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Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment.
Oracea
12/31/2037
Last Updated: 03/28/2022
Oracea Galderma CareConnect Patient Savings Card: Eligible commercially insured patients may pay $0 per 30-day prescription; for additional information contact the program at 855-280-0543.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 855-280-0543
Simponi
12/31/2037
Last Updated: 03/02/2022
Simponi Janssen CarePath Savings Program: Eligible commercially insured patients may pay only $5 per infusion with savings of up to $20,000 per calendar year; for additional information contact the program at 877-227-3728.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-227-3728
Remicade
12/31/2037
Last Updated: 03/02/2022
Remicade Janssen CarePath Savings Program: Eligible commercially insured patients pay just $5 per infusion with a savings of up to $20,000 per calendar year; for additional information contact the program at 877-227-3728.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-227-3728
Humira
12/31/2037
Last Updated: 02/24/2022
Humira Complete Savings Card: Eligible commercially insured patients may pay as little as $5 per monthly prescription; maximum program savings of $6,000 per calendar year; for additional information contact the program at 800-448-6472.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 800-448-6472
Naprelan
12/31/2037
Last Updated: 12/29/2021
Naprelan Patient Savings Card: Eligible commercially insured patients may pay as little as $28 per monthly prescription; for additional information contact the program at 877-447-7979.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 844-728-3479
Humira
12/31/2037
Last Updated: 02/24/2022
Humira Complete Savings Card Rebate: If your pharmacy does not accept the Savings Card you may qualify for a rebate for your out-of-pocket cost; for additional information contact the program at 800-448-6472.
- Prescription
- Offer Type: Mail-In Rebate
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 800-448-6472
Krystexxa
12/31/2037
Last Updated: 01/13/2022
Krystexxa Horizon Commercial Co-pay Program : Eligible commercially insured patients may qualify for a lower co-pay; for further additional information contact the program at 833-469-4688.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient sign form
- Coverage Requirments:
- Pharmacy Support Number 833-469-4688
AzaSite
12/31/2037
Last Updated: 03/30/2022
AzaSite Samples: Your healthcare provider may request Free Samples by registering to MySampleCloset.com; for additional information contact the program at 800-932-5676.
- Prescription
- Offer Type: Free Sample Offer
- Activate By: Doctor/Healthcare Provider
- Coverage Requirments:
- Pharmacy Support Number 800-932-5676
Jublia
12/31/2037
Last Updated: 05/04/2022
Jublia Rx Access Program: Eligible commercially insured patients pay $0 per prescription; valid for 12 prescription fills; offer exclusively at Walgreens and participating independent pharmacies; for additional information contact the program at 855-202-3279.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 855-202-3279
Halog Products
12/31/2037
Last Updated: 04/13/2022
Halog Co-Pay Card: Eligible commercially insured patients may pay as little as $0 per prescription per product; for additional information contact the program at 855-820-9077.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 855-820-9077
Clindesse
12/31/2037
Last Updated: 02/22/2022
Clindesse Patient Savings Program: Eligible patients may pay no more than $25 with savings of up to $75 per prescription; for additional information contact the program at 844-492-9820.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 800-422-5604
Delzicol
12/31/2022
Last Updated: 05/12/2022
Delzicol Savings Card: Eligible commercially insured patients may pay as little as $10 on each of up to 12 prescriptions; for additional information contact the program at 855-706-8716.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient sign form
- Coverage Requirments:
- Pharmacy Support Number 855-706-8716
Mitigare
12/31/2037
Last Updated: 02/07/2022
Mitigare True Blue Savings Card: Eligible patients receive 1st prescription FREE and then pay as little as $5 per 30-day prescription fill with a savings of $50 per fill; for additional information contact the program at 877-259-6893.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-259-6893
Otrexup
12/31/2037
Last Updated: 03/17/2022
Otrexup Total Care Co-pay Assistance: Eligible commercially insured patients may pay $0 co-pay on each of up to 13 prescriptions per calendar year with savings of up to $250 per fill; for additional information contact the program at 800-422-5604.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 800-422-5604
Depo-Medrol
12/31/2037
Last Updated: 12/14/2021
Depo-Medrol Samples: Your healthcare provider may request samples by contacting PfizerPro online or by calling 800-505-4426.
- Prescription
- Offer Type: Free Sample Offer
- Activate By: Doctor/Healthcare Provider
- Coverage Requirments:
- Pharmacy Support Number 800-505-4426
Diflucan
12/31/2037
Last Updated: 12/14/2021
Diflucan Samples: Your healthcare provider may request samples by contacting PfizerPro online or calling 800-505-4426.
