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SAVE up to $35
Off your out-of-pocket expenses on each eligible prescription
for Ryzolt after your initial payment of $10.
Pharmacist: Utilize this information when submitting claim to Therapy First:
Bin:     RxPCN:     Group ID:      
Physicians/Patients with question please call 1-866-917-9747, 9AM - 5PM EST Mon-Fri

 

patients


Click here to print the Ryzolt® Prescription Savings Cards and provide your
eligible patients with significant savings on all valid Ryzolt® prescriptions
through December 2011!

Click Here to Print

 

About Ryzolt® Prescription Savings Cards

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  • The Ryzolt® Prescription Savings Card provides up to $35 off out-of-pocket expenses for each eligible Ryzolt® prescription during the program period after the patient pays initial out-of-pocket payment of $10. Program Expiration: 12/31/2011.

  • The Prescription Savings Card is activated with first use. Once activated, the card is retained by the patient and can only be used by the same patient.

  • The Ryzolt® Prescription Savings Card can only be used every 24 days and only when accompanied by a valid prescription for Ryzolt®.

  • Eligibility Criteria/Restrictions: Prescription savings offer not valid for prescriptions covered in whole or in part by Medicaid/Medicare (including the coverage gap), government-funded health programs, states that have an “all payer” anti-kickback law, or private indemnity or HMO insurance plans which reimburse you for the entire cost of your prescription drugs. This offer is valid in Massachusetts for cash-paying patients only (i.e., those who do not have any prescription coverage). This offer is only good in the U.S. at participating pharmacies, cannot be redeemed at government-subsidized clinics, and is not valid if prohibited by any state or local laws. Limit one Ryzolt® Prescription Savings Card per patient.

  • Please contact your Purdue representative if you have any questions about the Ryzolt® Prescription Savings Card.

  • For medical information about Ryzolt® please call Purdue Medical Services at 1-888-726-7535

Please click here to read Ryzolt® Full Prescribing Information.