Sprix Co-pay Offer

Funded

About

The Sprix Co-pay Offer is designed to make accessing the pain relief offered by the drug Sprix more affordable for eligible patients. With a $0 co-pay for commercially insured patients, the Sprix Co-pay Offer ensures that the medication is within reach without financial burden. The program provides a streamlined process for obtaining Sprix through Scripts Rx and convenient shipping arrangements directly to the patient. This comprehensive support makes the Sprix Co-pay Offer an advantageous option for those seeking effective pain management.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

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: No

Program Details

•$0 copay for commercially eligible patients

•Sprix is only available through Scripts Rx; HCP must fax completed form to (844) 7947275, escribe prescription details through EMR system or call (844) 9777749

•If eligible, arrangements will be made to ship medication directly to patient

•Patients can call 18449777749, Monday–Friday, from 9:00 AM to 8:00 PM ET, and Saturday, from 11:00 AM to 3:00 PM ET for more details

Enrollment Forms

Enrollment Form