There are three ways to save on your SEEBRI NEOHALER prescription.
eVoucherRx is a paperless electronic coupon program that makes co-pay savings on your prescription for SEEBRI NEOHALER easy for you, your physician, and your pharmacist. Simply take your eligible prescription for SEEBRI NEOHALER to a participating pharmacy and the eVoucherRx savings coupon will be automatically applied to your co-pay so you may pay as little as $10.† For participating pharmacy locations, visit www.evoucherrx.relayhealth.com/storelookup.
If your pharmacy doesn't qualify for this savings, a co-pay savings card is available. See below for more information.
†Restrictions apply. Offer valid only for those with commercial insurance. This offer is not valid under Medicare, Medicaid, or any other federal or state program. Please see Savings Terms and Conditions. eVoucherRx™ is a trademark of RelayHealth and/or one of its subsidiaries.
The SEEBRI NEOHALER Savings Card and 30-day Free Trial Voucher
Sign up to see if you're eligible for the SEEBRI NEOHALER Savings Card and your out-of-pocket SEEBRI NEOHALER cost may be as little as a $0 co-pay. You may also qualify for a 30-day trial offer.*
*Restrictions apply. SEEBRI NEOHALER Savings Terms & Conditions.
Savings Terms and Conditions
By using this program, you acknowledge that you currently meet the following eligibility requirements:
You must be 18 years of age or older to accept this offer. This offer is valid only for eligible patients and legal guardians of eligible patients. Patients must have a valid prescription within the approved indication for SEEBRI NEOHALER. Offer not valid if prescription is paid under a cash benefit or in part or full by any state or federally funded health care program, including but not limited to Medicare, Medicaid, VA, DoD or TRICARE, or where prohibited by law.
This program is valid for up to $250 for each prescription fill for up to a 30-day supply. The program is further limited to twelve (12) qualifying prescription fills per calendar year. Offer is limited to one per person and may not be used with any other offer. This program is not health insurance. The amount of the benefit cannot exceed the patient's out-of-pocket expenses.
Acceptance of this offer must be consistent with the terms of any drug benefit provided by a health insurer, health plan, or other third-party payer. If requested or required by any such payer, the patient must report the use of this program. The patient must deduct the value of the savings received under this program from any reimbursement request submitted to the patient's insurance plan, either directly or on the patient's behalf.
For California and Massachusetts residents, benefits pursuant to this program will terminate automatically upon the introduction of a therapeutically equivalent product. Offer valid only in the United States and Puerto Rico. Void where prohibited by law, taxed or restricted. Sunovion reserves the right to rescind, revoke or amend this offer at any time without notice. This offer is not transferable and may not be sold, purchased, or traded, or offered for sale, purchase, or trade.
To the Patient: If you have any questions regarding your eligibility or benefits, call 1-844-276-8262, 8AM-8PM ET, Monday through Friday.
Free Trial Offer Terms and Conditions
Limit One TrialScript® voucher per patient. Redeem for product only when affixed to the back of a valid, signed prescription form for SEEBRI NEOHALER. Submit claim to McKesson Corporation using BIN #610524. For pharmacy processing questions, please call the Help Desk at 1‑800‑657‑7613.
To the Patient: This voucher is good for one 30‑day free trial of SEEBRI NEOHALER. Present this voucher at a participating pharmacy along with a valid prescription from your health care professional. Need help? Call 1‑800‑657‑7613.
To the Pharmacist: Must be accompanied by a valid prescription for one 30‑day supply of SEEBRI NEOHALER. Dispense as written at no cost to patient. For reimbursement, please submit to McKesson Corporation. The information provided above should be used when submitting for reimbursement. Do not submit to any other payer, public or private, for reimbursement. This voucher can be used up to 2 times (once per 12‑month period).
For questions, please call the Help Desk at 1‑800‑657‑7613.
No substitutions permitted. No purchase required. This is not a discount or rebate. Limitations apply.
Expiration Date: 03/31/2019.
TrialScript® is a registered trademark of McKesson Corporation.