• 1 Enter Card ID
  • 2 Verify
    Eligibility
  • 3 Select
    Preferences
  • 4 Enter Contact
    Details

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Momentum Card Card ID

If you already have a Momentum Savings Card, please enter the 9-digit ID number printed in the upper left on the face of the card.

Card ID is a required field.
Card ID must be 9 digits long.
Card ID is already activated.
The card number you entered is not valid. If you need assistance, please call 1-855-326-1404.
We're sorry; this program is no longer supported.

Eligibility Restrictions

TO THE PATIENT:

Patients paying cash are not eligible to receive the first prescription at no cost. This offer is for eligible patients who have commercial prescription insurance. The offer is not valid for patients with prescription insurance under any federal or state healthcare program, including, but not limited to, Medicaid, Medicare, Medigap, Department of Defense (DoD), Veterans Affairs (VA), TRICARE, CHAMPUS, Puerto Rico Government Health Insurance, or any State Patient or Pharmaceutical Assistance Program. This offer is void where prohibited by law. Certain rules and restrictions apply. This program is not insurance.

PLEASE NOTE:

If you are not eligible for the Momentum Savings Card, you may still enroll in the program to receive tips, suggestions, helpful advice, recipes and other useful information.

If you need assistance with the Momentum Program, please call 1-855-326-1404. An agent is available to assist you from 8 AM to 8 PM ET, Monday through Friday.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.