GET SUPPORT AND SAVINGS WITH SUNOVION ANSWERS FOR APTIOM

Living with partial-onset seizures may be overwhelming, but you don’t have to go it alone. We created Sunovion Answers for APTIOM to help guide you through your journey. A Sunovion Answers Support Specialist will provide you with co-pay assistance, help understanding insurance coverage, product information, and additional resource information.

THE APTIOM SAVINGS CARD

Sign up to see if you’re eligible for the APTIOM Savings Card and your out-of-pocket APTIOM cost may be as little as a $10 co-pay.

You may also qualify for a 14-day trial voucher.

See Savings Card terms and conditions.

Aptiom Savings Card

Not an actual card.

Understanding insurance coverage can be hard. Sunovion Answers for APTIOM has reimbursement specialists who will help you find out what your insurance covers. If your insurance calls for prior authorization, our specialists can help get you started.

Our medical information specialists are available to answer questions you may have about APTIOM. Remember, only your doctor or health care provider can answer questions about your individual condition.

If you have questions about APTIOM, or need help finding the right resources to fit your needs, give us a call.

TO GET STARTED, FILL OUT THE FORM BELOW

When you sign up for Sunovion Answers for APTIOM, you’ll receive an APTIOM 14-Day Trial Voucher. And, if you are eligible to receive the APTIOM Savings Card, you may pay as little as a $10 co-pay.*

Simply answer the questions below. If you’re unable or unwilling to provide this information, you can also enroll by calling 1-844-4APTIOM (1-844-427-8466) 8 AM to 8 PM EST, Monday through Friday.

Are you a patient or parent/legal guardian?

Are youIs the patient enrolled in any government, state, or federally funded medical or prescription benefit program? This includes Medicare, Medicaid, Medigap, VA, DOD, and TriCare, as well as any other state or federal employee benefit programs.

Are youIs the patient a resident of the United States or Puerto Rico?

YourPatient Date of Birth (MM/DD/YYYY)

CREATE MY VOUCHER

You qualify for a voucher to try APTIOM for the first 14 days with your new APTIOM prescription!

Based on your answers to the previous questions, you are not eligible to receive an APTIOM Savings Card at this time. If you feel that you have reached this page in error, hit the BACK button and answer the questions again. Or, contact a Sunovion Answers for APTIOM Support Specialist.

Please provide the information below. If you’re unable or unwilling to provide this information, you can also enroll by calling 1-844-4APTIOM (1-844-427-8466) 8 AM to 8 PM EST, Monday through Friday.

CREATE MY SAVINGS CARD AND VOUCHER

Please provide the information below. If you’re unable or unwilling to provide this information, you can also enroll by calling
1-844-4APTIOM (1-844-427-8466) 8 AM to 8 PM EST, Monday through Friday.

ACTIVATE MY APTIOM SAVINGS CARD

Please provide the information below. If you’re unable or unwilling to provide this information, you can also enroll by calling
1-844-4APTIOM (1-844-427-8466) 8 AM to 8 PM EST, Monday through Friday.

I need to activate my Aptiom Savings Card > Don't have a card and need to request one?

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HAVE QUESTIONS?

If you have any questions regarding your APTIOM Savings Card, contact your Sunovion Answers for APTIOM Support Specialist 8 AM to 8 PM EST, Monday through Friday.
1-844-4APTIOM (1-844-427-8466)

14-DAY TRIAL VOUCHER TERMS AND CONDITIONS:

  • This offer is valid only for eligible patients 18 years of age or older, or legal guardians of patients between 4 and 17 years of age with a valid prescription for APTIOM
  • Limit 1 TrialScript® voucher per patient per lifetime
  • Redeem for product only when accompanied by a valid, signed prescription for APTIOM
  • Void where prohibited by law. Product dispensed pursuant to Terms and Conditions of voucher
  • Claim shall not be submitted to any public or private third-party payer or any federal or state health care program for reimbursement. Submit claim to McKesson Corporation. Offer not valid if reproduced or submitted to any other payer
  • It is illegal for any person to sell, purchase or trade, or offer to sell, or to counterfeit this voucher
  • Prescriber ID# required on prescription

McKesson Corporation retains the right to review all records and documentation relating to the filling/dispensing of the product.


