•Eligible insured patients will likely pay as little as $25 for each of their Sotylize oral solution prescriptions; Underinsured patients pay as little as $25
•Maximum benefit for prescriptions up to 250ml is $250 for each of the first 3 fills, and up to $200 for each subsequent fill
•Maximum benefit for prescriptions 251ml500ml is up to $500 for each of the first 3 fills, and up to $300 for each subsequent fill
•Maximum benefit for prescriptions 501ml750ml is up to $650 for each prescription
•If prescription is 751950ml, call ConnectiveRx at 18444150675 for manual reimbursement and for each prescription a savings of up to $925
•Patients should present their savings card to participating pharmacy along with valid prescription of Sotylize (Prescriber ID must be identified on the prescription)
•For questions regarding Change Healthcare online processing, call the Help Desk at 18004225604
•If patients have any program questions, including mail order instructions, please call 18444150675