•Eligible commercially insured patients may pay as little as $0 per 30day supply
•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
•Benefit is valid for the patient’s outofpocket cost for the product only; not valid for any other outofpocket costs (for example, office visit charges or medication administration charges) even if such costs are associated with the administration of the product
•Call 8442924682, Monday through Friday, 8 AM 6 PM ET, for assistance or additional information
•Pharmacists with questions regarding processing, call 8008007364