Pay $1/tablet* if you are:
An
eligible, privately insured patient with an
out‑of‑pocket cost of $150 or
less for a 30‑tablet supply of BELSOMRA.
Valid for
up to 12 qualifying prescriptions.
*Maximum
program savings is $2,800.
Pay $3/tablet* if you are:
An
eligible, privately insured patient with an
out‑of‑pocket cost greater than
$150 for a 30‑tablet supply of BELSOMRA.
Valid for
up to 12 qualifying prescriptions.
*Maximum
program savings is $2,800.