Eligibility, Terms, and Conditions
Eligible patients for the Free To Start & Monthly Savings Offers must reside in the United States, Washington, D.C., Puerto Rico, Virgin Islands, or Guam, and be 18 years or older. These offers are limited to one per patient and may not be combined with any other offer. VIVUS, Inc. reserves the right to modify or discontinue these offers at any time without notice.
Prescriptions for Qsymia are redeemable only through Qsymia-certified pharmacies. Patients are responsible for any sales tax. Patients may not submit a claim for the amounts covered by the offer for payment to any third-party payers, including a flexible spending account, a Health Savings Account (HSA), or a Health Reimbursement Account (HRA). Patient is responsible for reporting receipt of program benefit to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled, as may be required.
Patients must have an activated Program ID number to participate in the Monthly Savings Offer (downloaded cards have their numbers activated upon printing and are ready to use.) A valid prescription for Qsymia is required at the time of redemption. No substitutions permitted.
Free To Start Offer
Claims for any product dispensed through the Free to Start Offer may not be submitted to any public payer (for example, Medicaid, Medicare, Tricare, VA, Department of Defense, Indian Health Service) for reimbursement. The free trial offer is valid only for the first 14 days of Qsymia 3.75 mg/23 mg. Limit 1 free trial per patient. No purchase is necessary.
Monthly Savings Offer
The discount offer is available on up to twelve (12) prescription fills for 30 days each of Qsymia. Not available to individuals enrolled in any government-funded insurance program that covers prescription drugs (for example, Medicaid, Medicare, Tricare, VA, Department of Defense, Indian Health Service) or where prohibited by law. Eligible patients will have $75 deducted from the pre-tax price per prescription. Insured patients pay first $60 of copay and then monthly savings offer covers up to $75 of remaining.
It is illegal to sell, purchase, trade, or counterfeit, or offer to sell, purchase, trade, or counterfeit the cards. Void where prohibited by law, taxed, or restricted.