- Prescription
- Offer Type: Free Sample Offer
- Activate By: Doctor/Healthcare Provider
- Coverage Requirments:
- Pharmacy Support Number 800-505-4426
Lexiva
12/31/2037
Last Updated: 02/07/2022
Lexiva ViiVConnect Rebate: Eligible commercially insured patients may be eligible for a rebate for the amount paid out of pocket per prescription if the pharmacy does not accept the savings card; rebate may be completed online or by downloading and mailing in the rebate form; for additional information contact the program at 866-747-1170.
- Prescription
- Offer Type: Mail-In Rebate
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 866-747-1170
Feldene
12/31/2037
Last Updated: 02/28/2022
Feldene Samples: Your healthcare provider may request samples by visiting the PfizerPro website or calling 800-505-4426.
- Prescription
- Offer Type: Free Sample Offer
- Activate By: Doctor/Healthcare Provider
- Coverage Requirments:
- Pharmacy Support Number 800-505-4426
Flagyl
12/31/2037
Last Updated: 12/14/2021
Flagyl Samples: Your healthcare provider may request samples by contacting PfizerPro online or by calling 800-505-4426.
- Prescription
- Offer Type: Free Sample Offer
- Activate By: Doctor/Healthcare Provider
- Coverage Requirments:
- Pharmacy Support Number 800-505-4426
Ziagen
12/31/2037
Last Updated: 02/07/2022
Ziagen ViiVConnect Rebate: Eligible commercially insured patients may be eligible for a rebate for the amount paid out of pocket per prescription if the pharmacy does not accept the savings card; rebate may be completed online or by downloading and mailing in the rebate form; for additional information contact the program at 866-747-1170.
- Prescription
- Offer Type: Mail-In Rebate
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 866-747-1170
Mycobutin
12/31/2037
Last Updated: 01/31/2022
Mycobutin Samples: Your healthcare provider may request samples by contacting PfizerPro at 800-505-4426 or online.
- Prescription
- Offer Type: Free Sample Offer
- Activate By: Doctor/Healthcare Provider
- Coverage Requirments:
- Pharmacy Support Number 800-505-4426
Pfizerpen
12/31/2037
Last Updated: 12/14/2021
Pfizerpen Samples: Your healthcare provider may request samples by contacting PfizerPro online or calling 800-505-4426.
- Prescription
- Offer Type: Free Sample Offer
- Activate By: Doctor/Healthcare Provider
- Coverage Requirments:
- Pharmacy Support Number 800-505-4426
Otrexup
12/31/2037
Last Updated: 03/17/2022
Otrexup Total Care Co-pay Assistance Mail-in Rebate: Eligible commercially insured patients may take advantage of the mail-in rebate program if the pharmacy is unable to process the co-pay assistance card; for additional information contact the program at 800-422-5604.
- Prescription
- Offer Type: Mail-In Rebate
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 800-422-5604
ProCort
12/31/2037
Last Updated: 04/05/2022
ProCort Women's Choice Savings Coupon: Eligible commercially insured patients may pay no more than $50 per prescription; for additional information contact the program at 800-664-1490.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 800-664-1490
Dalvance
12/31/2037
Last Updated: 03/17/2022
Dalvance Connects Co-pay Assistance Program: Eligible commercially insured patients may receive financial assistance with their out-of-pocket costs up to a maximum benefit of $2000 per calendar year; for additional information contact the program at 855-387-2824.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 855-387-2824
Urogesic Blue
12/31/2037
Last Updated: 04/05/2022
Urogesic Blue Women's Choice Savings Coupon: Eligible commercially insured patients may pay no more than $30 per 30-pill prescription; for additional information contact the program at 800-664-1490.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 800-664-1490
Urogesic Blue
12/31/2037
Last Updated: 04/05/2022
Urogesic Blue Women's Choice Savings Coupon: Eligible uninsured/cash-paying patients may pay no more than $50 per 30-pill prescription; for additional information contact the program at 800-664-1490.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 800-664-1490
ProCort
12/31/2037
Last Updated: 04/05/2022
ProCort Women's Choice Savings Coupon: Eligible uninsured/cash-paying patients may pay no more than $75 per prescription; for additional information contact the program at 800-664-1490.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 800-664-1490
Noritate
12/31/2037
Last Updated: 05/04/2022
Noritate Rx Access Program: Eligible commercially insured patients pay no more than $25 per prescription; valid for 6 prescription fills; offer exclusively at Walgreens and participating independent pharmacies; for additional information contact the program at 855-202-3279.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 855-202-3279
Clindagel
12/31/2037
Last Updated: 05/04/2022
Clindagel Rx Access Program: Eligible commercially insured patients may pay $25 per prescription; valid for 6 prescription fills; offer exclusively at Walgreens and participating independent pharmacies; for additional information contact the program at 855-202-3279.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 855-202-3279
