Zirgan Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Zirgan 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 Zirgan cost savings if eligible
The Zirgan 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 will only pay $49 to obtain your Zirgan, regardless of the retail price.
Am I eligible for the Zirgan patient assistance program?
To find out if you are eligible for Zirgan 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 Zirgan patient assistance program?
Our application process aims to make it as easy as possible to apply for the Zirgan 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 Zirgan.
NiceRx will review your application and determine whether you may be eligible for Zirgan 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 Zirgan 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 Zirgan.
Is NiceRx a Zirgan coupons provider?
NiceRx is a service provider that helps eligible individuals access the Zirgan patient assistance program. We do not offer trial offers or free Zirgan 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 Zirgan coupons, discount cards, or Zirgan copay cards.
Can NiceRx help me get Zirgan if I have insurance?
NiceRx may be able to help you if your insurance company will not pay for your Zirgan 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 Zirgan with insurance?
The cost of Zirgan will vary by the terms of your healthcare plan. To find out what you might need to pay for Zirgan with insurance, your insurance provider or pharmacist will be able to help you calculate the copay costs with your current insurance.
How much does Zirgan cost without insurance?
Zirgan prices without insurance will vary depending on how much you buy. Prices will also vary by retailer. As a guide, Zirgan ophthalmic gel 0.15% typically costs $420 for 5 grams.
What is Zirgan?
Zirgan contains the prescription medicine ganciclovir, which is an antiviral eye gel used to treat eye infections (acute herpetic keratitis) caused by the herpes simplex virus. Zirgan also slows the growth and spread of cytomegalovirus (CMV). Zirgan is not however a cure for herpes or CMV.
Zirgan should be applied 5 times a day until your infection heals, then it is applied 3 times a day for 7 days. Zirgan gel should be used as directed by your prescriber. You should wash your hands before using the eye gel and follow the instruction leaflet on how to apply the eye gel safely.
Zirgan will not cure herpes or CMV and your disease may continue to progress even after you have been treated with this medication. You may need regular checks to see how your treatment is progressing.
Zirgan active ingredients
Zirgan ophthalmic gel 0.15% contains the active ingredient ganciclovir, which is obtained from guanosine. The phosphorylated form stops the replication of herpes simplex virus DNA. Ganciclovir is changed in the body by certain viral and cellular enzymes to ganciclovir triphosphate. This is an antiviral and stops the production of the viral DNA in 2 ways. One is to block the action of DNA polymerase, an enzyme that is responsible for the replication of viral DNA, and also by being directly added into the viral DNA strand itself. This causes the production of the DNA to stop and the virus to stop replicating.
Zirgan side effects
The most common side effects caused by Zirgan include:
- Blurred vision
- Watering of the eyes
- Mild eye irritation
In rare instances, Zirgan can cause more serious side effects. These can include:
- Sudden vision loss
- Eye pain, swelling, redness
- Pain, severe burning, or itching
- Changes in vision, increased sensitivity to light
- Seeing flashes of light, halos around lights, or “floaters” in your vision
- White patches on your eyes
- Cloudiness in the pupils or iris
- Bleeding, oozing, or crusting of your eyes
Your doctor will assess the benefits of using Zirgan against your risk of side effects.
Zirgan drug interactions
Even though Zirgan is applied externally to your eye, ganciclovir the active ingredient can be absorbed in your body. It is not likely that other medicines you take orally or inject will interact with the ganciclovir from Zirgan ophthalmic eye gel however, it is advised that you tell your doctor about all medicines that you are currently taking.
You should not wear contact lenses if you have signs or symptoms of herpetic keratitis, or while you are using a course of Zirgan for treatment.
Zirgan warning and precautions
You should not use Zirgan if you:
- Are allergic to the active ingredient ganciclovir or acyclovir
- Are allergic to any of the other ingredients in Zirgan
- Are younger than 2 years old
Talk to your doctor before using Zirgan if you:
- Are taking any of the medications that could interact with Zirgan
- Have an infection other than in your eyes
- Have low levels of platelets in your blood
- 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.