Is intrarosa covered by insurance
INTRAROSA SAVINGS PROGRAM
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Your coupon is now activated and you may use it today. Please note that your coupon must be provided to the pharmacist when you fill your prescription at any participating pharmacy.
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INTRAROSA SAVINGS PROGRAM
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Based on the information provided, you are not eligible to participate in this program. For questions regarding eligibility, please call our customer service number at 833.809.7322.
ELIGIBILITY CRITERIA/TERMS AND CONDITIONS
- The INTRAROSA Savings Program is valid for a cost reduction of a qualifying prescription of INTRAROSA for eligible patients.
- The INTRAROSA Savings Program can only be used by eligible patients for INTRAROSA.
- Limitations apply.
- You must have a prescription drug insurance through a Medicare Part D or a Medicare Advantage prescription drug plan.
- You must agree to not seek reimbursement from your Medicare or Medicare Advantage prescription plan for your out-of-pocket costs for INTRAROSA purchased through this program.
- The INTRAROSA Savings Program is not valid for any patients with commercial/private insurance, uninsured patients, or patients with prescription coverage under any other federal or state health program such as Medicaid or TRICARE.
- No other purchase necessary.
- The INTRAROSA Savings Program coupon is not transferable. No substitutions are permitted. Cannot be combined with any other coupon, free trial, discount, prescription savings card, or other offer not already associated with this offer.
- The INTRAROSA Savings Program coupon is not insurance.
- The INTRAROSA Savings Program coupon can be used at mail-order pharmacies.
- The INTRAROSA Savings Program coupon is the property of Millicent U.S. Inc. and must be turned in on request.
- It is illegal to sell, purchase, trade, or counterfeit, or offer to sell, purchase, trade, or counterfeit this coupon. Void if reproduced. Void where prohibited by law, taxed, or restricted.
- Patients participating in Medicare Part D or a Medicare Advantage prescription drug plan who are eligible to use the INTRAROSA Savings Program coupon must agree to the following conditions: Patient must agree to not seek reimbursement from their Medicare or Medicare Advantage prescription plan for their out-of-pocket costs for INTRAROSA purchased with the coupon.
- Patient must also agree not to count the cost of INTRAROSA toward their deductible or true out-of-pocket cost.
- The patient must purchase all prescriptions for INTRAROSA with the coupon and the patient must not use Medicare Part D benefit for INTRAROSA.
- This coupon can be used only by eligible United States residents (including Puerto Rico, Guam, and the U.S. Virgin Islands) at participating eligible retail pharmacies in the United States. Product must originate from the United States.
- Millicent U.S. Inc. reserves the right to rescind, revoke, or amend this offer at any time without notice.
- Data related to your redemption of the INTRAROSA Savings Program coupon may be collected, analyzed, and shared with Millicent U.S. Inc. for market research and other purposes related to assessing patient savings programs. Patient understands he/she is consenting to allow Millicent U.S. Inc. to store all collected personal and medical information for the administration of this program.
- For questions call: 1-312-265-4989.
The healthcare information contained herein is not intended to replace discussion with your healthcare provider. All decisions regarding patient care must be made with a healthcare provider, considering the unique characteristics of the patient. The product information provided in this site is intended only for residents of the United States. The products discussed herein may have different product labeling in different countries.
INTRAROSA ® is a registered trademark of Endoneutics. © Endoneutics 2024.
Distributed by Millicent U.S. Inc., East Hanover, NJ 07936
The Millicent Pharma logo is a registered trademark of Millicent Pharma Limited.
© 2024, Millicent Pharma Ltd. All rights reserved. 03/2024