Loprox
12/31/2022
Last Updated: 05/02/2022
Loprox (Cream Kit) Medimetriks Cares Instant Rebate Card: Eligible commercially insured and cash-paying patients can save on their prescriptions; for additional information contact the program at 973-882-7512.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 877-274-3244
Sivextro
12/31/2022
Last Updated: 05/18/2022
Sivextro Savings Coupon: Eligible commercially insured patients may pay as little as $15 on 2 qualifying prescriptions (6 tablets) for a maximum savings of $1500 per fill; offer valid for 2 times only; for additional information contact the program at 855-332-6043.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 855-332-6043
Cayston
12/31/2037
Last Updated: 03/17/2022
Cayston Co-Pay Coupon Program: Eligible commercially insured patients may pay no more that $10 per prescription fill with an annual savings of up to $8000; no monthly savings maximum; valid for 7 fills per calendar year; for additional information contact the program at 877-722-9786.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-722-9786
Trecator
12/31/2037
Last Updated: 05/05/2022
Healthcare providers may request Trecator samples by contacting PfizerPro online or calling 800-505-4426.
- Prescription
- Offer Type: Free Sample Offer
- Activate By: Doctor/Healthcare Provider
- Coverage Requirments:
- Pharmacy Support Number 800-505-4426
Skelaxin
12/31/2037
Last Updated: 12/22/2021
Skelaxin Samples: Your healthcare provider may request samples by logging into the Pfizer Pro website or calling 800-505-4426.
- Prescription
- Offer Type: Free Sample Offer
- Activate By: Doctor/Healthcare Provider
- Coverage Requirments:
- Pharmacy Support Number 800-505-4426
Selzentry
12/31/2037
Last Updated: 02/07/2022
Selzentry ViiVConnect Rebate: Eligible commercially insured patients may be eligible for a rebate for the amount paid out of pocket per prescription if the pharmacy does not accept the savings card; rebate may be completed online or by downloading and mailing in the rebate form; for additional information contact the program at 866-747-1170.
- Prescription
- Offer Type: Mail-In Rebate
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 866-747-1170
Otovel
12/31/2037
Last Updated: 04/29/2022
Otovel WraSer-Direct Co-Pay Assistance Program: Eligible commercially insured patients may pay as little as $15 per prescription when using a WraSer Pharmacy Partner; for additional information contact the program at 601-605-0664.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 844-728-3479
Doryx MPC
12/31/2023
Last Updated: 05/24/2022
Doryx MPC Mayne Pharma Patient Savings Card: Eligible commercially insured patients pay $0 per 30-day prescription; for additional information contact the program at 347-442-7919.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 800-433-4893
Doryx MPC
12/31/2023
Last Updated: 05/24/2022
Doryx MPC Mayne Pharma Patient Savings Card: Eligible commercially insured patients/RX not covered may have a copay of $65 per prescription; for additional information contact the program at 347-442-7919.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 800-433-4893
Oracea
12/31/2037
Last Updated: 03/28/2022
Oracea Galderma CareConnect Savings Card: Eligible uninsured/cash-paying patients may pay no more than $60 per 30-day prescription; for additional information contact the program at 855-280-0543.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 855-280-0543
Jublia
12/31/2037
Last Updated: 05/04/2022
Jublia Rx Access Program: Eligible commercially insured patients/RX not covered may pay no more than $65 per prescription; valid for 12 prescription fills; offer exclusively at Walgreens and participating independent pharmacies; for additional information contact the program at 855-202-3279.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 855-202-3279
Jublia
12/31/2037
Last Updated: 05/04/2022
Jublia Rx Access Program: Eligible uninsured/cash-pay patients may pay up to $130 per prescription; valid for 12 prescription fills; offer exclusively at Walgreens and participating independent pharmacies; for additional information contact the program at 855-202-3279.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 855-202-3279
Nolix
12/31/2037
Last Updated: 01/31/2022
Nolix Artesa Labs Advantage Card: Eligible commercially insured patients may pay $0 per prescription; for additional information contact the program 877-264-2440.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 877-264-2440
Nolix
12/31/2037
Last Updated: 01/31/2022
Nolix Artesa Labs Advantage Program: Eligible commercially insured/Rx not covered patients may pay as little as $45 per prescription when filling their prescription at a participating pharmacy; for additional information contact the program at 877-264-2440.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-264-2440
Simponi Aria
12/31/2037
Last Updated: 03/02/2022
