Eligible commercially insured patients may take advantage of as little as a $0 copay on their RELISTOR prescriptions † † Eligibility Criteria, Terms and Conditions: This offer is only valid for patients with commercial insurance, including commercially-insured patients without coverage for RELISTOR. Patients without commercial insurance are not eligible.
Medically Necessary $0 Copay, Paid-in-Full: Up to $210 $0 Copay, Paid-in-Full: Up to $210. Laser Vision Correction. Additional Pairs Benefit. Members also receive a 40% discount off complete pair eyeglass purchases and a 15% discount off conventional contact lenses once. Once you're prescribed GILENYA and your health care professional submits the Start Form, the Go Program will call you to discuss your insurance coverage, check your eligibility for our co-pay support programs, and make your treatment as affordable as possible—for many, this means a $0. co-pay.
Eligible PROGRAF OR ASTAGRAF XL Patients a May Pay as Little as $0 With the Astellas Copay Card This Astellas Copay Card Program is intended to help eligible patients a with commercial prescription insurance offset the cost of their prescription copay. Apidra: $0 copay with maximum savings up to $100 per pack up to 1 pack per fill. Savings may vary depending on patients’ out-of-pocket costs. Upon registration, patients receive all program details.
Eligible commercially insured patients may take advantage of as little as a $0 copay on their RELISTOR prescriptions †
†Eligibility Criteria, Terms and Conditions: This offer is only valid for patients with commercial insurance, including commercially-insured patients without coverage for RELISTOR. Patients without commercial insurance are not eligible. For eligible patients, Salix Pharmaceuticals will be responsible to pay your co-pay/out of pocket expense for each eligible prescription fill using this savings card, maximum benefits apply. Please call 1-855-202-3719 for more information. Patient is responsible for all additional costs and expenses after the maximum limit is reached. This savings card can be used up to 12 times before the expiration date. You must activate this coupon before using it by visiting www.RELISTOR.com, calling 1-855-202-3719, or texting SaveNow to 24109. Message and data rates may apply. The full terms can be viewed at relistor.copaysavingsprogram.com/sms-terms . This offer is not valid for any person eligible for reimbursement of prescriptions, in whole or in part, by any federal, state, or other governmental programs, including, but not limited to, Medicare (including Medicare Advantage and Part A, B, and D plans), Medicaid, TRICARE, Veterans Administration or Department of Defense health coverage, CHAMPUS, the Puerto Rico Government Health Insurance Plan, or any other federal or state health care programs. This offer is only good in the USA at participating retail pharmacies. This offer cannot be redeemed at other locations, including government-subsidized clinics or facilities. This offer is not valid where otherwise prohibited, taxed, or otherwise restricted. Patient is responsible for reporting receipt of co-pay assistance to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the co-pay card, as may be required. This offer cannot be combined with other offers. This card has no cash value. No other purchase is necessary. This offer is nontransferable. No substitutions are permitted. This card is not health insurance. You understand and agree to comply with the terms and conditions of this offer as set forth above. Offer expires December 31, 2021. Salix Pharmaceuticals reserves the right to rescind, revoke, or amend this offer at any time without notice.
GO PROGRAM is a registered trademark of Novartis AG.
*Limitations apply. Valid only for those with private insurance. The Program includes the Co-pay Card, Payment Card (if applicable), and Rebate, with a combined annual limit up to $18,000. Patient is responsible for any costs once limit is reached in a calendar year. Program not valid (i) under Medicare, Medicaid, TRICARE, VA, DoD, or any other federal or state health care program, (ii) where patient is not using insurance coverage at all, (iii) where the patient's insurance plan reimburses for the entire cost of the drug, or (iv) where product is not covered by patient's insurance. The value of this program is exclusively for the benefit of patients and is intended to be credited towards patient out-of-pocket obligations and maximums, including applicable co-payments, coinsurance, and deductibles. Program is not valid where prohibited by law. Patient may not seek reimbursement for the value received from this program from other parties, including any health insurance program or plan, flexible spending account, or health care savings account. Patient is responsible for complying with any applicable limitations and requirements of their health plan related to the use of the Program. Valid only in the United States and Puerto Rico. This Program is not health insurance. Program may not be combined with any third-party rebate, coupon, or offer. Proof of purchase may be required. Novartis reserves the right to rescind, revoke, or amend the Program and discontinue support at any time without notice.
0 Copayment
†As of November 11, 2020. Novartis Pharmaceuticals Corporation does not endorse any particular plan. Check with your individual health plans.
0 Copay Epipen Coupon
‡Medical co-pay support for covered initial assessments/examinations or for first-dose observations (FDO) is provided without regard to whether the patient continues on with GILENYA therapy. People for whom GILENYA has been prescribed are required to report any benefits they receive under the GILENYA Medical Co-Pay Support Program to their insurance company. This offer is not valid for prescriptions and medical assessments for which payment may be made in whole or in part under federal or state health programs, including but not limited to Medicare or Medicaid, or for residents of RI. Valid only for those with commercial insurance. This program is subject to termination or modification at any time.