Dificid Savings Coupon

Funded

About

The Dificid Savings Coupon is a beneficial program designed to offer cost savings on the drug product, Dificid. Eligible patients can significantly reduce their prescription costs with the Dificid Savings Coupon, allowing up to $4,500 in savings per prescription for Dificid Oral Suspension or tablets. The program is tailored for patients with private insurance, excluding those under government medical aid programs.

Insurance requirements: Commercially insured

As low as: $50 per fill

Enrollment Forms

Enrollment Form

Benefits

•$4500 annual maximum benefit

•4 maximum fills per year

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Must be 18 years of age or older

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Eligible commercially insured patients may pay $50 per prescription on each of up to 4 prescriptions

•Valid for either up to 20 tablets or one bottle of oral suspension per prescription fill

•The coupon is valid for use 4 times only; may be redeemed only once every 10 days

•Maximum savings of $4,500 per prescription

•For any Pharmacy assistance call at 8772642454 (8A 8PM ET, Monday Friday)

Enrollment Forms

Enrollment Form