HORIZONCARES™ IS A PRESCRIPTION SAVINGS PROGRAM THAT HELPS MAKE IT EASIER FOR YOU TO GET DUEXIS
Redeem this card only when accompanied by valid prescription for DUEXIS. Card valid toward out-of-pocket expenses for DUEXIS. Minimum prescription 30 pills. A savings of $1,200 will be received for each prescription of 90 pills for a 30-day supply. Savings for prescriptions of +/- 90 pills may vary based on prescription size. Payment will be made by Therapy First Plus.
Pharmacist for patient with eligible third party payer—Submit this claim to primary third-party payer first, then submit balance due to Therapy First Plus as Secondary Payer COB (coordination of benefits) with patient responsibility amount and valid Other Coverage Code (eg, 8).
For any questions regarding Therapy First Plus online processing, please call 1-800-422-5604. Patients with questions should call 1-855-250-6335.
Terms and Conditions: Offer cannot be combined with any other rebate or coupon, free trial, or similar offer for the specified prescription. Not valid for prescriptions reimbursed in whole or in part by Medicaid, Medicare, VA, DOD, TriCare, or other federal or state programs (including state prescription drug programs). Offer good only in the United States at participating retail pharmacies. Absent a change in Massachusetts law, offer not valid in Massachusetts after July 1, 2017. Offer not valid where otherwise prohibited by law. Horizon Pharma reserves the right to rescind, revoke, or amend offer without notice. The selling, purchasing, trading, or counterfeiting of this card is prohibited by law. This card is not insurance and is not intended to substitute for insurance. Participating patients and pharmacists understand and agree to comply with all Terms and Conditions of offer. Patients must be 18 or older.
At Horizon Pharma, the maker of DUEXIS, we believe that it is important for patients like you to be able to get the medicine your doctor has prescribed. However, we understand it can be difficult to pay if you are uninsured.
If you are unable to afford a Horizon Pharma product that has been prescribed to you, the Horizon Pharma Patient Assistance Program can help.†
For more information about the Horizon Pharma Patient Assistance Program, please call 1-866-247-2228 or visit RxHope.com/Horizon.
Eligibility requirements for the Horizon Pharma Patient Assistance Program:
† This assistance program does not apply to patients who have public or private insurance.
All you need to do is...
Call 1-866-247-2228 or visit RxHope.com/Horizon
for your application program details Monday-Friday, 8:00 AM to 7:00 PM, Eastern Time
Provide patient information
by filling out the patient section of the application form
Submit the completed application by mail or fax
to the provider‡
‡Your application form must be completed and signed by you and by your physician. Prescriptions will be sent to your physician’s office, pending approval of your application. Please see eligibility requirements.