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 ET, 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 ET, Monday through Friday.

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

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, VA, DOD, or TRICARE. MSAZ is not responsible for any transactions processed under this program where Medicaid and Medicare (“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.

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View the Interactive Medication Guide (in English)

View the Medication Guide PDF (en Español)