Rectiv Patient Assistance Program

Medically Reviewed by Dr. Conor Sheehy, PharmD, BCPS
Last Updated: October 27, 2025

Are you struggling to cover your Rectiv costs out of pocket? Rectiv is a prescription ointment used to relieve moderate to severe pain from anal fissures. Due to high prices, many people, especially those without adequate health insurance, find it difficult to afford this medication. Some search for coupons, co-pay savings cards, or discounts, but these solutions often provide only short-term relief.

At The Rx Advocates, we help patients access prescription medications at a lower cost. Patient Assistance Programs (PAPs) offer more substantial and consistent savings than coupons. You should never have to choose between managing pain and paying other bills.

What is the Rectiv Patient Assistance Program?

Pharmaceutical companies sponsor assistance programs for patients experiencing financial barriers to obtaining Rectiv. These programs help qualifying patients maintain regular access to nitroglycerin ointment for managing anal fissure pain.

You provide your prescription and financial information. Our advocates handle the rest. They coordinate with your healthcare provider, prepare paperwork, submit applications, and track progress. Once approved, medication is delivered consistently to your door.

We’re a prescription advocacy company that helps patients obtain monthly medication supplies through PAPs. Rectiv is produced by his pharmaceutical manufacturer specializing in gastrointestinal treatments.

How to Qualify

Patients who typically qualify meet one of the following criteria:

  • Single and earning less than $40,000 annually
  • In a couple whose combined annual income is less than $60,000
  • In a larger family with annual income under $100,000
  • U.S. residency and a valid prescription

Guidelines vary by program. Contact us to determine if you qualify.

Pricing

Cost of Rectiv
with The Rx Advocates

The monthly service fee depends on the number of medications you take. For example:

1 Medication

$80 / Month

2 Medications

$90 / Month

3 Medications

$100 / Month

4 Medications

$110 / Month

NOTE: In addition to our monthly service fee, we charge a one-time enrollment fee of $35.
Our service is month-to-month, so if you’re not happy with it, you may cancel at any time.

The Rx Advocates Can Help Reduce Rectiv Costs

We are not a prescription discount card, insurance plan, or coupon provider. We help patients access affordable medications through patient assistance programs.

Our pricing model is transparent and stress-free. We charge a one-time enrollment fee of $35. Once approved, eligible patients pay a fixed monthly service fee between $80 and $110, depending on the number of medications applied for. Refills can be managed automatically, and medications can be delivered to your door.

Cost of Rectiv vs Other Options

The Rx Advocates logo w text alt 5
Rectiv Cost
(using The Rx Advocates)
Dollar sign logo
30-Day Supply
$80.00/month
Goodrx logo
Rectiv Price
(estimated retail*)
Dollar sign logo
One Dose Pack
$773.39

* Source: GoodRx.com

Last Updated: September 29, 2025. Actual retail prices may vary by pharmacy and location.

Why Patient Assistance Programs Beat Coupons

Coupons might seem like an easy solution for reducing costs, but they have limitations:

Coupon limitations

  • Restrictions: Often valid only at certain pharmacies or limited timeframes
  • Copay accumulators: Discounts may not count toward insurance out-of-pocket maximums
  • Expiration: Coupons have limited validity and expire quickly
  • In-person redemption: Requires visiting a pharmacy to present the coupon
  • Limited impact: High medication costs may still leave patients paying significant out-of-pocket expenses

PAP advantages

  • Reliable savings: Consistent support month after month
  • Significant reductions: Costs substantially lower than retail pricing
  • Practical solution: More affordable than paying full pharmacy prices
  • Works regardless of insurance coverage

Frequently Asked Questions (FAQ)

Patients and caregivers often have questions about Rectiv, its cost, and how to access financial assistance. Below, we answer the most common questions to help you better understand your options.

With The Rx Advocates, patients pay a fixed monthly service fee, which depends on the number of medications covered.

  • 1 Medication (Rectiv only) – $80 per month
  • 2 Medications (Rectiv + 1 other) – $90 per month
  • 3 Medications (Rectiv + 2 others) – $100 per month
  • 4+ Medications – $110 per month

Importantly, there are no hidden fees, and prices remain consistent even if retail costs fluctuate.

The retail cost of Rectiv can be excessive, depending on dosage, pharmacy, location, and insurance coverage. Without assistance, these costs can be difficult to manage.

Individuals earning under $40,000, couples with combined income under $60,000, and larger families with income up to $100,000 generally qualify. Each program has its own specific guidelines. Contact us for a personal review to see if you qualify.

Our team handles the full process, including collecting paperwork, coordinating with your healthcare provider, submitting applications, and tracking approvals. Refills are managed automatically, and medications are shipped directly to your home.

About Rectiv

Rectiv ointment 0.4% is a prescription medication used to treat moderate to severe pain caused by anal fissures. Anal fissures are small tears in the lining of the anus that can cause sharp pain during bowel movements. Rectiv contains nitroglycerin, which works by relaxing the muscles around the anus and increasing blood flow to the area, helping reduce pain and promote healing.

How it works: Nitroglycerin lowers pressure in the anal canal and widens blood vessels, which helps reduce pain and supports fissure healing.

Administration: Apply approximately 1.5 mg of Rectiv ointment intra-anally every 12 hours, or as directed by your healthcare provider. Wash your hands before and after use, and avoid contact with eyes or mucous membranes. Treatment usually lasts up to three weeks.

Important safety: Rectiv should not be used by patients with severe anemia, hypotension, or known hypersensitivity to nitroglycerin. Avoid using other nitrate medications concurrently. Follow your provider’s instructions carefully.

Side effects:

  • Common: Headache, dizziness, mild local irritation, flushing
  • Serious: Severe drop in blood pressure, fainting, rapid heartbeat

Get Started Today

Rectiv pain can make everyday activities uncomfortable. You shouldn’t have to skip treatment because of cost. PAPs provide consistent, affordable access to Rectiv so you can manage your symptoms without financial stress. Contact us today to see if you qualify and start receiving your medication at a price you can manage.

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