Start Saving With the NEXLETOL & NEXLIZET Co-Pay Card*
If eligible, you could save on your prescription cost with our Co-Pay Card. Getting started is simple.
*Certain restrictions apply. See Terms and Conditions.
TERMS AND CONDITIONS
Eligibility RequirementsA patient may be eligible for the NEXLETOL & NEXLIZET Co-Pay Card if they meet the eligibility criteria below:
- must be at least 18 years of age, AND
- has a valid prescription for NEXLETOL or NEXLIZET, AND
- has commercial prescription drug insurance, AND
- is a resident of the United States, including the District of Columbia but excluding territories (such as Puerto Rico and the US Virgin Islands), AND
- is not enrolled in any state-, federal-, or government-funded healthcare program, including but not limited to Medicare, Medicaid, Medigap, TRICARE of the Department of Defense, or the Department of Veterans Affairs (VA) healthcare program (collectively referred to as "Government Program").
Should a patient have any change in insurance coverage or become enrolled in a Government Program during their enrollment in the NEXLETOL & NEXLIZET Co-Pay Card program, they must inform a NEXLETOL & NEXLIZET Co-Pay Card program representative and will no longer be eligible for the NEXLETOL & NEXLIZET Co-Pay Card program. Also, if a patient is enrolled in a Government Program, they may not use the NEXLETOL & NEXLIZET Co-Pay Card program even if they elect to be processed as a commercial or discount insurance plan patient.
To determine if a patient is eligible for the NEXLETOL & NEXLIZET Co-Pay Card program, the patient must enroll online at www.NexCopay.com, or call 855-699-8814, and opt-in to the NEXLETOL & NEXLIZET Co-Pay Card program. ESPERION will evaluate the patient's eligibility and communicate an eligibility decision to the patient. Final patient eligibility determinations are provided by ESPERION and/or its program representatives.
Eligibility in the NEXLETOL & NEXLIZET Co-Pay Card program is for one year. Patients must reenroll for NEXLETOL & NEXLIZET Co-Pay assistance each year that they wish to participate in the program. If your card is lost or stolen, please visit www.NexCopay.com, or call 855-699-8814.
Terms of UseThe following Terms of Use apply to use of the NEXLETOL & NEXLIZET Co-Pay Card by any patient deemed eligible to participate in the program. These Terms of Use should be read together with the Privacy Policy at https://www.esperion.com/privacy-policy/.
Eligible patients with commercial prescription drug insurance coverage for NEXLETOL or NEXLIZET may pay as little as $10 per fill for up to a 3-month supply. The NEXLETOL & NEXLIZET Co-Pay Card is not health insurance or a benefit plan. Distribution or use of the NEXLETOL & NEXLIZET Co-Pay Card does not obligate use or continuing use of any provider or continuing use of NEXLETOL or NEXLIZET. Patient is responsible for reporting the receipt of all NEXLETOL & NEXLIZET Co-Pay Card savings or reimbursement received to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the Co-Pay Card, as may be required.
The NEXLETOL & NEXLIZET Co-Pay Card is not valid for medications the patient receives for free or that are eligible to be reimbursed by other healthcare or pharmaceutical assistance programs that reimburse the patient in part or for the entire cost of his/her ESPERION medication. By using the NEXLETOL & NEXLIZET Co-Pay Card, the patient agrees not to seek reimbursement from health insurance or any third party for all or any part of the benefit received by the patient through the offer.
The NEXLETOL & NEXLIZET Co-Pay Card will be accepted by participating pharmacies in the United States. To qualify for use of this NEXLETOL & NEXLIZET Co-Pay Card, the patient may be required to pay out-of-pocket expenses for each prescription. The NEXLETOL & NEXLIZET Co-Pay Card program does not cover costs associated with a patient visit to a doctor's office including prescriber, staff, administrative charges, labs, and other ancillary services. This NEXLETOL & NEXLIZET Co-Pay Card is only available with a valid prescription and cannot be combined with any other rebate/coupon, free trial, or similar offer for the specified prescription. This offer is not conditioned on any past, present or future purchase, including refills.
Use of this NEXLETOL & NEXLIZET Co-Pay Card must be consistent with all relevant health insurance requirements and payer agreements. The NEXLETOL & NEXLIZET Co-Pay Card may not be sold, purchased, traded, or offered for sale, purchase, or trade. The NEXLETOL & NEXLIZET Co-Pay Card is limited to one per person during this offer period and is non-transferable. Void where prohibited or otherwise restricted by law.
ESPERION reserves the right to rescind, revoke, amend, or terminate the program without notice at any time.
If you have questions or need additional support, call 855-699-8814 (8:00 am-8:00 pm ET, Monday-Friday, excluding holidays).
BY USING THIS PROGRAM, YOU UNDERSTAND AND AGREE TO COMPLY WITH THESE TERMS AND CONDITIONS. ANY VIOLATIONS OR NON-COMPLIANCE WITH THESE TERMS AND CONDITIONS MAY RESULT IN YOUR ELIGIBILITY DETERMINATION FOR THE PROGRAM BEING RESCINDED.
IMPORTANT SAFETY INFORMATION
