Zepzelca Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Zepzelca 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 Zepzelca cost savings if eligible
If you are eligible for the Zepzelca patient assistance program, the cost of your medication will be free. We only charge $49 per month for each medication, to cover our service fees. You could receive your Zepzelca prescription for just $49 a month, regardless of the retail price of your medication.
Am I eligible for the Zepzelca patient assistance program?
We will review your application to determine whether you are eligible for the Zepzelca patient assistance program. Each program has its own eligibility criteria which are set by the pharmaceutical companies, however, 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 Zepzelca patient assistance program?
We make it as easy as possible to apply for the Zepzelca patient assistance program. The first step is to complete our enrollment application. Tell us about any medications you are taking, including Zepzelca. We will also ask for details about your healthcare provider, insurance, and your household income. This information is required by the pharmaceutical manufacturers who ship your medication.
If we determine that you may be eligible for Zepzelca assistance, we will handle the application process for you. We will work directly with your healthcare provider to prepare your application documents. Once we have received the signed application and supporting documents, we will submit them to the patient assistance program on your behalf. Our service continues once you are enrolled in the Zepzelca patient assistance program, and we will automatically request your Zepzelca medication refills for up to 1 year.
Is NiceRx a Zepzelca coupons provider?
We are a service provider that helps eligible individuals access the Zepzelca patient assistance program. That means that we do not offer printable Zepzelca manufacturer coupons, Zepzelca discounts, or free Zepzelca samples. We are not a Zepzelca coupon provider or Zepzelca discount card. Our service extends to assisting eligible individuals to access the medications they need through patient assistance programs.
Can NiceRx help me get Zepzelca if I have insurance?
We may be able to help you to access Zepzelca patient assistance in a variety of circumstances. This includes when your insurance company will not pay for your Zepzelca medication or if you have a high copay or coinsurance responsibility. We may also be able to help you if you do not have insurance. Please apply online to find out more.
How much does Zepzelca cost without insurance?
Zepzelca’s cost without insurance will vary depending on where you buy it. As a guide, Zepzelca intravenous powder for injection 4 mg costs around $7,200 for 1 powder for injection. With NiceRx you will pay a flat monthly fee of $49, regardless of the retail price of your medication.
How much does Zepzelca cost with insurance?
The copay for Zepzelcawith insurance depends on the terms of your healthcare plan. To find out how much this is, your healthcare provider or pharmacist will be able to calculate your copay with your current insurance.
What is Zepzelca?
Zepzelca has FDA approval (U.S. Food and Drug Administration) and is a trademark of PharmaMar, S.A. used by Jazz Pharmaceuticals.
Zepzelca is an alkylating drug for the treatment of adult patients with metastatic small cell lung cancer (SCLC) with disease progression on or after platinum-based chemotherapy. This indication is approved under accelerated approval based on the overall response rate and duration of response.
What doses of Zepzelca are available?
Zepzelca is available in injection form, in the following doses: 4 mg lyophilized powder in a single-dose vial
Zepzelca is given by an intravenous infusion into a vein over 60 minutes. It is usually given every 21 days until disease progression or unacceptable toxicity. You may receive medicines to help prevent nausea and vomiting or to make it less severe.
Always speak with your healthcare provider about any changes to your dose so they can monitor and evaluate your condition. Please see the accompanying full Prescribing Information including Patient Information, and discuss with your doctor.
Zepzelca active ingredients
Zepelca contains lurbinectedin an alkylating drug.
Zepzelca side effects
The most common side effects of Zepzelca in clinical trials include:
- Leukopenia – low white blood cell count
- Anemia, neutropenia
- Increased creatinine, alanine aminotransferase, and glucose
- Nausea, vomiting, loss of appetite, diarrhea, constipation
- Musculoskeletal pain
- Decreased albumin
- Decreased sodium
- Decreased magnesiumIn rare instances, Zepzelca can cause more serious side effects. These can include:
- Myelosuppression – initiate treatment only if baseline neutrophil count is ≥ 1,500 cells/mm3 and platelet count is ≥ 100,000/mm3
Your doctor will assess the benefits of using Zepzelca against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Zepzelca to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Zepzelca drug interactions
Zepzelca can interact with other medications. These include:
- Strong or moderate CYP3A inhibitors
- Strong or moderate CYP3A inducers
This list is not exhaustive and other prescription drugs may interact with Zepzelca.
You should not use Zepzelca if you:
- Are allergic to the active ingredient lurbinectedin
- Are allergic to any of the other ingredients in Zepzelca
- Are pregnant or are planning to become pregnant – Zepzelca can harm your unborn baby. Females and males of reproductive potential should use an effective method of contraception
Talk to your doctor before using Zepzelca if you:
- Are taking any of the medications that could interact with Zepzelca
- Are breastfeeding or are planning to breastfeed – do not breastfeed during treatment, and for 2 weeks after your final dose
- Have liver or kidney problems
Zepzelca is the trademark brand name for lurbinectedin manufactured by Jazz Pharmaceuticals. A generic version of lurbinectedin is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Zepzelca 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.