How Assistance Works

Streamlining our patient’s specialty pharmacy experience with unmatched full-service convenience

  • 1. Check Your Coverage/Benefits Verification

    Our team of expert billers finds the best avenues of coverage that minimize out-of-pocket costs.

  • 2. Transfer Prescription to AmeriPharma™

    We process your prescription by working with your previous pharmacy or prescriber, making the transition quick and easy.

  • 3. Prior Authorization

    Our team of specialists obtains approval from your insurance companies within 24 to 72 hours.

  • 4. Copay Assistance & Financial Aid

    We secure financial aid and decrease copays, out-of-pocket expenses, and high deductibles. To date, AmeriPharma™ Specialty Care has secured $55 million in financial assistance for our patients.

  • 5. Nursing Care Coordination

    AmeriPharma™ puts your schedule and home environment first when scheduling and coordinating one of our specialized nurses for your in-home infusions.

  • 6. Delivery Coordination

    Medications are always delivered in strict compliance with the specific requirements for shipping. Next-day and overnight cold-chain deliveries are coordinated around your schedule.

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What Is Cyclophosphamide?

Cyclophosphamide is a chemotherapy medication currently available as a generic and as the trademarked brand names, Cytoxan and Neosar. This medication is available as oral tablets or capsules that must be swallowed whole and as injectable solutions that are administered intravenously.

Cyclophosphamide is used to treat a variety of cancers, such as breast cancer and leukemia. Infusions are usually administered by trained healthcare professionals at doctors’ offices/clinics or in hospitals. It is possible to use this medication in combination with other medications, depending on the treatment regimen.

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How It Works

Cyclophosphamide belongs to a class of drugs known as alkylating agents. It treats cancer by disrupting DNA synthesis during cell division, which halts the process. This leads to the inhibition of growth of many types of cancer cells.

Cyclophosphamide is not selective to cancer cells. Therefore, its effect may impact some of the body’s healthy cells as well, especially those involved in the immune system. As a result, it has a profound immunosuppressive activity that may be used for autoimmune disorders.


Treatment Monitoring 

Blood tests, urinalyses, and various scans (see below) will be performed regularly to monitor for effectiveness and for any toxicities that may arise from the use of this medication:

  • Urine tests
  • Red and white blood cell counts (CBC test)
  • Liver function test
  • Kidney function test

Copay and Financial Assistance

AmeriPharma™ Specialty Care alleviates financial burdens for patients and their families

  • Advanced software locates funding sources to match you with top-dollar foundation programs

  • One of our copay assistance specialists will assist with the application process

  • Automatic updates will be sent to you and your physician on the status of the funding

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How To Take Cyclophosphamide

Cyclophosphamide may be given intravenously (IV) or orally (PO). The dose and the route of administration can vary depending on the indication and situation. Any pre-existing medical condition may impact the treatment decision as well. Therefore, It is very important to openly discuss your entire medical history with your doctor prior to initiating this medication.

Regardless of dose or the route of administration, staying well hydrated is very important while taking cyclophosphamide. As previously mentioned, hemorrhagic cystitis is one of the most serious adverse effects of this medication. Drinking plenty of water, usually around 2  3 L per day, helps the kidneys excrete the drug and its metabolites, which may significantly reduce this risk.

When taking cyclophosphamide capsules or tablets, swallow them whole. Opening the capsules or crushing the tablets in any way may not only alter their absorption when administered but also expose the medication to an unintended person. Be sure to wash hands and clean any surface that the medication may have come in contact with to limit accidental exposures.

Take cyclophosphamide exactly as prescribed. Any alterations without consulting a clinician may increase the risk of experiencing serious side effects as well as treatment failures.

Cyclophosphamide Side Effects

Serious side effects include:
  • Infections
  • Hemorrhagic cystitis/kidney toxicity:
    • Bladder pain
    • Blood in the urine
  • Heart problems:
    • Irregular heart rate or rhythm
    • Chest pain
    • Shortness of breath
  • Lung problems: Shortness of breath
  • Liver disease:
    • Upper abdominal pain
    • Dark-colored urine
    • Pale or clay-colored stool
    • Yellowing of the skin or the whites of the eye
  • Delayed wound healing
  • Infertility
  • Syndrome of inappropriate antidiuretic hormone (SIADH), which is a condition in which your body retains too much water. Symptoms may include the following:
    • Coma
    • Seizures
    • Hallucinations
    • Confusion
    • Muscle weakness
    • Nausea and vomiting
    • Muscle cramps
    • Loss of appetite
    • Irritability and restlessness
Other possible side effects include:
  • Nausea
  • Vomiting
  • Blurred vision
  • Dizziness
  • Loss of appetite
  • Infections
  • Changes in the color of the nails
  • Changes in the color of skin
  • Skin rash
  • Hair loss
  • Mouth sores
  • Diarrhea
  • Stomach pain
  • Body aches

Note: Our goal is to provide you with the most up-to-date and accurate information we can find. However, due to the fact that each individual is unique, we cannot guarantee that this information contains all of the potential side effects. Always seek professional medical advice for confirmation.

Insurances Accepted

We accept Medicare, multi-state Medicaid, Medi-Cal, Blue Shield, and most private insurances. Call us to find out more about your coverage.

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How Much Can You Save?

Speak with a copay assistance specialist

(877) 778-0318