•Eligible commercially insured patients may pay as little as $5 per month
•Maximum lifetime benefit of $12,000
•Maximum saving limit applies; patient outofpocket expense may vary on a monthly, quarterly, and/or annual basis depending on each individual patient’s plan of insurance and other prescription drug costs
•Card can be downloaded for immediate use
•Copay card resets each January 1st; no reenrollment is required
•Pharmacies: Submit the copay card for all commercially insured patients by the patient's primary insurance as a secondary transaction to Change Healthcare; for questions, call 18004225604
•Patients with questions, please call 18776289738