard via a nasogastric tube or gastrostomy tube if you have severe mucositis or coma.
Please read the prescribing information and always speak with your healthcare provider about any changes to your dose so they can monitor and evaluate your condition.
Vistogard active ingredients
Vistogard oral granules contain the active ingredient uridine triacetate which is an acetylated pro-drug of uridine.
Vistogard side effects
The most common side effects of Vistogard in clinical trials include:
Your caregiver will assess the benefits of using Vistogard against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Vistogard to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Vistogard drug interactions
Other drugs may interact with Vistogard, including prescription drugs and over-the-counter medicines, vitamins, and herbal products. Tell your caregiver about all of your medications including any supplements you are taking.
You should not use Vistogard if you:
- Are allergic to the active ingredient uridine triacetate
- Are allergic to any of the other ingredients in Vistogard
Talk to your doctor about your medical condition before using Vistogard if you:
- Are taking any of the medications that could interact with Vistogard
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
Vistogard is the trademark brand name for uridine triacetate manufactured by Wellstat Therapeutics Corporation. A generic version of uridine triacetate is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Vistogard 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.