Copay Program

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RxBIN:601341
RxPCN:OHCP
RxGRP:
RxID:
Suf:01

For more information, please visit

www.opushealth.com or call 800-364-4767

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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, TRICARE, or similar federal, state, or government-funded insurance plans, or where prohibited by law.

The Patient can call 1-800-274-6867 to obtain additional information about this program or to stop participation.

64S-751711