Vyzulta Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Vyzulta medication.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.
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 Vyzulta cost savings if eligible
The Vyzulta patient assistance program can provide your medication for free. We simply charge $49 a month per medication to cover the cost of our services. With NiceRx, you’ll only pay $49 to obtain your Vyzulta, regardless of the retail price.
|Strength||Avg. monthly price at
a US pharmacy
|0.024% 2.5ml - 1 eye dropper||$230.00||$49.00||$181.00|
Am I eligible for the Vyzulta patient assistance program?
To find out if you are eligible for Vyzulta assistance you can apply online using our enrollment application. Each pharmaceutical company sets its eligibility criteria and we will review your application individually to determine if you may be eligible. The three main factors to consider 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 Vyzulta patient assistance program?
Our application process aims to make it as easy as possible to apply for the Vyzulta patient assistance program. The first step is to complete our online enrollment application. We’ll ask you for details about your healthcare provider, your insurance plan, and your household income as this information is required by the pharmaceutical companies. We may be able to help you apply for other patient assistance programs too, so be sure to tell us about any medications you are taking as well as Vyzulta.
NiceRx will review your application and determine whether you may be eligible for Vyzulta assistance. If so, we’ll handle the full enrollment process for you and prepare all required documents for your healthcare provider to sign. Once you are successfully enrolled in the Vyzulta patient assistance program, we’ll help you manage your prescription refills by requesting refills on your behalf throughout your enrollment period. At the end of your enrollment period we’ll contact you for updated information and seek to re-enroll you so you can continue to access affordable Vyzulta.
Is NiceRx a Vyzulta coupons provider?
NiceRx is a service provider that helps eligible individuals access the Vyzulta patient assistance program. We do not offer trial offers or free Vyzulta samples. When obtaining your medication through NiceRx, you’ll only pay $49 a month per medication. This will likely save you more money than if you were to use Vyzulta coupons, discount cards, or Vyzulta copay cards.
Can NiceRx help me get Vyzulta if I have insurance?
NiceRx may be able to help you if your insurance company won’t pay for your Vyzulta medication. We may also be able to help if you have a high copay or coinsurance responsibility. Whether you have insurance or not, apply online using our enrollment application to find out more.
How much is Vyzulta with insurance?
The cost of Vyzulta will vary by the terms of your healthcare plan. To find out what you might need to pay for Vyzulta with insurance, your insurance provider or pharmacist will be able to help you calculate the copay costs with your current insurance.
How much does Vyzulta cost without insurance?
Vyzulta prices without insurance will vary depending on the size of the bottle you buy (2.5 ml or 5 ml), whilst prices will also vary by retailer. A 2.5 ml bottle of 0.024% Vyzulta solution will cost around $240. Please note this is just a guide price. Through NiceRx you’ll always pay a flat monthly fee of $49.
What is Vyzulta?
Vyzulta is a prescription eye-drop medication used to reduce high pressure in the eyes (intraocular pressure) caused by either ocular hypertension or open angle glaucoma. It is a prescription medication you take by dropping it into your eye using the bottle it comes in. It increases the amount of fluid that’s transported out of your eyes, reducing intraocular pressure.
Vyzulta active ingredients
The active ingredient in Vyzulta is called latanoprostene bunod. It’s a recently developed eye medication that reduces intraocular pressure by increasing the amount of fluid that drains out of your eyes.
When you drop Vyzulta onto your eye, latanoprostene bunod is absorbed through your cornea (the transparent front of your eye). It then attaches to the surface of particular cells in your eyes at sites called receptors. This stimulates the receptors, causing more fluid to drain out of your eyes through a series of ducts called the trabecular meshwork, and also around and between tissues at the sides of your eyes.
Vyzulta side effects & Vyzulta drug interactions
The most common side effects caused by Vyzulta include eye redness, eye irritation, eye pain, and pain that occurs immediately when you drop the medication into your eyes.
Sometimes, Vyzulta users may experience more serious side effects. These are rarer but can include:
- Severe allergic reactions to the medication
- A growth in the thickness and length of your eyelashes, and an increase in the number of eyelashes you have. This can vary by eye, making your eyes look different. This side effect usually reverses when you stop taking Vyzulta
- Pigmentation (a darkening in color) of your iris, eyelid, and eyelashes. This can be permanent, as it may not reverse after you stop taking Vyzulta
Your doctor will assess the benefits of taking Vyzulta against your risk of side effects.
When taken together, medications can sometimes interact with each other. To understand if any medication that you currently take could interact with Vyzulta, tell your prescribing doctor about all medications you’re taking, including vitamins and herbal and dietary supplements.
Vyzulta warnings & precautions
Make sure you don’t touch the tip of the Vyzulta dropper bottle to your eye, eyelids, or any other surface, including your fingers, as this can contaminate it with bacteria. Using contaminated eye products can cause serious damage to the eye and can result in a loss of vision.
Don’t use Vyzulta whilst wearing contact lenses. Wait for 15 minutes after using Vyzulta until you put your contact lenses in.
Don’t take Vyzulta if you:
- Are allergic to the active ingredient latanoprostene bunod, or any of the other ingredients in Vyzulta
- Have angle-closure, inflammatory or neovascular glaucoma – Vyzulta is for the treatment of elevated intraocular pressure caused by open angle glaucoma
- Are under 16 years of age
Talk to your doctor before taking Vyzulta if you:
- Have or have had any other eye problems
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
*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.