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Elmiron patient assistance program

If you are unable to afford your Elmiron medication, we may be able to help. The Prescription Care program helps uninsured and underinsured individuals with chronic conditions who cannot afford their medications. If you qualify for prescription assistance, you can receive your Elmiron prescription for $49 per month!*

Your monthly Elmiron cost savings if eligible

Average 30-day price
at US Pharmacy
Your 30-day price
at Prescription Care
Your 30-day savings
with Prescription Care
Average 30-day price
at US Pharmacy
Your 30-day price
at Prescription Care
Your 30-day savings
with Prescription Care

Am I eligible for the Elmiron patient assistance program?

Elmiron is a brand name medication manufactured by the global pharmaceutical company Janssen. If you are prescribed Elmiron but cannot afford your medication, you may be eligible for a patient assistance program.  

Individuals who meet certain eligibility criteria have the opportunity to receive Elmiron without paying full retail price. 

We help enrollees obtain a number of important medications. You’ll be notified should you qualify for any additional assistance.

We review each application individually and the main factors considered include:

  • US Residency
  • Combined household income
  • Insurance status
General income criteria
  • Up to $36,000
  • Up to $50,000
  • Up to $100,000

Advantages of receiving Elmiron through Prescription Care

  • Free, no-obligation consultation to determine eligibility
  • All required paperwork managed by our team on your behalf
  • Courteous and professional assistance (Monday-Friday 9am-5pm EST)
  • Money-back guarantee**
  • Zero hidden fees or charges for services
Get Elmiron for $49/month

How can I apply through Prescription Care?

We serve those at risk of going without important, life-saving medications due to financial reasons.
Here is how it works:
  • STEP 1
  • STEP 2
  • STEP 3
  • STEP 4
  • STEP 5

Once enrolled in our service, you will be charged a flat monthly fee of $49 per medication. This fee covers the cost of your medication, regardless of retail price. Because each program conducts its own eligibility screening, final acceptance is determined by the pharmaceutical company.

Please note that Prescription Care is not an insurance provider or a discount card program

Does Prescription Care cover my other drugs?

We help enrollees obtain a number of important medications. Should you qualify for any additional assistance, you will be notified by one of our representatives. 

A few examples of other similar drugs available through Prescription Care include:

  • Naprosyn (naproxen)
  • Elavil (amitriptyline)
  • Vistaril (hydroxyzine)

Prescription Care can save you money

If any of your medications are not approved for assistance, Prescription Care can appeal the rejection at no additional cost.

**Should you be denied acceptance to a prescription assistance program, you will receive a full refund of the fees associated with the rejected medication application.

Is Prescription Care considered a Elmiron coupon?

The Elmiron patient assistance program offered to eligible enrollees through Prescription Care is not a coupon, generic Elmiron, or a discount card. Prescription Care does not offer printable coupons, rebates, savings cards, trial offers, or free samples. 

If you are looking for a Elmiron coupon, keep in mind that you can likely save more on the medication via Prescription Care. When obtaining your Elmiron medication via Prescription Care, your total cost for the medication will always be $49 per month.


What is Elmiron prescribed for?

Elmiron is prescribed to patients who suffer from interstitial cystitis, a bladder disorder. Elmiron helps to treat the pain and discomfort associated with this condition.

Active Ingredient 

The active ingredient of Elviron is pentosan polysulfate sodium. This forms an insulating layer along the bladder wall, protecting the organ from irritating substances in the urine. Pentosan polysulfate sodium is a weak blood-thinner, so patients should take measures to avoid bruising and bleeding.

Conditions treated by Elmiron

Interstitial Cystitis

Interstitial cystitis is a chronic bladder condition which affects more women than men. The cause of the condition is not known. It manifests in symptoms like bladder pressure and pain, pelvic pain, and a constant urge to urinate. The severity of symptoms can range from mild to severe. 

*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 Prescription Care 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 866-262-2603, 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.

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