Simponi Aria Janssen CarePath Savings Program: Eligible commercially insured patients may pay $5 copay per infusion with savings of up to $20,000 per year on out-of-pocket costs; for additional information contact the program at 877-227-3728.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-227-3728
Zinplava
12/31/2022
Last Updated: 05/18/2022
Zinplava Merck Co-Pay Assistance Program: Eligible commercially insured patients will pay $100 per infusion with a maximum benefit of $3,700 for one vial per calendar year; if 2 vials are required for one infusion then the maximum benefit is $7,500 per calendar year; for additional information contact the program at 877-709-4455.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-709-4455
Doxycycline
12/31/2037
Last Updated: 03/28/2022
Doxycycline Galderma CareConnect Patient Savings Card: Eligible commercially insured patients may pay $0 per 30-day prescription; for additional information contact the program at 855-280-0543.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 855-280-0543
Metronidazole
12/31/2037
Last Updated: 04/27/2022
Metronidazole PruGen Solutions: Eligible commercially insured patients may pay no more than $25 per prescription when their doctor enrolls them in the program; prescriptions are delivered to the patients' home for FREE; for additional information contact the program at 844-436-7928.
- Prescription
- Offer Type: Discount Program/Point System
- Activate By: Patient and Doctor
- Coverage Requirments:
- Pharmacy Support Number 844-436-7928
Metronidazole
12/31/2037
Last Updated: 04/27/2022
Metronidazole PruGen Solutions: Eligible uninsured and commercially insured/RX not covered patients may pay $50 per prescription when their doctor enrolls them in the program; prescriptions are delivered to the patients' home for FREE; for additional information contact the program at 844-436-7928.
- Prescription
- Offer Type: Discount Program/Point System
- Activate By: Patient and Doctor
- Coverage Requirments:
- Pharmacy Support Number 844-436-7928
Berinert
12/31/2037
Last Updated: 04/28/2022
Berinert Co-Pay Program: Eligible commercially insured patients may save up to $12,000 per year on co-pay expenses; for additional information contact the program at 877-236-4423.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-236-4423
Solosec
12/31/2037
Last Updated: 03/21/2022
Solosec Savings Card: Eligible commercially insured patients may pay as little as $25 per prescription fill; offer valid for up to 12 fills; for additional information contact the program at 833-500-6732.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 833-500-6732
Fulphila
12/31/2037
Last Updated: 04/01/2022
Fulphila Mylan Advocate Co-pay Assistance Program: Eligible commercially insured patients may pay $0 copay per prescription; maximum savings of up to $10,000 per 12-month period; for additional information contact the program at 833-695-2623.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient and Doctor
- Coverage Requirments:
- Pharmacy Support Number 833-695-2623
Haegarda
12/31/2037
Last Updated: 01/20/2022
Haegarda Connect Co-pay Support: Eligible commercially insured patients may receive co-pay support with enrollment; for additional information contact the program at 844-423-4273.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 844-423-4273
Inveltys
12/31/2022
Last Updated: 05/06/2022
Inveltys Copay Card: Eligible commercially insured patients may pay as little as $40 per prescription; offer valid for up to 6 prescriptions; additional information contact the program at 866-255-9039.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-454-8063
Udenyca
12/31/2037
Last Updated: 01/13/2022
Udenyca Coherus Complete Co-Pay Assistance Program: Eligible commercially insured patients may pay $0 on out-of-pocket costs per dose; maximum savings of $15,000 per 12-month enrollment period; for additional information contact the program at 844-483-3692.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 844-483-3692
Cinryze
12/31/2037
Last Updated: 02/16/2022
Cinryze OnePath Co-Pay Assistance Program: Eligible commercially insured patients may save on certain out-of-pocket treatment costs; for additional information contact the program at 866-888-0660.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 866-888-0660
Takhzyro
12/31/2037
Last Updated: 02/28/2022
Takhzyro OnePath Co-Pay Assistance Program: Eligible commercially insured patients may save up to 100% off co-pay expenses up to the program maxium; for additional information contact the program at 866-888-0660.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 866-888-0660
Firazyr
12/31/2037
Last Updated: 02/28/2022
Firazyr OnePath Co-Pay Assistance Program: Eligible commercially insured patients may save up to 100% off co-pay expenses up to the program maximum; for additional information contact the program at 866-888-0660.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 866-888-0660
Berinert
12/31/2037
Last Updated: 04/28/2022
Berinert CSL Behring Assurance Program: Eligible commercially insured patients may continue to receive their medication during a lapse in insurance coverage; for additional information contact the program at 877-236-4423.
