Based on patient’s insurance change, patient may no longer be able to participate in the copay savings program. If patient’s insurance changes, the pharmacy must be notified immediately. Copay savings program benefits may not be applied retroactively.
This offer is void where prohibited by law. It is illegal to (or offer to) sell, purchase, or trade this offer. By using this offer, patients or their representative certify that they will comply with any terms of their health insurance contract requiring notification to their payer of the existence and/or value of this offer. The pharmacy, patient, or prescriber cannot submit a claim for reimbursement under any federal, state, or other governmental programs or to any third party for any part of the benefit received by the patient through the copay savings program. The copay savings program is not health insurance. The pharmacy will bill patient’s insurance for the portion that patient’s insurance plan has agreed to cover. The copay savings program requires a valid, signed prescription for EPIDIOLEX. The copay savings program is not valid for beneficiaries of Medicare, Medicaid, VA/DoD (Tricare) programs, the Indian Health Service or other federal or state healthcare programs, if patient pays for prescription in cash or if patient chooses not to use their insurance coverage. boxes) who have commercial insurance coverage with out-of-pocket expenses, including copayments, co-insurance, and deductibles. The copay savings program is only available for residents of the United States or Puerto Rico with a domestic mailing address (no P.O. Patients cannot seek reimbursement from health insurance or any third party for any part of the benefit received by the patient through this program.Įligible patients may pay as low as $0 per EPIDIOLEX prescription. The copay savings program is not prescription coverage or insurance.
Any copay benefit will be automatically deducted from the patient’s copay. Eligibility is assessed as part of the standard benefit investigation process performed by the pharmacy. Other restrictions, including annual maximum limits, may apply. This offer is subject to change or discontinuation at any time without notice. Commercially insured (patients are not eligible for this program if they are receiving prescription reimbursement for EPIDIOLEX under Medicare Part D, Medicaid, Medigap, VA/DoD (Tricare) programs, the Indian Health Service, or any other federal or state-funded healthcare program, or where prohibited by law).A legal resident of the United States or Puerto Rico.Jazz Pharmaceuticals is committed to making EPIDIOLEX affordable and accessible for patients by working with payers to reduce or eliminate reimbursement hurdles.Įligible* commercially insured patients may pay as low as $0 per prescriptionĭownload this helpful copay savings reminder for your patients and their caregivers.
0 kommentar(er)
