Jaypirca Savings Card

Funded
About
The Jaypirca Savings Card offers substantial financial assistance for patients prescribed Jaypirca, enabling eligible patients to pay as little as $0 for a one-month prescription fill. This program, designed for those with private insurance, provides annual savings up to $9,200, making Jaypirca more affordable for patients across the United States and Puerto Rico.
Insurance requirements: Commercially insured
Savings Card
Pay as low as
$0/ fill
Get Savings Card
Benefits
•$9200 annual maximum benefit
•12 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: No
•Coverage Required: No
•Needs Based: No
•Activation Required: Yes
Program Details
•Eligible commercially insured patients may pay as little as $0 for a 1month prescription fill
•Card savings are subject to a maximum monthly savings of wholesale acquisition cost plus usual and customary pharmacy charges and separate maximum annual savings of up to $9,200 per calendar year
•Pharmacists with questions, please call the Pharmacy Benefit Manager 18008007364
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