- Prescription
- Offer Type: Discount Program/Point System
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-236-4423
Ruconest
12/31/2037
Last Updated: 01/13/2022
Ruconest StarterRx Program: Eligible new patients to therapy may receive up 4 vials or 2 doses free to begin treatment; for additional information contact the program at 855-613-4423.
- Prescription
- Offer Type: Discount Program/Point System
- Activate By: Patient and Doctor
- Coverage Requirments:
- Pharmacy Support Number 855-613-4423
Ruconest
12/31/2037
Last Updated: 01/13/2022
Ruconest Copay Patient Savings Program: Eligible commercially insured patients may save on copay costs associated with therapy; for additional information contact the program at 855-613-4423.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 855-613-4423
Tolsura
12/31/2023
Last Updated: 05/24/2022
Tolsura Mayne Pharma Patient Savings Card: Eligible commercially insured patients may pay $0 per prescription; for additional information contact the program at 347-442-7919.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 800-433-4893
Olumiant
12/31/2024
Last Updated: 02/21/2022
Olumiant Savings Card: Eligible commercially insured patients may pay only $5 for each 30-day prescription; for additional information contact the program at 844-658-6426.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 844-658-6426
Olumiant
12/31/2024
Last Updated: 02/21/2022
Olumiant Savings Card: Eligible commercially insured/RX not covered patients may pay only $25 for each 30-day prescription; for additional information contact the program at 844-658-6426.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 844-658-6426
Daraprim
12/31/2037
Last Updated: 02/25/2022
Daraprim Direct Copay Program: Eligible commercially insured patients may pay as little as $0 per prescription with a savings of up to $7875 per 30-tablet fill; program has a $25,000 annual cap per rolling 12 months; for additional information contact the program at 877-258-2033 option 3.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-258-2033
TaperDex
12/31/2037
Last Updated: 03/17/2022
TaperDex Co-pay Savings Voucher: Eligible commercially insured patients may pay $0 per prescription; for additional information contact the program at 601-990-9497.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 601-990-9497
Nivestym
12/31/2037
Last Updated: 01/12/2022
Nivestym Pfizer Oncology Together Co-Pay Savings Program for Injectables: Eligible commercially insured patients may pay as little as $0 per treatment; maximum savings limits per calendar year apply; for more information contact the program at 877-744-5675.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-744-5675
Simponi Aria
12/31/2037
Last Updated: 03/02/2022
Simponi Aria Janssen CarePath Treatment Administration Rebate Program: Eligible commercially insured patients pay $0 after rebate to patient for administration of each infusion with a $2,000 maximum program benefit per calendar year; for additional information contact the program at 877-227-3728.
- Prescription
- Offer Type: Mail-In Rebate
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-227-3728
Xepi
12/31/2037
Last Updated: 03/16/2022
Xepi Copay Program: Eligible commercially insured patients may pay no more than $35 per prescription on up to 4 fills per year; for additional information contact the program at 844-780-8152.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 844-780-8152
Nuvessa
12/31/2037
Last Updated: 03/17/2022
Nuvessa Copay Card: Eligible commercially insured patients may pay as little as $25 per prescription; for additional information contact the program at 844-558-2650.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 800-422-5604
Inveltys
12/31/2022
Last Updated: 05/06/2022
Inveltys Copay Card: Eligible cash-paying patients may pay as little as $60 per prescription; offer valid for up to 6 prescriptions; for additional information contact the program at 866-255-9039.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-454-8063
Turalio
12/31/2037
Last Updated: 02/28/2022
Turalio Copay Program: Eligible commercially insured patients may save up to $25,000 per year on copays; for additional information contact the program at 800-850-4306.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient and Doctor
- Coverage Requirments:
- Pharmacy Support Number 800-850-4306
Truxima
12/31/2022
Last Updated: 05/18/2022
Truxima Teva CORE Program: Eligible commercially insured patients may pay as little as $0 per fill with a savings of up to $25,000 annually; for additional information contact the program at 888-587-3263.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 888-587-3263
Ziextenzo
12/31/2037
Last Updated: 03/17/2022
Ziextenzo Co-Pay Program: Eligible commercially insured patients may pay $0 per prescription with savings of up to $10,000 per year; for additional information contact the program at 844-726-3691.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 844-726-3691
TaperDex
12/31/2037
Last Updated: 03/17/2022
TaperDex Co-pay Savings Voucher: Eligible commercially insured patients/Rx not covered may pay no more than $10 per prescription; for additional information contact the program at 601-990-9497.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 601-990-9497
Solosec
12/31/2037
Last Updated: 03/21/2022
Solosec Savings Card: Eligible cash-paying/RX not covered patients may pay as little as $75 per prescription fill; offer valid for up to 12 fills; for additional information contact the program at 833-500-6732.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 833-500-6732
Talicia
12/31/2037
Last Updated: 03/03/2022
Talicia Savings Card: Eligible commercially insured patients may pay as little as $35 per prescription; for additional information contact the program at 844-825-4242.
