Oravig

Indicated For

oropharyngeal candidiasis, oral thrush

About This Medication

# Oravig Patient Assistance Program Guide: How to Get Oravig (Miconazole Buccal) at Low or No Cost Oravig (miconazole buccal tablets) is a prescription medication used to treat oral thrush in adults, and Galt Pharmaceuticals offers support programs to make it affordable, including copay assistance for insured patients and discounted cash-pay options for uninsured or underinsured individuals. ## About Oravig and Oral Thrush **Oravig** is the first and only once-daily, locally acting buccal tablet approved for treating oropharyngeal candidiasis (OPC), commonly known as **oral thrush**, in adults.[6][7][10] Oral thrush causes white patches in the mouth, soreness, and difficulty swallowing due to a fungal overgrowth. Unlike swallowed antifungals, Oravig sticks to the gum above the canine tooth, releasing miconazole directly at the site for targeted treatment with minimal systemic absorption.[7] Apply one 50 mg tablet once daily for up to 14 days. Wash hands, peel open the pouch, and place the rounded side against the upper gum. Hold in place for 30 seconds; it will stay fixed.[7] Do not crush, chew, or swallow whole. Avoid food or drink for 6 hours after application. Common side effects include mouth irritation, nausea, taste changes, and headache. Stop use and seek medical help for allergic reactions like rash, swelling, or breathing issues.[6][7] Always follow your doctor's instructions and read the Patient Information leaflet with each refill.[7] ## Who Qualifies for Assistance? Galt Pharmaceuticals provides two main support options via the **Patient Assistance Program (PAP)** and **Dispensing Pharmacy Solution**: - **Commercially insured patients**: Eligible for copay assistance covering up to **$200** out-of-pocket costs, reducing copays to **as low as $0** for up to 14 tablets (minimum fill).[1][2][4] - **Uninsured or underinsured patients**: Cash-pay discount through Sterling Specialty Pharmacy at **$45-$60** per prescription.[1][4] Patients must be 18 years or older with a valid prescription for Oravig (NDC# 61825-0303-14). Assistance is **not valid** for government programs like Medicaid, Medicare Part D, or other federal/state plans.[2] No specific income thresholds are listed; support targets those facing financial hardship, especially without insurance coverage.[3][8] ## Income Eligibility Breakdown Oravig's program does not use federal poverty level (FPL) guidelines or strict income limits. Instead, eligibility focuses on insurance status and financial need. Here's a summary: | Patient Type | Eligibility Criteria | Cost After Assistance | Notes | |---------------------------|---------------------------------------|-----------------------------|--------------------------------------------| | **Commercial Insurance** | Valid prescription, 18+, not govt-funded | As low as **$0** (up to $200 copay help) | Covers up to 14 tablets[1][2] | | **Uninsured/Underinsured**| Valid prescription, financial hardship | **$45-$60** cash pay | Via Sterling Pharmacy[1][4] | | **Medicare/Medicaid** | Not eligible | Full price | Prohibited by program rules[2] | Contact the program for personalized assessment, as details may vary.[1] ## Insurance Requirements - **Commercial insurance**: Primary payer first; copay card as secondary. Pharmacist submits BIN, Group #, Cardholder ID, Rx PCN from the card.[2] - **No insurance**: Use the dispensing pharmacy for discounted rate. - **Government insurance (Medicare, Medicaid, VA, etc.)**: Ineligible for copay assistance or discounts.[2][4] The program verifies coverage via benefits investigation at Sterling Specialty Pharmacy.[4] ## Step-by-Step Application Process 1. **Get a prescription**: Ask your doctor for Oravig 50 mg buccal tablets. Provide them the info sheet from oravig.com.[1] 2. **Choose your path**: - **Insured**: Download the copay card from oravig.com/assets/documents/Oravig-CoPay.pdf or resources page.[2] Present at pharmacy with prescription. - **Uninsured**: E-scribe or call Sterling Specialty Pharmacy (888-618-4126) or fax (866-588-0371). NPI: 1225548480.[4] 3. **Pharmacy handles rest**: For insured, pharmacy bills insurance then applies copay card. For uninsured, pharmacy fulfills via PAP at $45-$60 and mails to you.[1][4] 4. **Call for help**: Copay card questions: 1-855-965-2783. Sterling support: support@sterlingspecialtyrx.com.[2][4] 5. **Track delivery**: Mailed within 2 business days to any US address (shipping may apply).[4] No formal application form or documents needed beyond prescription; it's streamlined.[1] ## Timeline and Delivery - **Processing**: Immediate at participating pharmacies. Sterling guarantees delivery in **2 business days**.[4] - **Delivery**: Mailed directly to your home in all 50 states. Avoid local pharmacy stock issues.[1][4] - **Refills**: Doctor can e-scribe refills to Sterling. Short-term use (up to 14 days); re-prescribe as needed.[10] ## Alternatives if Denied or Ineligible - **Local pharmacies**: Oravig available at independents/retail; use copay card if eligible.[1] - **Other antifungals**: Talk to your doctor about fluconazole (Diflucan) or nystatin for thrush.[10] - **General assistance**: NeedyMeds.org or RxAssist.org for broader PAPs. State programs may help uninsured. - **Discount cards**: GoodRx or SingleCare for cash-pay savings if program ineligible. If denied, confirm insurance type and try Sterling for cash option.[4] ## Important Disclaimer This guide summarizes publicly available info as of latest sources.[1][2][4] Programs can change; Galt reserves right to amend/revoke offers.[2] Not insurance advice. Consult your doctor/pharmacist. Report side effects to FDA at 1-800-FDA-1088.[4][7] For latest, visit oravig.com/resources or call support lines.

Program information last verified: March 30, 2026