SAVINGS PROGRAM TERMS AND CONDITIONS:

  • This offer is valid only for eligible patients 18 years of age or older, or legal guardians of patients between 4 and 17 years of age with a valid prescription for APTIOM
  • Patients are not eligible if prescriptions are paid in part or full by any state or federally funded programs, including but not limited to Medicare or Medicaid, Medigap, VA, DOD, or TRICARE. MSAZ is not responsible for any transactions processed under this program where Medicaid, Medicare, and Medigap (“Government Program”) payment in part or full has been applied
  • This card is valid for up to a $75 discount per prescription for APTIOM or the amount of your co-pay, whichever is less. Discount available on up to twelve (12) prescription fills for APTIOM per calendar year
  • 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. You agree to report acceptance and use of this offer to such parties as required as this program is not health insurance. You must deduct the value of this offer from any reimbursement request submitted to your insurance plan, either directly by you or on your behalf
  • Offer limited to one per person
  • A minimum patient requirement for participation in the program is an activated Program ID number
  • Only an original (no copies) or printout of the card must be presented to participating pharmacies
  • Offer valid only in the United States or 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.

Activate the Card from Your Doctor

Click below to activate the card you received from your doctor or, if you prefer, call 1-844-4APTIOM (1-844-427-8466) 8 AM to 8 PM EST, Monday through Friday.

Please Enter the ID Number on Your Card

14-DAY TRIAL VOUCHER TERMS AND CONDITIONS:

  • This offer is valid only for eligible patients 18 years of age or older, or legal guardians of patients between 4 and 17 years of age with a valid prescription for APTIOM
  • Limit 1 TrialScript® voucher per patient per lifetime
  • Redeem for product only when accompanied by a valid, signed prescription for APTIOM
  • Void where prohibited by law. Product dispensed pursuant to Terms and Conditions of voucher
  • Claim shall not be submitted to any public or private third-party payer or any federal or state health care program for reimbursement. Submit claim to McKesson Corporation. Offer not valid if reproduced or submitted to any other payer
  • It is illegal for any person to sell, purchase or trade, or offer to sell, or to counterfeit this voucher
  • Prescriber ID# required on prescription

McKesson Corporation retains the right to review all records and documentation relating to the filling/dispensing of the product.


SAVINGS PROGRAM TERMS AND CONDITIONS:

  • This offer is valid only for eligible patients 18 years of age or older, or legal guardians of patients between 4 and 17 years of age with a valid prescription for APTIOM
  • Patients are not eligible if prescriptions are paid in part or full by any state or federally funded programs, including but not limited to Medicare or Medicaid, Medigap, VA, DOD, or TRICARE. MSAZ is not responsible for any transactions processed under this program where Medicaid, Medicare, and Medigap (“Government Program”) payment in part or full has been applied
  • This card is valid for up to a $75 discount per prescription for APTIOM or the amount of your co-pay, whichever is less. Discount available on up to twelve (12) prescription fills for APTIOM per calendar year
  • 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. You agree to report acceptance and use of this offer to such parties as required as this program is not health insurance. You must deduct the value of this offer from any reimbursement request submitted to your insurance plan, either directly by you or on your behalf
  • Offer limited to one per person
  • A minimum patient requirement for participation in the program is an activated Program ID number
  • Only an original (no copies) or printout of the card must be presented to participating pharmacies
  • Offer valid only in the United States or 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.

REPRINT APTIOM SAVINGS CARD OR 14-DAY TRIAL VOUCHER

Please enter the email address you used to enroll with Sunovion Answers for APTIOM in the box below. If you’re unable or unwilling to provide this information, you can call
1-844-4APTIOM (1-844-427-8466) 8 AM to 8 PM EST, Monday through Friday.

HAVE QUESTIONS?

If you have any questions regarding your APTIOM Savings Card, contact your Sunovion Answers for APTIOM Support Specialist 8 AM to 8 PM EST, Monday through Friday.

