Diclegis

Indicated For

nausea vomiting pregnancy, NVP

About This Medication

# Diclegis Patient Assistance Guide: How to Get Diclegis at Low or No Cost Diclegis (doxylamine succinate and pyridoxine hydrochloride) is the **only FDA-approved prescription medication** for treating nausea and vomiting of pregnancy (NVP), often called morning sickness, when diet and lifestyle changes fail.[2][8][9] This guide explains patient assistance options to help make Diclegis affordable, including third-party programs like Prescription Hope, since no official manufacturer-sponsored program details are publicly available. ## About Diclegis **Diclegis** combines doxylamine (an antihistamine) and pyridoxine (vitamin B6) in delayed-release tablets (10 mg/10 mg each).[7][8] It's specifically for pregnant women with NVP who haven't improved with conservative measures like avoiding triggers or dietary changes.[6][9] The FDA classifies it as **Pregnancy Category A**, the highest safety rating, based on studies showing no increased risk to the unborn baby.[9] Take 2 tablets at bedtime initially; dosage may increase to 4 tablets daily if needed, up to 120 tablets per 30 days.[7] It's not for hyperemesis gravidarum (severe vomiting).[9] Common side effects include drowsiness—avoid driving until you know its effects. Always consult your doctor.[2] Diclegis is often excluded from insurance coverage or requires prior authorization proving failure of OTC doxylamine plus pyridoxine and lifestyle changes.[6][7] Medicaid covers it in some states via rebate programs.[5][9] ## Who Qualifies for Assistance Without an official manufacturer program (Duchesnay USA, the maker, doesn't list one publicly), use third-party services like **Prescription Hope**, offering Diclegis for **$70 per month** regardless of income.[3] These programs target uninsured or underinsured patients unable to afford meds. Eligibility typically includes: - U.S. resident with valid prescription. - Diagnosis of NVP.[6] - Often, low income, uninsured, or high copays—though Prescription Hope has broad access.[3] GoodRx coupons reduce costs to ~$55 per fill (48% off retail ~$107), usable even with insurance.[1] ## Income Eligibility Breakdown Specific income thresholds aren't detailed for Diclegis programs. Prescription Hope charges a flat $70/month fee with **one application covering 80+ meds** yearly—no strict income limits listed.[3] Other PAPs often use **400% Federal Poverty Level (FPL)** or similar. For reference (2026 FPL estimates; check HHS.gov for exacts): | Household Size | 400% FPL (Annual Income) | Notes | |----------------|---------------------------|--------| | **1 (Individual)** | ~$60,000 | Flat fee programs like Prescription Hope may not require this. | | **2 (Couple)** | ~$81,000 | Pregnant couples often qualify broadly. | | **3 (Family)** | ~$102,000 | Includes pregnancy-related assistance. | | **4** | ~$123,000 | Verify per program. | [General PAP guidelines; Diclegis-specific unavailable.] Always confirm with provider.[3] ## Insurance Requirements Diclegis often needs **prior authorization (PA)**: prove NVP diagnosis, lifestyle failure, and 5-day trial of separate OTC doxylamine + pyridoxine.[6][7] Many plans exclude it or limit quantity (e.g., 120 tabs/30 days).[7] - **Medicare Part D**: No specific PAP, but use GoodRx ($55/fill), 90-day supplies, or Payment Plan (spread $2,000 cap).[1] - **Medicaid**: Covered in states like CA, NE via rebates.[5][9] - **Commercial/Private**: PA common; if denied, appeal or use assistance.[6] Uninsured? Third-party PAPs best.[3][4] ## Step-by-Step Application 1. **Get Prescription**: See OB/GYN for NVP diagnosis and Diclegis script. Discuss PA if insured.[6][8] 2. **Check Discounts**: Try GoodRx coupon first—download via app/site, show at pharmacy.[1] 3. **Apply to Prescription Hope**: - Visit their site or call. - Submit prescription, proof of residency/ID. - Pay $70/month; they handle pharmacy shipping.[3] 4. **Other Options**: Search Needymeds.org or RxAssist.org for Diclegis; contact Duchesnay USA (no program listed).[4] 5. **Pharmacy**: Request 90-day supply for savings if approved.[1] Processing: Varies; expect 1-2 weeks for third-party approval.[3] ## Timeline and Delivery - **GoodRx**: Instant coupon, pickup same day.[1] - **Prescription Hope**: Apply online; approval in days, monthly delivery to home.[3] - **Insurance PA**: 5-14 days; meds ship or pickup post-approval.[6][7] Refills: Auto via PAPs; 9-month insurance auth possible.[6] ## Alternatives if Denied - **Generic doxylamine/pyridoxine**: Cheaper, same active ingredients.[7][8] - **OTC combo**: Trial separate doxylamine (Unisom) + B6 first.[6] - **GoodRx/Mark Cuban pharmacies**: ~$55/fill.[1] - **Bonjesta**: Similar (extended-release), but often same PA/exclusion.[6][7] - **Non-drug**: Ginger, acupressure, diet.[2] - **Medicaid/CHIP** if eligible.[5][9] No biosimilars.[ ] ## Disclaimer This guide uses public sources as of 2026; programs change—verify directly (e.g., PrescriptionHope.com).[1][3] Not medical/financial advice. Consult doctor/pharmacist. Assistance not guaranteed; income/residency rules apply. Duchesnay USA: No official PAP found—call 1-855-DICLEGIS.[2]

Program information last verified: March 30, 2026