•Eligible commercially insured patients may pay as little as $5 for 30 day or 90days prescription
•Restrictions, including monthly maximums, may apply
•Subject to all other terms and conditions, the maximum annual benefit that may be available solely for the patient’s benefit under the copay assistance program is $3,000.00 per calendar year
•Benefit may vary on a monthly, quarterly, and/or annual basis, depending on each individual patient’s plan of insurance and other prescription drug costs
•Copay card resets each January 1st; no reenrollment is required