Vivonex RTF Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Vivonex RTF 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 Vivonex RTF cost savings if eligible
If you are eligible to receive your Vivonex RTF 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 RTF patient assistance?
To be eligible for the Vivonex RTF patient assistance program, you will need to meet specific eligibility criteria set by the pharmaceutical company. At NiceRx, we review each Vivonex RTF 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 RTF patient assistance program?
Applying for the Vivonex RTF 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 RTF, so please tell us about any medications that you have been prescribed.
If we determine that you may be eligible for Vivonex RTF 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 RTF patient assistance program, we will also request your Vivonex RTF 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 RTF coupon provider?
NiceRx does not provide Vivonex RTF coupons, discount cards or copay cards. We do not offer printable Vivonex RTF manufacturer coupons, Vivonex RTF discounts, rebates, Vivonex RTF 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 RTF medication with NiceRx.
Can NiceRx help me get Vivonex RTF cheaper if I have insurance?
NiceRx may be able to help you access Vivonex RTF patient assistance if:
- You have a high copay or coinsurance responsibility for Vivonex RTF
- Your insurance company will not pay for your Vivonex RTF prescription
- You do not have insurance
Complete your enrollment application online to find out more.
How much does Vivonex RTF cost without insurance?
Vivonex RTF prices without insurance will vary by retailer. As a guide, 24 Vivonex RTF cartons, 250 mL will typically cost around $185.
How much does Vivonex RTF cost with insurance?
Your individual healthcare plan will determine the copay of Vivonex RTF 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 RTF?
Vivonex RTF is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Nestle. It is an unflavored ready-to-feed elemental diet and a 100% free amino acid formula for patients with severely compromised GI function. There are only 10% calories from fat to support tolerance and reduce pancreatic stimulation, and it is useful in stressed, catabolic patients.
Vivonex RTF requires minimal digestive functionality for assimilation while providing benefits associated with continued use of the GI tract. It can be used as a tube feeding formula or oral supplementation.
Vivonex RTF is a lactose-free, gluten-free, low-residue, kosher nutritional support for patients with:
- Severe protein, fat malabsorption
- Transitional feeding
- Extensive bowel resection
- Malabsorption syndrome
- Select trauma/surgery
- Early postoperative feeding
- Intestinal failure
- Trophic feeding
- TPN alternative
- Dual feeding with TPN
Vivonex RTF is not for individuals with galactosemia.
What doses of Vivonex RTF are available?
Vivonex RTF is available in an unflavored liquid form, in the following doses: 1.0 kcal/mL contains protein 20%, carbohydrate 70%, and fat 10%.
Always speak with your healthcare provider about any changes to your dose so they can monitor and evaluate your condition.
Vivonex RTF ingredients
Water, Maltodextrin and less than 2% of Modified Cornstarch, L-Lysine Acetate, L-Leucine, Soybean Oil, L-Arginine, L-Glutamic Acid, Medium Chain Triglycerides (from Coconut and/or Palm Kernel Oil), Calcium Glycerophosphate, L-Threonine, L-Phenylalanine, L-Valine, L-Isoleucine, L-Proline, L-Histidine Hydrochloride, L-Methionine, Glycine, L-Tryptophan, Carrageenan, Dextrose, Potassium Citrate, Magnesium Sulfate, Sodium Citrate, L-Aspartic Acid, Citric Acid, L-Serine, Choline Bitartate, L-Alanine, Sodium Hexametaphosphate, Ascorbic Acid, Salt, Potassium Chloride, L-Tyrosine, Taurine, L-Carnitine, L-Cystine, Alpha-Tocopheryl Acetate, Ferric Orthophosphate, Zinc Sulfate, Niacinamide, Vitamin A Palmitate, Calcium Pantothenate, Copper Gluconate, Manganese Sulfate, Pyridoxine Hydrochloride, Vitamin D3, Thiamine Hydrochloride, Riboflavin, Folic Acid, Chromium Chloride, Biotin, Potassium Iodide, Sodium Molybdate, Sodium Selenite, Phytonadione, Vitamin B12.
Vivonex RTF side effects
Your doctor will assess the benefits of using Vivonex RTF 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 RTF drug interactions
Other drugs may interact with Vivonex RTF, including prescription drugs and over-the-counter medicines, vitamins, and herbal products. Tell your health care provider about all of your medicines including any supplements you are taking.
Vivonex RTF contraindications
You should not use Vivonex RTF if you:
- Are allergic to the active ingredients in Vivonex RTF
- Are allergic to any of the other ingredients in Vivonex RTF
Talk to your doctor before using Vivonex RTF if you:
- Are taking any of the medications that could interact with Vivonex RTF
Vivonex RTF generic
Vivonex RTF is manufactured by Nestlé Health Science. A generic version of Vivonex RTF is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Peptamen AF 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.