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Xalkori Patient assistance program

Is your Xalkori 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 Xalkori 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
  • 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.

  • 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.

Your monthly Xalkori cost savings if eligible

With our assistance, you could access the Xalkori patient assistance program and obtain your medication for free. We only charge a flat monthly fee of $49 per medication for our services.

Am I eligible for Xalkori patient assistance?

We review each Xalkori enrollment application individually to determine if you are eligible. Each assistance program has its own eligibility criteria and 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 Xalkori patient assistance program?

Our process makes it as easy as possible to apply for the Xalkori patient assistance program. Begin by completing the enrollment application form on our website. Tell us about any medications that you are taking, including Xalkori. You must also provide details about your healthcare provider, your insurance plan, and your household income. This is required by the pharmaceutical manufacturers who will supply the medication, so it is important to make sure this information is accurate and up to date.

We will review the information that you have provided to determine whether you are eligible for patient assistance. If we can pre-qualify you for assistance, NiceRx will handle the full enrollment process on your behalf. If you are approved by the pharmaceutical company, you will typically start receiving your medication in 6 – 8 weeks.

Is NiceRx a Xalkori coupons provider?

NiceRx is not a Xalkori coupon, Xalkori discount card, or Xalkori copay card provider. We do not offer Xalkori manufacturer coupons, Xalkori discounts, rebates, Xalkori savings cards, trial offers, or free Xalkori samples. We are a service provider that helps eligible individuals access the Xalkori patient assistance program.

Can NiceRx help me get Xalkori if I have insurance?

NiceRx may be able to help you get Xalkori if:

  • You have a high copay or coinsurance responsibility for Xalkori
  • Your insurance company will not pay for your Xalkori prescription
  • Your healthcare plan does not cover Xalkori medication
  • You do not have insurance

Please apply online to find out if we can help you.

How much is Xalkori with insurance?

The cost of Xalkori with insurance will depend on the terms of your healthcare plan. Your healthcare provider or pharmacist will be able to calculate your copay with your current insurance. Contact them to find out more.

How much does Xalkori cost without Insurance?

Xalkori prices without insurance will vary depending on how much you buy. Prices will also vary by retailer. As a guide, the cost for Xalkori oral capsule 200 mg is around $19,000 for a supply of 60 capsules.

What is Xalkori?

Xalkori  contains the prescription medicine

Crizotinib is used to treat non-small cell lung cancer that has spread to other parts of the body. Xalkori (crizotinib) is a cancer medication that interferes with the growth and spread of cancer cells in the body.

Xalkori active ingredients

Before you start treatment, your doctor may perform tests to make sure Xalkori is the best treatment for your type of lung cancer.

Xalkori is usually taken twice per day, with or without food.

Swallow the capsule whole and do not crush, chew, break, or open it.

You may need frequent medical tests to be sure this medicine is not causing harmful effects. Your cancer treatments may be delayed based on the results.

Xalkori  side effects

The most common side effects caused by Xalkori include:

  • nausea, vomiting, decreased appetite;
  • diarrhea, constipation;
  • abnormal liver function tests;
  • swelling in your hands, feet, or eyes;
  • numbness or tingling in your hands or feet;
  • muscle weakness, trouble walking;
  • cold symptoms such as stuffy nose, sneezing, sore throat;
  • dizziness, tiredness; or
  • vision problems.

In rare instances, Xalkori can cause more serious side effects. These can include:

  • increased sensitivity of your eyes to light, seeing flashes of light or “floaters”;
  • blurred vision, double vision, or vision loss;
  • fast or pounding heartbeats, fluttering in your chest, shortness of breath, and sudden dizziness (like you might pass out);
  • very slow heartbeats;
  • a light-headed feeling, like you might pass out;
  • sudden chest pain or discomfort, wheezing, dry cough or cough with mucus, feeling short of breath;
  • fever, swollen gums, painful mouth sores, pain when swallowing, cold or flu symptoms;
  • easy bruising or bleeding

Your doctor will assess the benefits of using Xalkori against your risk of side effects.

Xalkori drug interactions

Xalkori can interact with other medications. These include:

This list is not exhaustive and other drugs may interact with Xalkori.

Xalkori  warning and precautions

You should not use Xalkori if you:
⦁ Are allergic to the active ingredient crizotinib
⦁ Are allergic to any of the other ingredients in Xalkori
⦁ Are pregnant or are planning to become pregnant

Talk to your doctor before using Xalkori if you:
⦁ Are taking any of the medications that could interact with Xalkori
⦁ 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.