Xiidra Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Xiidra medication with our help.Get Started Now
Secure: Your personal and medical information is safe with us
Convenient: Your medication is delivered straight to your door
Ongoing refills: Your medication is refilled automatically
NiceRx works with your healthcare provider to help you access affordable medications directly from U.S. pharmaceutical companies.
How it works
Get started by filling out the online enrollment application to find out if you are eligible for assistance.
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.
We will request documents to be submitted by you and your healthcare provider that are required by the pharmaceutical company to complete your enrollment.
Once approved, the pharmaceutical company typically ships a 90-day supply of medication to your home or healthcare provider’s address.
Your monthly Xiidra cost savings if eligible
The Xiidra patient assistance program can provide your medication for free. We simply charge $49 per month for each medication to cover the cost of our services. With NiceRx, you will only pay $49 to obtain your Xiidra, regardless of the retail price.
|Strength||Avg. monthly price at
a US pharmacy
|5% 60 droperettes||$560.00||$49.00||$511.00|
Am I eligible for the Xiidra patient assistance program?
To find out if you are eligible for Xiidra 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 Xiidra patient assistance program?
Our application process aims to make it as easy as possible to apply for the Xiidra patient assistance program. The first step is to complete our online enrollment application<. We will 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 Xiidra.
NiceRx will review your application and determine whether you may be eligible for Xiidra assistance. If so, we will 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 Xiidra patient assistance program, we will help you manage your prescription refills by requesting refills on your behalf throughout your enrollment period. At the end of your enrollment period we will contact you for updated information and seek to re-enroll you so you can continue to access affordable Xiidra.
Is NiceRx a Xiidra coupon provider?
NiceRx is a service provider that helps eligible individuals access the Xiidra patient assistance program. We do not offer trial offers or free Xiidra samples. When obtaining your medication through NiceRx, you will only pay $49 a month per medication. This will likely save you more money than if you were to use Xiidra coupons, discount cards, or Xiidra copay cards.
Can NiceRx help me get Xiidra cheaper if I have insurance?
NiceRx may be able to help you if your insurance company will not pay for your Xiidra 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 does Xiidra cost without insurance?
Xiidra prices without insurance will vary depending on how much you buy. Prices will also vary by retailer. As a guide, Xiidra ophthalmic solution 5% typically costs $590 for 60 mL.
How much does Xiidra cost with insurance?
The copay for Xiidra will vary by the terms of your healthcare plan. To find out what you might need to pay for Xiidra with insurance, your insurance provider or pharmacist will be able to help you calculate the copay costs with your current insurance.
What is Xiidra?
Xiidra is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Novartis. Xiidra (lifitegrast ophthalmic solution) 5% is a lymphocyte function-associated antigen-1 (LFA-1) antagonist used to treat the signs and symptoms of dry eye disease (DED). Xiidra reduces the symptoms of eye dryness and may provide lasting symptom relief.
What doses of Xiidra are available?
Xiidra is available as an ophthalmic solution, in the following doses: 5% (50 mg/mL).
Instill one eye drop twice daily in each eye, 12 hours apart. Do not use Xiidra eye drops while wearing contact lenses. Wait at least 15 minutes after using the eye drops before putting in your contact lenses.
Please read the prescribing information and patient information and always speak with a healthcare professional for medical advice about any changes to your dose so they can monitor and evaluate your condition.
Xiidra active ingredients
Xiidra contains lifitegrast as the active ingredient.
Xiidra side effects
The most common side effects of Xiidra in clinical trials compared to placebo include:
- Eye irritation, eye discomfort, blurred vision
Your doctor will assess the benefits of using Xiidra against your risk of adverse effects. Patients are encouraged to report negative side effects or adverse reactions of Xiidra to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Xiidra drug interactions
Other drugs may interact with Xiidra, including prescription drugs and over-the-counter medicines, vitamins, and herbal products. Tell your health care provider about all of your medications including any supplements you are taking.
You should not use Xiidra if you:
- Have known hypersensitivity to the active ingredient lifitegrast
- Have had an allergic reaction to any of the other ingredients in Xiidra
Talk to your doctor before using Xiidra if you:
- Are taking any of the medications that could interact with Xiidra
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed – It is not known whether lifitegrast ophthalmic passes into breast milk
Xiidra is the trademark brand name for lifitegrast manufactured by Novartis. A generic version of lifitegrast is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Xiidra 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 the different programs and filling out all the required paperwork for each program. Subject to medication availability.
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.