Patient First Copay



If your patient has commercial insurance through an employer or insurance carrier, your patient may be eligible to use the Corlanor® Copay Card, which may pay up to $160 toward their prescription cost after they pay no more than $20 for each prescription of Corlanor®.

Patient First CopayFirst

Looking for insurance accepted and self-pay pricing? Patient First accepts most common insurance plans. Find a list of accepted insurance at your nearest Patient First and a list of our self-pay pricing before your next visit. Palatin Technologies, Inc. Will help lower the out-of-pocket cost to a $0 copay for the patient’s first prescription. Palatin will also provide copay assistance to lower the out of pocket cost for refills to a maximum copay of $99 per 4-pack. Palatin copay assistance will only apply to 2 fills every 30 days. For Eligible Patients with Commercial Insurance: The Corlanor ® Tablet Copay Card reduces out-of-pocket (OOP) costs for Corlanor ®. Each patient is responsible for up to the first $20 of OOP costs. The Corlanor ® Tablet Copay Card may then pay up to $160 per 30-day supply to cover OOP costs for Corlanor ® (up to $2,600 per year), including co-payments, co-insurance, and prescription deductible.

Patient Copay Foundation

For Eligible Patients with Commercial Insurance: The Corlanor® Tablet Copay Card reduces out-of-pocket (OOP) costs for Corlanor®. Each patient is responsible for up to the first $20 of OOP costs. The Corlanor® Tablet Copay Card may then pay up to $160 per 30-day supply to cover OOP costs for Corlanor® (up to $2,600 per year), including co-payments, co-insurance, and prescription deductible. Your patients may renew their participation in the program every 12 months by going to www.corlanor.com/corlanor-copay-card/ or calling 1-844-6CORLANOR.

Eligibility Criteria for Copay Offer: This offer is valid in the United States. Open to adult patients with a Corlanor® (ivabradine) prescription and commercial insurance for Corlanor®. Patients may not seek reimbursement for value received from the Corlanor® Tablet Copay Card from any third-party payers, including a flexible spending account or healthcare savings account. This program is not open to uninsured patients, cash-paying patients or patients receiving prescription reimbursement under any federal, state, or government funded healthcare program such as Medicare, Medicare Advantage, Medicare Part D, the Retiree Drug Subsidy Program, Medicaid, Medigap, Veterans Affairs (VA), the Department of Defense (DoD) or TRICARE® or where prohibited by law. Cash Discount Cards and other non-insurance plans are not valid as primary under this offer. If at any time patients begin receiving prescription drug coverage under any such federal, state or government funded healthcare program, patient will no longer be able to use this card and must call 1-844-6CORLANOR between 8 AM and 8 PM eastern time, to stop participation. Other restrictions may apply. Offer is subject to change or discontinue without notice at any time. This is not health insurance. Participation is not a guarantee of insurance coverage. Program administered by ConnectiveRX on behalf of Amgen. Patients under 18 years of age are not eligible for this program.

Patient First Copay California

Additional Program Details and Restrictions for Copay Offer: A valid Prescriber ID# is required on the prescription. Program provides OOP assistance for each patient in a 1-year period dating from initial activation. Patient is responsible for costs above the annual maximum. If patients become aware that their health plan or pharmacy benefit manager does not allow the use of manufacturer copay support as part of their health plan design, patients agree to comply with their obligations, if any, to disclose their use of the card to their insurer.





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