Affordability Check
How to afford Rectiv
Generic name: nitroglycerin
Pick how you're covered. We'll show you the cheapest legitimate way to get Rectiv — your insurance copay, manufacturer savings, charity grants, or cash price. It takes 30 seconds and we never ask for your personal information.
Pick an option above to see your specific path.
Different insurance means different laws and different savings. For example, Medicare patients cannot use manufacturer copay cards (federal law) — but the manufacturer almost always has a Patient Assistance Program that gives the drug free.
About Rectiv and its cost
What is this medication? Rectiv is a prescription nitroglycerin ointment specifically indicated for the treatment of moderate to severe pain associated with chronic anal fissures. These fissures are small tears in the lining of the lower rectum that can cause significant distress and sharp pain, particularly during or after bowel movements. The medication is typically applied topically to the anal canal to address these symptoms when other conservative treatments have not provided sufficient relief.
The ointment functions as a vasodilator, meaning it helps to relax the internal anal sphincter muscle. By reducing the tension in this muscle, Rectiv lowers the pressure within the anal canal and improves local blood flow to the site of the injury. This enhanced circulation promotes the natural healing of the fissure while simultaneously alleviating the intense pain and spasms often experienced by patients with this condition.
Rectiv is made by AbbVie. Like most brand-name drugs, it's priced at a high list price — but patients rarely pay that list price. The options above are the real paths most people use to get it affordably.
Common questions
What's the cheapest way to afford Rectiv?
It depends on your insurance. On Medicare, apply for the manufacturer's Patient Assistance Program (PAP) — it gives the drug free if you meet income requirements. With private insurance, the manufacturer copay card usually drops your copay to $0-$25. Uninsured patients should compare the PAP with Cost Plus Drugs cash price.
Can I use a copay card with Medicare for Rectiv?
No — federal law (the Anti-Kickback Statute) prohibits manufacturer copay cards on Medicare, Medicaid, TriCare, and VA prescriptions. But AbbVie has a separate Patient Assistance Program for Medicare beneficiaries. Check the options above.
Does my Medicare Part D plan cover Rectiv?
Part D coverage varies by plan. We query the CMS Prescription Drug Plan file to show you what percentage of plans cover it and at what tier. For your exact copay, pick "Medicare" above and check your plan's Summary of Benefits, or log in to Medicare.gov.
How long does a Patient Assistance Program take?
Most PAPs take 2-6 weeks from application to first fill. Ask the manufacturer about a "bridge supply" — many will ship 30 days free while your application is being reviewed so you don't go without the drug.
What if I have a high-deductible plan?
For generics, Cost Plus Drugs cash price is often cheaper than your deductible-phase copay. For brand names, the manufacturer copay card almost always wins. A GoodRx coupon can be a last resort for uncovered drugs, but it doesn't count toward your deductible.
Are there charity grants for Anal Fissure?
Charities like HealthWell Foundation, PAN Foundation, Good Days, and the National Organization for Rare Disorders provide copay help for specific conditions. Funds often run out mid-year — apply early. We list the specific grants for your condition in the options above.
More about Rectiv
Full Rectiv drug page
FDA label, prior authorization rules, full indications list
More options for Anal Fissure
Drugs, grants, and assistance for this condition
Guide to Patient Assistance Programs
How PAPs work, who qualifies, typical wait times
If your insurance denied coverage
5-level appeal playbook — Medicare has a 60% win rate at Level 3