#Linzess copay card code
#Linzess copay card plus
#Linzess copay card free

Warnings and Precautions Risk of Serious Dehydration in Pediatric Patients Less Than 2 Years of Age LINZESS is contraindicated in patients with known or suspected mechanical gastrointestinal LINZESS is contraindicated in patients less than 2 years of age due to the risk of serious dehydration. WARNING: RISK OF SERIOUS DEHYDRATION IN PEDIATRIC PATIENTS LESS THAN 2 YEARS OF AGE LINZESS is contraindicated in patients less than 2 years of age in nonclinical studies in neonatal mice, administration of a single, clinically relevant adult oral dose of linaclotide caused deaths due to dehydration. Program managed by ConnectiveRx on behalf of Allergan. Questions regarding online processing, call the Change Healthcare Help Desk at 1-80. Reimbursement will be received from Change Healthcare.

#Linzess copay card plus

Patient pays the first $30 plus any remainingīalance after the maximum savings limit for the program is reached.

#Linzess copay card code

To PA, step-edit, or NDC block, submit Other Coverage Code of 03 (secondary claim). Submit the claim to the primary Third Party Payer first, then submit the balance due to Change HealthcareĪs a Secondary Payer COB with patient responsibility amount and a valid Other Coverage Code (eg, 8). Have not submitted and will not submit a claim for reimbursement under any federal, state, or other government programsįor this prescription. Pharmacist Instructions for a Patient with an Eligible Third Party Payer: When you redeem this card, you certify that you By redeeming this card, you acknowledge that you are an eligible patient and that you understandĪnd agree to comply with the terms and conditions of this offer.įor questions about the program, including savings on mail‑order prescriptions, please call 1‑855‑226‑3937.

#Linzess copay card free

This card has no cash value and may not be used in combination with any otherĭiscount, coupon, rebate, free trial, or similar offer for the specified prescription.

Or counterfeiting of this card is prohibited by law. Void if prohibited by law, taxed, or restricted. Offer good only in the USA, including Puerto Rico, at participating The right to rescind, revoke, or amend this offer without notice. Offer applies only to prescriptions filled before the program expires on 03/31/23. This offer is not valid for cash-paying patients. Plan or prescription drug benefit program for retirees. Patients may not use this card if they are Medicare-eligible and enrolled in an employer-sponsored health This offer is not valid for use by patients enrolled in Medicare, Medicaid, or other federal or state programs (includingĪny state pharmaceutical assistance programs), or private indemnity or HMO insurance plans that reimburse you for the entire cost

Maximum savings limit applies patient out-of-pocket expense Check with your pharmacist for your copay discount.

One 60-day supply counts as two (2) fills and one 90-day supply counts as three (3) fills of the total Depending on your insurance coverage, most eligible patients may pay as little as $30 per 30, 60, or 90-day supply for each (linaclotide) capsules 72 mcg, 145 mcg, or 290 mcg at the time the prescription is filled by the pharmacist and dispensed to the This offer is valid only for patients 18 years of age or older and is good for use only with a valid prescription for LINZESS ® Program Terms, Conditions, and Eligibility Criteria:ġ.