•Eligible commercially insured patients may pay as little as $0* outofpocket cost with the Fingolimod Instant Savings Card toward each 30day supply, and the program will pay up to $750 per 30day supply not covered by primary insurance
•Maximum benefit of up to $75 per 30day supply not covered by primary insurance, up to $900 per calendar year
•Patient is responsible for any costsharing beyond $75 for each 30day supply
•Valid only for Fingolimod Capsules 0.5 mg manufactured by MSN Laboratories Private Limited and labeled by Apotex, NDC: 6050543323
•Call 8558203230 for assistance or additional information
•Pharmacists, call 8558251678 for assistance with processing the card