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Vivonex Pediatric Patient assistance program

Is your Vivonex Pediatric medication too expensive? Start receiving your medication for only $49 per month.*

Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Vivonex Pediatric 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
  • 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

Play video (01:52)
  • 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

  • Apply Online

    Get started by filling out the online enrollment application to find out if you are eligible.

  • Qualification

    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.

  • Upload Documents

    You may be required to submit further information and documents required by the pharmaceutical company which can be securely uploaded online.

  • Application Created

    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.

  • Receive Medication

    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.

Medically reviewed by  Jamie Winn, PharmD

Your monthly Vivonex Pediatric cost savings if eligible

If you are eligible to receive your Vivonex Pediatric 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 Vivonex Pediatric patient assistance?

To be eligible for the Vivonex Pediatric patient assistance program, you will need to meet specific eligibility criteria set by the pharmaceutical company. At NiceRx, we review each Vivonex Pediatric 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 Vivonex Pediatric patient assistance program?

Applying for the Vivonex Pediatric 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 Vivonex Pediatric, so please tell us about any medications that you have been prescribed.

If we determine that you may be eligible for Vivonex Pediatric 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 Vivonex Pediatric patient assistance program, we will also request your Vivonex Pediatric 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 Vivonex Pediatric coupon provider?

NiceRx does not provide Vivonex Pediatric coupons, discount cards or copay cards. We do not offer printable Vivonex Pediatric manufacturer coupons, Vivonex Pediatric discounts, rebates, Vivonex Pediatric 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 Vivonex Pediatric medication with NiceRx.

Can NiceRx help me get Vivonex Pediatric cheaper if I have insurance?

NiceRx may be able to help you access Vivonex Pediatric patient assistance if:

  • You have a high copay or coinsurance responsibility for Vivonex Pediatric
  • Your insurance company will not pay for your Vivonex Pediatric prescription
  • You do not have insurance

Complete your enrollment application online to find out more.

How much does Vivonex Pediatric cost without insurance?

Vivonex Pediatric prices without insurance will vary by retailer. As a guide, Vivonex Pediatric will typically cost around $730 for a 2.50, 36 packet.

How much does Vivonex Pediatric cost with insurance?

Your individual healthcare plan will determine the copay of Vivonex Pediatric 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 Vivonex Pediatric?

Vivonex Pediatric is manufactured by Nestle Healthcare Nutrition. It is a 100% free amino acid formula for children ages 1-13 with severe problems with digestion and absorption. Vivonex pediatric is formulated with 70% of fat from MCT to reduce the potential for fat malabsorption & CalciLock and is a blend of essential nutrients to help support healthy bone development. It is recommended to be used under medical supervision. It is a low-residue formula suitable for gluten-free, and lactose-free diets. It is not suitable for IV use or for parental use but is recommended as a tube feeding or oral supplement.

What doses of Vivonex Pediatric are available?

Vivonex Pediatric is available in an unflavored powder form, in the following doses: 1.7 Oz, 48.5 g.

Always speak with your healthcare provider about any changes to your dose so they can monitor and evaluate your condition.

Vivonex Pediatric ingredients

Maltodextrin, Modified Corn Starch, Medium Chain Triglycerides, Soybean Oil, Calcium Glycerophosphate, and Less than 2% of Magnesium Gluconate, L-Glutamine, L-Lysine Acetate, L-Leucine, L-Arginine Acetate, Potassium Chloride, L-Valine, Citric Acid, L-Isoleucine, L-Aspartic Acid, L-Alanine, L-Phenylalanine, L-Serine, Sodium Citrate, L-Proline, L-Threonine, L-Tyrosine, Glutamic Acid, Potassium Citrate, L-Glycine, L-Histidine Hydrochloride, L-Methionine, Choline Bitartrate, L-Cystine L-Tryptophan, Sodium Phosphate, Ascorbic Acid, Inositol, Potassium Sorbate BHA, and BHT, and D-Alpha-Tocopherol (to Preserve Freshness), Taurine, L-Carnitine, Ferrous Sulfate, DL-Alpha Tocopheryl Acetate, Zinc Sulfate, Niacinamide, Calcium Pantothenate, Copper Gluconate, Manganese Sulfate, Pyridoxine Hydrochloride, Riboflavin, Thiamine Hydrochloride, Vitamin A Palmitate, Beta-Carotene, Folic Acid, Potassium Iodide, Sodium Molybdate, Biotin, Chromium Chloride, Sodium Selenite, Vitamin K1, Vitamin D3, Vitamin B12.

Vivonex Pediatric side effects

Your doctor will assess the benefits of using Vivonex Pediatric against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Vivonex RTF to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Vivonex Pediatric drug interactions

Other drugs may interact with Vivonex Pediatric, 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.

Vivonex Pediatric contraindications

You should not use Vivonex Pediatric if you:

  • Are allergic to the active ingredients in Vivonex Pediatric
  • Are allergic to any of the other ingredients in Vivonex Pediatric

Talk to your doctor before using Vivonex Pediatric if you:

  • Are taking any of the medications that could interact with Vivonex Pediatric

Vivonex Pediatric generic

Vivonex Pediatric is manufactured by Nestle Healthcare Nutrition. A generic version of Vivonex Pediatric is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Vivonex Pediatric 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.