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Ravicti Prices, Coupons and Patient Assistance Programs

Ravicti (glycerol phenylbutyrate) is a member of the urea cycle disorder agents drug class and is commonly used for Urea Cycle Disorders.

Ravicti Prices

The cost for Ravicti oral liquid (1.1 g/mL) is around $5,561 for a supply of 25 milliliters, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

Ravicti is available as a brand name drug only, a generic version is not yet available. For more information, read about generic Ravicti availability.

This Ravicti price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.

Oral Liquid

Drugs.com Printable Discount Card

The free Drugs.com Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions.

Print Free Discount Card

Please note: This is a drug discount program, not an insurance plan. Valid at all major chains including Walgreens, CVS Pharmacy, Target, WalMart Pharmacy, Duane Reade and 65,000 pharmacies nationwide.

Ravicti Coupons and Rebates

Ravicti offers may be in the form of a printable coupon, rebate, savings card, trial offer, or free samples. Some offers may be printed right from a website, others require registration, completing a questionnaire, or obtaining a sample from the doctor's office.

Ravicti Horizon Commercial Co-Pay Program: Eligible commercially insured patients may receive financial assistance for their co-pay and co-insurance amounts by enrolling in the program; for additional information contact the program at 877-305-7704.

Applies to:
Ravicti
Number of uses:
Per prescription until program expires

Form more information phone: 877-305-7704 or Visit website

Patient Assistance Programs for Ravicti

Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines to low income or uninsured and under-insured people who meet specific guidelines. Eligibility requirements vary for each program.

Provider: HealthWell Foundation Copay Program

Elligibility requirements:
  1. May have insurance
  2. Varies
  3. FDA Approved Diagnosis - See Program Website for Details
  4. The patient must also be residing in the US.
  5. This program provides financial assistance to eligible individuals to cover coinsurance, copayments, healthcare premiums and deductibles for certain treatments. Also, for those who are eligible for health insurance, but cannot afford the insurance premium, the foundation may be able to help by paying some or all of the medical portion of insurance premiums. The patient is being treated for a specific disease for which funding is available and has insurance that covers the treatment for this disease. Call for most recent medications as the list is subject to change.
Applicable drugs:
  • Ravicti (glycerol phenylbutyrate) Liquid; Oral

More information please phone: 800-675-8416 Visit Website

Provider: Good Days Program

Elligibility requirements:
  1. Must have insurance
  2. At or below 500% of FPL
  3. FDA-approved diagnosis
  4. The patient must also be a US resident with a Social Security Number.
  5. Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly.
Applicable drugs:
  • Ravicti (glycerol phenylbutyrate) Liquid; Oral

More information please phone: 877-968-7233 Visit Website

Provider: Horizon By Your Side (Ravicti)

Elligibility requirements:
  1. Determined case by case
  2. Based on FPL
  3. FDA-approved diagnosis
  4. Must be a US resident and treated by a US licensed healthcare provider
  5. Co-payment assistance, reimbursement support, and patient assistance programs are available for eligible patients. Raviciti is indicated for the long term management of Urea Cycle Disorder (UCD)
Applicable drugs:
  • Ravicti (glycerol phenylbutyrate) Liquid; Oral

More information please phone: 844-469-4297   or 855-823-7878   Visit Website