1-844-4APTIOM (1-844-427-8466)

14-DAY TRIAL VOUCHER TERMS AND CONDITIONS:

  • This offer is valid only for eligible patients 18 years of age or older, or legal guardians of patients between 4 and 17 years of age with a valid prescription for APTIOM
  • Limit 1 TrialScript® voucher per patient per lifetime
  • Redeem for product only when accompanied by a valid, signed prescription for APTIOM
  • Void where prohibited by law. Product dispensed pursuant to Terms and Conditions of voucher
  • Claim shall not be submitted to any public or private third-party payer or any federal or state health care program for reimbursement. Submit claim to McKesson Corporation. Offer not valid if reproduced or submitted to any other payer
  • It is illegal for any person to sell, purchase or trade, or offer to sell, or to counterfeit this voucher
  • Prescriber ID# required on prescription

McKesson Corporation retains the right to review all records and documentation relating to the filling/dispensing of the product.


SAVINGS PROGRAM TERMS AND CONDITIONS:

  • This offer is valid only for eligible patients 18 years of age or older, or legal guardians of patients between 4 and 17 years of age with a valid prescription for APTIOM
  • Patients are not eligible if prescriptions are paid in part or full by any state or federally funded programs, including but not limited to Medicare or Medicaid, Medigap, VA, DOD, or TRICARE. MSAZ is not responsible for any transactions processed under this program where Medicaid, Medicare, and Medigap (“Government Program”) payment in part or full has been applied
  • This card is valid for up to a $75 discount per prescription for APTIOM or the amount of your co-pay, whichever is less. Discount available on up to twelve (12) prescription fills for APTIOM per calendar year
  • 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. You agree to report acceptance and use of this offer to such parties as required as this program is not health insurance. You must deduct the value of this offer from any reimbursement request submitted to your insurance plan, either directly by you or on your behalf
  • Offer limited to one per person
  • A minimum patient requirement for participation in the program is an activated Program ID number
  • Only an original (no copies) or printout of the card must be presented to participating pharmacies
  • Offer valid only in the United States or 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 speak with a Sunovion Answers Support Specialist, call us at 1-844-APTIOM (1-844-427-8466) 8 AM to 8 PM EST, Monday through Friday.

SAVINGS PROGRAM TERMS AND CONDITIONS:

  • This offer is valid only for eligible patients 18 years of age or older, or legal guardians of patients between 4 and 17 years of age with a valid prescription for APTIOM
  • Patients are not eligible if prescriptions are paid in part or full by any state or federally funded programs, including but not limited to Medicare or Medicaid, Medigap, VA, DOD, or TRICARE. MSAZ is not responsible for any transactions processed under this program where Medicaid, Medicare, and Medigap (“Government Program”) payment in part or full has been applied
  • This card is valid for up to a $75 discount per prescription for APTIOM or the amount of your co-pay, whichever is less. Discount available on up to twelve (12) prescription fills for APTIOM per calendar year
  • 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. You agree to report acceptance and use of this offer to such parties as required as this program is not health insurance. You must deduct the value of this offer from any reimbursement request submitted to your insurance plan, either directly by you or on your behalf
  • Offer limited to one per person
  • A minimum patient requirement for participation in the program is an activated Program ID number
  • Only an original (no copies) or printout of the card must be presented to participating pharmacies
  • Offer valid only in the United States or 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.


14-DAY TRIAL VOUCHER TERMS AND CONDITIONS:

  • This offer is valid only for eligible patients 18 years of age or older, or legal guardians of patients between 4 and 17 years of age with a valid prescription for APTIOM
  • Limit 1 TrialScript® voucher per patient per lifetime
  • Redeem for product only when accompanied by a valid, signed prescription for APTIOM
  • Void where prohibited by law. Product dispensed pursuant to Terms and Conditions of voucher
  • Claim shall not be submitted to any public or private third-party payer or any federal or state health care program for reimbursement. Submit claim to McKesson Corporation. Offer not valid if reproduced or submitted to any other payer
  • It is illegal for any person to sell, purchase or trade, or offer to sell, or to counterfeit this voucher
  • Prescriber ID# required on prescription

McKesson Corporation retains the right to review all records and documentation relating to the filling/dispensing of the product.

*Restrictions apply and co-pay amounts may vary. See eligibility requirements for more information.

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