Important Product Information, including Boxed WARNINGS, for ZORTRESS® (everolimus) Tablets, myfortic® (mycophenolic acid) delayed-release tablets, Neoral® (cyclosporine capsules, USP) MODIFIED, and SANDIMMUNE® (cyclosporine capsules, USP)
To find out if you are eligible for a myfortic® (mycophenolic acid) delayed-release tablets, Neoral® (cyclosporine capsules, USP) MODIFIED, or SANDIMMUNE® (cyclosporine capsules, USP) $0 Co-Pay Card, simply answer the questions below. Please note that this information must be entered by you or a caregiver, and cannot be entered by a third party.
*Limitations apply. See Program Terms and Conditions. This offer is not valid under Medicare, Medicaid, or any other federal or state
program. Limitations may apply to MA or CA residents. Patients may receive up to $7200 in benefits per brand annually for the life of the program.
If insured patient reaches the max annual cap per brand per calendar year of $7200, patient will be responsible for the difference. This program is
subject to termination or modification at any time.
Eligibility
Personal Info
Done
Terms and conditions
*Limitations apply. Valid only for those with commercial insurance. Offer not valid under Medicare, Medicaid, or any other federal or state program. Not valid for cash-paying patients, where product is not covered by patient's commercial insurance, or where plan reimburses you for entire cost of your prescription drug. Patients with commercial insurance might pay as little as $0 out of pocket and may receive up to $7200 in benefits
per brand annually for the life of the program. If insured patient reaches the max annual cap per brand per calendar year of $7200, patient will be
responsible for the difference. Not valid for Neoral® (cyclosporine capsules, USP) MODIFIED, SANDIMMUNE® (cyclosporine capsules, USP), or myfortic® (mycophenolic acid) delayed-release tablets prescriptions for residents of MA or CA. Eligible residents of MA or CA can use this offer for ZORTRESS® (everolimus) tablets. Offer is not valid where prohibited by law. Valid only in the United States and Puerto Rico. This program is not
health insurance. Offer may not be combined with any other rebate, coupon, or offer. This card is the property of Novartis Pharmaceuticals
Corporation and must be returned upon request. Novartis reserves the right to rescind, revoke, or amend the program without notice. Patient certifies
responsibility for complying with applicable limitations, if any, of any commercial insurance and reporting receipt of program rewards, if necessary, to
any commercial insurer. This program is subject to termination or modification at any time.