In Massachusetts, co-pay assistance is not available for products with certain generic equivalents
(for example, any product with an AB-rated generic equivalent).
Available to patients with commercial prescription insurance coverage. This program is not valid for prescriptions
reimbursed under Medicare (including Part D), Medicare Advantage, Medicaid, Medigap, Veterans’ Affairs, the Department
of Defense, or TRICARE, or similar federal, state, or government-funded insurance plans, or where prohibited by law.
The Patient can call 1-866-759-7494 to obtain additional information about this program or to stop participation.