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 800-433-4893
Nuvessa
12/31/2037
Last Updated: 03/17/2022
Nuvessa Copay Card: Eligible uninsured/cash-paying patients may pay only $55 per prescription; for additional information contact the program at 844-558-2650.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 800-422-5604
Pred Forte
06/30/2022
Last Updated: 05/24/2022
Pred Forte Savings Program: Eligible commercially insured patients and patients who have Medicare Part D may pay as little as $50 for up to 6 fills; for additional information contact the program at 877-737-0629.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 800-433-4893
Mitigare
12/31/2037
Last Updated: 02/07/2022
Mitigare True Blue Savings Card Rebate: Eligible patients may submit a rebate request via mail if the pharmacy does not accept the Savings card; for additional information contact the program at 877-259-6893.
- Prescription
- Offer Type: Mail-In Rebate
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-259-6893
Ortikos
12/31/2022
Last Updated: 05/05/2022
Ortikos Co-Pay Savings: Eligible commercially insured patients may pay as little as $10 per 30-day supply with a maximum savings of $100 per fill; for additional information contact the program at 833-277-7538.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 833-277-7538
TobraDex ST
12/31/2037
Last Updated: 03/23/2022
Tobradex ST Copay Savings Program: Eligible Medicare patients, cash-paying patients and commercially insured patients/RX not covered pay $59 per fill; for additional information contact the program at 866-747-0976.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 866-747-0976
TobraDex ST
12/31/2037
Last Updated: 03/23/2022
Tobradex ST Copay Savings Program: Eligible commercially insured patients pay $49 per fill; for additional information contact the program at 866-747-0976.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 800-422-5604
Flarex
12/31/2037
Last Updated: 03/23/2022
Flarex Copay Savings Program: Eligible Medicare patients, cash-paying patients and commercially insured patients/RX not covered pay $59 per fill; for additional information contact the program at 866-747-0976.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 800-422-5604
Flarex
12/31/2037
Last Updated: 03/23/2022
Flarex Copay Savings Program: Eligible commercially insured patients pay $49 per fill; for additional information contact the program at 866-747-0976.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 800-422-5604
Remicade
12/31/2037
Last Updated: 03/03/2022
Remicade Janssen CarePath Savings Program Medical Benefit Rebate: If a commercially insured patient receives their medication directly through their doctor/treatment provider and the Savings Card is not accepted the patient may submit a rebate request form; for additional information contact the program at 877-227-3728.
- Prescription
- Offer Type: Mail-In Rebate
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-227-3728
Simponi
12/31/2037
Last Updated: 03/02/2022
Simponi Janssen CarePath Savings Program Rebate: Eligible commercially insured patients may submit a rebate request if the pharmacy does not accept the Savings Card; for additional assistance contact the program at 877-227-3728.
- Prescription
- Offer Type: Mail-In Rebate
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-227-3728
Cayston
12/31/2037
Last Updated: 03/17/2022
Cayston Co-Pay Coupon Program: Eligible cash-pay patients may save on their prescriptions when using the program; for additional information contact the program at 877-722-9786.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-722-9786
Pandel
12/31/2037
Last Updated: 03/30/2022
Pandel Ani Derm Copay Savings Program: Eligible commercially insured patients may pay as little as $25 per prescription; for additional information contact the program at 844-396-8097.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 844-396-8097
Nyvepria
12/31/2037
Last Updated: 01/12/2022
Nyvepria Pfizer Oncology Together Co-Pay Savings Program for Injectables: Eligible commercially insured patients may pay as little as $0 per treatment; maximum savings limits per calendar year apply; for more information contact the program at 877-744-5675.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-744-5675
Simponi Aria
12/31/2037
Last Updated: 03/02/2022
Simponi Aria Janssen CarePath Savings Program Medical Benefit Rebate: If a commercially insured patient receives their medication directly through their doctor/treatment provider and the Savings Card is not accepted the patient may submit a rebate request form; for additional information contact the program at 877-227-3728.
