For patients with commercial insurance— eligible patients may pay as little as $5 per month with the Pre-activated Savings Card*
*Savings Card Offer: Eligibility Criteria and Terms & Conditions
Eligibility Criteria: Resident of US or Puerto Rico with valid prescription for product listed on front of the Savings Card. Not valid if enrolled in state or federally funded prescription benefit program (eg, Medicare Part D/Medicaid) or if prohibited by law.
Terms & Conditions: For patients with commercial insurance, savings benefits for these products do not cover insurance deductibles and apply after the $5 out-of-pocket expense is met for each 30-day prescription fill or $15 for 90-day prescription fill. Savings are subject to a maximum benefit. Patients without insurance receive $25 off the retail price for each prescription fill. Offer not valid with any other program, discount or incentive. For California and Massachusetts residents, the Co-pay Card is not valid for BENICAR, BENICAR HCT, AZOR, or TRIBENZOR that has an AB-rated generic equivalent as determined by the United States Food and Drug Administration. Patient is not eligible if prescriptions are paid in part or full by any state or federally funded programs, including but not limited to Medicare or Medicaid, Medigap, VA, DOD or TriCare and where prohibited by law. It is illegal for any person to sell, purchase, or trade or to counterfeit the Savings Card. This is not insurance. This card carries no cash value. Valid for up to a 365-day supply per calendar year. By using the Savings Card, patients certify they meet the Eligibility Criteria and Terms & Conditions.
Pharmacist & Patient Questions: Call 1-877-264-2440 (8 AM–8 PM ET, M–F)
Pharmacist Conditions: By using this offer, you certify that the Eligibility Criteria are met. Submit transaction to McKesson Corp, using BIN #610524. If primary coverage exists, input offer information as secondary coverage and transmit using COB segment of NCPDP transaction. Applicable discounts will be displayed in the transaction response. Acceptance of this offer is subject to LoyaltyScript® program Terms and Conditions posted at www.mckesson.com/mprstnc.
McKesson Corporation–Scottsdale, AZ 85251–Patent Pending
Cosette Pharmaceuticals, Inc., reserves the right to rescind, revoke, or amend this program, at any time, without notice.
Trademarks not owned by Cosette Pharmaceuticals, Inc., are property of their respective owners.
© 2022 Cosette Pharmaceuticals, Inc. CP-US-HN-001 06/22
