Jardiance Savings Card

Funded

About

The Jardiance Savings Card program offers significant financial benefits for eligible patients needing Jardiance. This program allows patients to pay as little as $10 per month for a prescription, with potential savings of up to $175 per 30-day supply. The Jardiance Savings Card is designed to make access to Jardiance more affordable, provided patients meet specific eligibility criteria including private insurance coverage.

Insurance requirements: Commercially insured

As low as: $10 per mo

Enrollment Forms

Enrollment Form

Benefits

•$2100 annual maximum benefit

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: Yes

Program Details

•Patients may pay as little as $10 a month for a 1 to 3month prescription

•Maximum savings up to $175 per 30day supply

•One card per patient

•For questions regarding setup, claim transmission, patient eligibility or other issues, call the LoyaltyScript at 18662798990, MondayFriday 8:00am8:00pm EST and Saturday 9:30am 6:00pm EST

Enrollment Forms

Enrollment Form

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