- Prescription
- Offer Type: Mail-In Rebate
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-227-3728
Simponi Aria
12/31/2037
Last Updated: 03/02/2022
Simponi Aria Janssen CarePath Savings Program Pharmacy Benefit Rebate: If a commercially insured patient receives their medication directly through a pharmacy and the Savings Card is not accepted the patient may submit a rebate request form; for additional information contact the program at 877-227-3728.
- Prescription
- Offer Type: Mail-In Rebate
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-227-3728
Lampit
12/31/2037
Last Updated: 03/21/2022
Lampit Bayer Savings Card Program: Eligible commercially insured patients may pay as little as $0 co-pay per prescription with savings of up to $1000 per year; for additional assistance contact the program at 866-203-3503.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 800-422-5604
Altabax
12/31/2037
Last Updated: 05/06/2022
Altabax Almirall Advantage Savings Card: Eligible commercially insured patients may pay no more than $15 per prescription when using a network pharmacy; for additional information contact the program at 888-591-9860.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 800-433-4893
Altabax
12/31/2037
Last Updated: 05/06/2022
Altabax Almirall Advantage Savings Card: Eligible commercially insured patients/RX not covered may pay no more than $50 per prescription when using a network pharmacy; for additional information contact the program at 888-591-9860.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 800-433-4893
Sivextro
12/31/2037
Last Updated: 05/18/2022
Healthcare professionals may order samples of Sivextro for their practice by filling out the online form.
- Prescription
- Offer Type: Free Sample Offer
- Activate By: Doctor/Healthcare Provider
- Coverage Requirments:
- Pharmacy Support Number 855-332-6043
HemCalm Suppositories
12/31/2037
Last Updated: 04/19/2022
$2 coupon for any HemCalm product; 1 coupon per purchase.
- Over-the-counter
- Offer Type: Sign-up Coupon
- Activate By: Patient sign form
- Coverage Requirments:
- Pharmacy Support Number 800-264-7661
Cetraxal
12/31/2037
Last Updated: 04/29/2022
Cetraxal WraSer-Direct Co-Pay Assistance Program: Eligible commercially insured patients may pay as little as $15 per prescription when using a WraSer Pharmacy Partner; for additional information contact the program at 601-605-0664.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 844-728-3479
Cetraxal
12/31/2037
Last Updated: 03/16/2022
Cetraxal WraSer-Direct Co-Pay Assistance Program: Eligible commercially insured patients/RX not covered may pay as little as $20 per prescription when using a WraSer Pharmacy Partner; for additional information contact the program at 601-605-0664.
- Over-the-counter
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 844-728-3479
Cetraxal
12/31/2037
Last Updated: 04/29/2022
Cetraxal FREE Samples: Your healthcare provider may request samples for their practice.
- Prescription
- Offer Type: Free Sample Offer
- Activate By: Doctor/Healthcare Provider
- Coverage Requirments:
- Pharmacy Support Number 601-605-0664
Kimyrsa
12/31/2037
Last Updated: 03/11/2022
Kimyrsa Copay Savings Program: Eligible commercially insured patients may pay as little $50 per treatment; program will cover up to $1,000 of a patient’s obligation; for additional information contact the program at 844-546-9772.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient and Doctor
- Coverage Requirments:
- Pharmacy Support Number 844-546-9772
Pandel
12/31/2037
Last Updated: 03/31/2022
Pandel Samples: Healthcare providers may fax a sample request form to 844-896-5307.
- Prescription
- Offer Type: Free Sample Offer
- Activate By: Doctor/Healthcare Provider
- Coverage Requirments:
- Pharmacy Support Number 844-806-8301
Duexis
12/31/2037
Last Updated: 04/08/2022
Duexis HorizonCares Program: Eligible commercially insured patients' doctor can send their prescription to a participating pharmacy; if their prescription is covered by insurance then the patient pays $0 per fill; program offers FREE delivery; for additional information contact the program at 866-323-1490.
