Eligible commercially insured patients may PAY AS LITTLE AS $39
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This coupon is not valid for prescriptions paid for in part or full by Medicaid, Tricare, DOD, VA, Medicare Part D, or any state or federally funded program.

Patients whose prescriptions are not covered by either commercial or government insurance or their Medicare Advantage Part D plan may take advantage of this offer.

Click on the link below that best describes your insurance coverage

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By downloading this card you are verifying that you have commercial insurance and do NOT have Medicare Part D, Medicare Advantage. You also verify that your prescriptions are NOT paid for in part or full by any federally funded program, including Medicaid, Tricare, DOD, and VA.

*Agreement to not seek reimbursement from your Medicare Part D or Medicare Advantage coverage is required to participate.

By downloading this card, you are verifying that you do not have insurance coverage and pay for your prescriptions in cash.

Terms and Conditions:

  • For patients whose prescriptions are covered by commercial insurance, use of this card may reduce your copayment to as little as $39.
  • For patients whose prescriptions are not covered by either commercial insurance or Medicare, use of this card may reduce your cost for prescriptions to as little as $39.

This program is subject to overall maximum support amounts.

This coupon is not valid for prescriptions paid for in part or full by Medicaid, Tricare, DOD, VA, or any state or federally funded program (excluding Medicare).

Patients who have prescription drug coverage under Medicare Part D or Medicare Advantage may be eligible for this offer, provided that they acknowledge that by doing so they will not seek any prescription coverage or reimbursement from their insurer for the cost of prescriptions, or report any amounts paid for prescriptions as part of their "true out-of-pocket expenses" under Medicare Part D or Medicare Advantage prescription drug plan.