*Restrictions apply. See program rules and eligibility requirement below. Most Patients with Commercial Insurance will pay no more than $40 per perscription filled. Ferring will pay up to a maximum benefit of $95 per prescription, however, you could have additional financial responsibilities depending on your insurance coverage (plus applicable sales tax). Cash patients will save $40 off the retail prescription price. When you fill your prescription for PREPOPIK® (sodium picosulfate, magnesium oxide, and anhydrous citric acid) for oral solution, present the coupon to the pharmacist to receive your discount.
This card is not valid for prescriptions submitted for reimbursement to Medicare, Medicaid, other federal or state programs (including any state pharmaceutical assistance programs), or private indemnity or HMO insurance plans that reimburse you for the entire cost of your prescription drugs. Patients may not use this card if they are Medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees (i.e., they are eligible for Medicare Part D but receive a prescription drug benefit through a former employer). This card is good for use only with a valid PREPOPIK prescription at the time the prescription is filled by the pharmacist and dispensed to the patient. Offer good only in the USA at participating retail pharmacies. Void if prohibited by law, taxed, or restricted. The selling, purchasing, trading, or counterfeiting of this card is prohibited by law. This card is good for 1 prescription fill or until program expires, whichever comes first. Ferring Pharmaceuticals Inc. and OPUS Health reserves the right to rescind, revoke, or amend this offer without notice. By redeeming this card, you acknowledge that you are an eligible patient and that you understand and agree to comply with the terms and conditions of this offer.