Please use the enrollment form on the NITYR website and remember to specify dispense as written (DAW) on every enrollment form, new or refill, to ensure that your patients receive NITYR and the support available through Cycle Vita.
Sending your own prescription can cause delays or could mean a Specialty Pharmacy may give a patient generic nitisinone instead. This would mean your patients will not be able to access Cycle Vita, which can provide eligible* patients with:
- Hub Support: Including financial, logistic, and medication adherence support
- Patient Nutrition Program: One-to-one support from a Registered Dietitian to reinforce your clinic’s dietary plan
- Bridge Program: Available to patients with an urgent medical need, including new patients and patients experiencing a temporary disruption due to insurance changes
- $0 Co-pay Assistance Program: Commercially insured eligible patients may pay as little as $0
NITYR has a limited distribution. If your patients are contacted by someone who is not from Cycle Vita or their Specialty Pharmacy, please let us know at 888-385-8482 or hello@cyclevita.life.
To ensure faster turnaround times for you and your patients, please see our Rx Checklist to make sure you include everything required for a quick process.
References
*Some areas of support may not be accessible to all patients. Eligibility criteria may apply to ensure compliance with all applicable federal and state requirements, and benefits may be limited to commercially insured patients only. For more detailed information about eligibility, terms and conditions, please contact the Cycle Vita team at 888-360-8482.