Vizimpro Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Vizimpro 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 Vizimpro cost savings if eligible
If you are eligible for the Vizimpro patient assistance program you can receive your medication for free. Our monthly service fee of $49 per medication covers the cost of our services in applying for the program and requesting your ongoing refills on your behalf. If you obtain your Vizimpro through NiceRx, you will only pay $49 a month regardless of the retail price of your medication.
Am I eligible for the Vizimpro patient assistance program?
You could receive your Vizimpro without paying the full retail price if you meet the eligibility criteria for assistance. The eligibility requirements are set by the pharmaceutical companies that are providing assistance programs. At NiceRx, we review each application individually, although the main 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 Vizimpro patient assistance?
We do everything that we can to take the hassle and stress out of applying for patient assistance programs. Simply start by filling in our enrollment application. We will ask for details about your healthcare provider, your insurance, and your household income. This information is required by the pharmaceutical companies you are applying to for assistance. We may also be able to help you access patient assistance for other medications that you have been prescribed, so be sure to tell us about any medications you are taking as well as Vizimpro.
NiceRx will review the information you have provided, and if we determine that you may be eligible for assistance, we will seek to enroll you in the Vizimpro patient assistance program. We will handle the enrollment process for you by working with your healthcare provider and preparing all the required paperwork for your doctor to sign. We will also request your Vizimpro medication refills on your behalf for up to 1 year once you are enrolled in the program.
Is NiceRx a Vizimpro coupon provider?
At NiceRx, we help eligible individuals access the Vizimpro patient assistance program. This means that we are not a Vizimpro coupon, a Vizimpro discount card, or a Vizimpro copay card provider. We do not offer any medication trial offers or free Vizimpro samples.
Can NiceRx help me get Vizimpro cheaper if I have insurance?
We may be able to help you if you have insurance, including if your insurance company will not pay for your Vizimpro medication, or you have a high copay or coinsurance responsibility. We may even be able to assist if you do not have insurance. Please fill in our enrollment application to find out more.
How much does Vizimpro cost without insurance?
Vizimpro costs without insurance will vary depending on how many you buy and the retailer you buy it from. As a guide, Vizimpro oral tablet 15 mg will typically cost around $15,200 for 30 tablets. If you obtain your medication through NiceRx, you will pay a flat monthly rate of $49 per medication regardless of its retail price.
How much does Vizimpro cost with insurance?
The copay of Vizimpro will vary in line with the specific terms of your healthcare plan. For further details about what you may need to pay, your insurance provider or pharmacist will be able to calculate the copay costs with your current insurance.
What is Vizimpro?
Vizimpro is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Pfizer Inc. It is classed as a tyrosine kinase inhibitor indicated for the first-line treatment of patients with metastatic NSCLC (non-small cell lung cancer) with epidermal growth factor receptor (EGFR) exon 19 deletion or exon 21 L858R substitution mutations as detected by an FDA-approved test.
What doses of Vizimpro are available?
Vizimpro is available in tablet form, in the following doses: 15 mg, 30 mg, and 45 mg.
Please see the full prescribing information and always speak with a healthcare professional about any changes to your dose so they can monitor and evaluate your condition.
Vizimpro active ingredients
Vizimpro contains dacomitinib as the active ingredient.
Vizimpro side effects
The most common side effects of Vizimpro in clinical trials (incidence >20%) include:
- Decreased appetite, decreased appetite
- Dry skin
- Alopecia (hair loss)
In rare instances, Vizimpro can cause more serious side effects. These can include:
- Interstitial lung disease (ILD)
- Diarrhea – withhold and reduce the dose of Vizimpro based on the severity
- Dermatologic adverse reactions – report any worsening skin reactions right away
- Embryo-fetal toxicity – can cause fetal harm in pregnant women. Females of reproductive potential are advised to use effective contraception
Your doctor will assess the benefits of using Vizimpro against your risk of side effects. Patients are encouraged to report negative side effects or adverse events of Vizimpro to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Vizimpro drug interactions
Vizimpro can interact with other medications. These include:
- Proton pump inhibitors – use locally-acting antacids or H2-receptor antagonist
- CYP2D6 substrates – avoid concomitant use with Vizimpro where minimal increases in the concentration of the CYP2D6 substrate may lead to serious or life-threatening toxicities
This list is not exhaustive and other prescription drugs may interact with Vizimpro.
You should not use Vizimpro if you:
- Are allergic to the active ingredient dacomitinib
- Are allergic to any of the other ingredients in Vizimpro
- Are pregnant or are planning to become pregnant – You should use effective contraception during treatment and for at least 17 days after your last dose
Talk to your doctor before using Vizimpro if you:
- Are taking any of the medications that could interact with Vizimpro
- Have renal impairment
- Are breastfeeding or are planning to breastfeed
Vizimpro is the trademark brand name for dacomitinib manufactured by Pfizer Inc. A generic version of dacomitinib is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Vizimpro 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.