* Depending on insurance coverage, eligible patients may pay as little as $20 for each of up to to twelve (12) prescription fills for a 30-day supply, up to six (6) prescription fills for a 60-day supply, or up to four (4) prescription fills for a 90-day supply. Check with your pharmacist for your copay discount. Maximum savings limits apply; patient out-of-pocket expense will vary. Offer not valid for patients enrolled in Medicare, Medicaid, or other federal or state healthcare programs. Patients residing in or receiving treatment in certain states may not be eligible.
Please click here for Program Terms, Conditions, and Eligibility Criteria.