- Prescription
- Offer Type: Mail-Order Pharmacy
- Activate By: Patient and Doctor
- Coverage Requirments:
- Pharmacy Support Number 866-323-1490
Livtencity
12/31/2037
Last Updated: 04/20/2022
Livtencity Takeda Patient Support Co-Pay Assistance Program: Eligible commercially insured patients pay as little as $0 per prescription; for additional information contact the program at 855-268-1825.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 855-268-1825
Sivextro
12/31/2022
Last Updated: 05/18/2022
Sivextro Savings Coupon Direct Member Reimbursement (DMR): Eligible commercially insured patients may contact the program for a Reimbursement form if their retail or mail-order pharmacy did not accept the Savings Coupon; patient must contact the program within 30 days of the prescription fill; for additional information contact program at 855-332-6043.
- Prescription
- Offer Type: Mail-In Rebate
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 855-332-6043
Remicade
12/31/2037
Last Updated: 03/02/2022
Remicade Janssen CarePath Savings Program Pharmacy Benefit Rebate: If a commercially insured patient receives their medication directly through a pharmacy and the Savings Card is not accepted the patient may submit a rebate request form; for additional information contact the program at 877-227-3728.
- Prescription
- Offer Type: Mail-In Rebate
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 877-227-3728
Nuvessa
12/31/2037
Last Updated: 03/17/2022
Nuvessa Samples: Healthcare providers may request samples for their office by completing the order form and faxing the completed form to 614-652-8275 or sending via email to ExeltisSamples@cardinalhealth.com.
- Prescription
- Offer Type: Free Sample Offer
- Activate By: Doctor/Healthcare Provider
- Coverage Requirments:
- Pharmacy Support Number 844-558-2650
Cortrophin Gel (purified)
12/31/2037
Last Updated: 03/31/2022
Cortrophin In Your Corner Copay Savings Program: Eligible commercially insured patients who have been diagnosed with certain conditions may pay as little as $0 per prescription fill with a maximum savings of $25,000 per calendar year; for additional information contact the program at 855-442-4521.
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 855-442-4521
Rayos
12/31/2037
Last Updated: 04/13/2022
Rayos Co-pay Card: Eligible patients may pay as little as $0 per prescription with a savings od $800 per fill; for additional information contact the program at 855-226-4006.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 800-422-5604
Rayos
12/31/2037
Last Updated: 04/13/2022
Rayos HorizonCares Program: Eligible commercially insured patients' doctor can send their prescription to a participating pharmacy; if their prescription is covered by insurance then the patient pays $0 per fill; if medication is not covered by insurance then the patient pays a low copay per fill; program offers FREE delivery; for additional information contact the program at 866-323-1490.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient and Doctor
- Coverage Requirments:
- Pharmacy Support Number 866-323-1490
Rayos
12/31/2037
Last Updated: 04/13/2022
Rayos HorizonCares Program: Eligible commercially insured patients/RX not covered may have their doctor can send their prescription to a participating pharmacy; if medication is not covered by insurance then the patient pays a low copay per fill; program offers FREE delivery; for additional information contact the program at 866-323-1490.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient and Doctor
- Coverage Requirments:
- Pharmacy Support Number 866-323-1490
Rayos
12/31/2037
Last Updated: 04/13/2022
Rayos Samples: Healthcare professionals may request samples to be sent to their office by filling out an online form.
- Prescription
- Offer Type: Free Sample Offer
- Activate By: Doctor/Healthcare Provider
- Coverage Requirments:
- Pharmacy Support Number 855-226-4006
Duexis
12/31/2037
Last Updated: 04/13/2022
Duexis HorizonCares Program: Eligible commercially insured patients/RX not covered may have their doctor can send their prescription to a participating pharmacy; if medication is not covered by insurance then the patient pays a low copay per fill; program offers FREE delivery; for additional information contact the program at 866-323-1490.
- Prescription
- Offer Type: Copay Card Program
- Activate By: Patient and Doctor
- Coverage Requirments:
- Pharmacy Support Number 866-323-1490
Duexis
12/31/2037
Last Updated: 04/13/2022
Duexis Samples: Healthcare professionals may request samples to be sent to their office by filling out an online form.
- Prescription
- Offer Type: Free Sample Offer
- Activate By: Doctor/Healthcare Provider
- Coverage Requirments:
- Pharmacy Support Number 855-250-6335
Cetraxal
12/31/2037
Last Updated: 04/29/2022
Cetraxal WraSer-Direct Co-Pay Assistance Program: Eligible cash-paying patients may pay $40 for their prescription when using a WraSer Pharmacy Partner; for additional information contact the program at 877-264-2440.
- Prescription
- Offer Type: Copay Card Download
- Activate By: No Form - Just Print
- Coverage Requirments:
- Pharmacy Support Number 844-728-3479