Your eligible commercially insured patients can now enroll in the RELISTOR® Copay Savings Program
Eligibility Criteria, Terms and Conditions: This offer is only valid for patients with commercial insurance, including commercially-insured patients without coverage for RELISTOR®. Patients without commercial insurance are not eligible. For eligible patients, Salix Pharmaceuticals will be responsible to pay your copay/out of pocket expense for each eligible prescription fill using this savings card, maximum benefits apply. Please call 1-855-202-3719 for more information. Patient is responsible for all additional costs and expenses after the maximum limit is reached. This savings card can be used up to 24 times before the expiration date. You must activate this coupon before using it by visiting www.RELISTOR.com or calling 1-855-202-3719. The Privacy Policy can be viewed at https://www.bauschhealth.com/privacy. Salix Pharmaceuticals is a subsidiary of Bausch Health Companies, Inc. This offer is not valid for any person eligible for reimbursement of prescriptions, in whole or in part, by any federal, state, or other governmental programs, including, but not limited to, Medicare (including Medicare Advantage and Part A, B, and D plans), Medicaid, TRICARE, Veterans Administration or Department of Defense health coverage, CHAMPUS, the Puerto Rico Government Health Insurance Plan, or any other federal or state health care programs. This offer is only good in the USA at participating retail pharmacies. This offer cannot be redeemed at other locations, including government-subsidized clinics or facilities. This offer is not valid where otherwise prohibited, taxed, or otherwise restricted. Patient is responsible for reporting receipt of copay assistance to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the copay card, as may be required. This offer cannot be combined with other offers. This card has no cash value. No other purchase is necessary. This offer is nontransferable. No substitutions are permitted. This card is not health insurance. You understand and agree to comply with the terms and conditions of this offer as set forth above. Please see copay card for expiration date. Salix Pharmaceuticals reserves the right to rescind, revoke, or amend this offer at any time without notice.
Maximum benefits and other restrictions apply. See reverse of card for full eligibility criteria, terms and conditions, and other information.