Viibryd® Savings Program

Activation

Viibryd Card Image

Please click here for full Prescribing Information, including Boxed Warning, for VIIBRYD.

Activation

Do you live in the United States or Puerto Rico?

Do you have commercial health insurance or commercial prescription drug insurance? (If you have Medicare or Medicaid, select "No".)

Are you enrolled in either Medicare (including Medicare Advantage), Medicaid or a VA/DOD health plan?

Are you Medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees?

By activating your VIIBRYD® Savings Card, you certify that you are not enrolled in a federal- or state-funded prescription drug benefit program, such as Medicare, Medicaid, or any private indemnity or HMO insurance plan that reimburses you for the entire cost of your prescription drugs. You also certify that you are not Medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. You further certify that should you begin receiving prescription benefits from one of these types of programs at any time, you will no longer participate in this savings program.

Program Terms, Conditions and Eligibility Criteria

  1. This offer is valid only for patients 18 years of age or older and is good for use only with a valid prescription for VIIBRYD® (vilazodone HCl) 10 mg, 20 mg, and/or 40 mg or one Patient Starter Kit at the time the prescription is filled by the pharmacist and dispensed to the patient.
  2. Depending on your insurance coverage, most eligible patients may pay as little as $15 per 30-day supply for each up to six (6) prescription fills OR 60-day supply for each of up to three (3) prescription fills OR per 90-day supply for each of up to two (2) prescription fills. Check with your pharmacist for your copay discount. Maximum savings limit applies; patient out-of-pocket expense may vary.
  3. This card is not valid for use by patients enrolled in Medicare, Medicaid, or other federal or state programs (including any state pharmaceutical assistance programs), or private indemnity or HMO insurance plans that reimburse you for the entire cost of your prescription drugs. Patients may not use this card if they are Medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. This offer is not valid for cash-paying patients.
  4. Each card is valid for up to six (6) prescription fills of a 30-day supply each OR up to three (3) prescription fills of a 60-day supply each OR up to two (2) prescription fills of a 90-day supply each. Offer applies only to prescriptions filled before the program expires on December 31, 2019.
  5. Allergan reserves the right to rescind, revoke, or amend this offer without notice.
  6. Offer good only in the USA, including Puerto Rico, at participating retail pharmacies.
  7. Void if prohibited by law, taxed, or restricted.
  8. This card is not transferable. The selling, purchasing, trading, or counterfeiting of this card is prohibited by law.
  9. This card has no cash value and may not be used in combination with any other discount, coupon, rebate, free trial, or similar offer for the specified prescription.
  10. This offer is not health insurance.
  11. This card expires December 31, 2019.
  12. By redeeming this card, you acknowledge that you are an eligible patient and that you understand and agree to comply with the terms and conditions of this offer.

For questions about the program, including savings on mail-order prescriptions, please call 1.877.271.9952.