ANI Pharmaceuticals, Inc.

Derm Copay Savings Program

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Eligibility and restrictions

  1. Limitations apply.
  2. Valid only for those with commercial insurance.
  3. Not valid if prescriptions are paid in part or in full by any state or federally-funded healthcare program.
  4. Not valid for cash-paying patients who have no commercial insurance or where plan reimburses you for the entire cost of your prescription drug.
  5. Offer is not valid where prohibited by law.
  6. Valid only for residents of the US.
  7. This program is not health insurance.
  8. Offer may not be combined with any other rebate, coupon, or offer.
  9. This card is the property of ANI Pharmaceuticals, Inc. and must be returned upon request.
  10. ANI Pharmaceuticals, Inc. reserves the right to rescind, revoke, or amend the program without notice.
  11. Patient certifies responsibility for complying with applicable limitations, if any, or any commercial insurance and reporting receipt of program rewards, if necessary, to any commercial insurer.
  12. Acceptance of this card and your submission of claims for the ANI Derm Copay Savings Program are subject to the program Terms and Conditions established by McKesson Corporation Inc.
  13. This card has no cash value.

For any questions regarding set up, claims transmission, patient eligibility or other issues, call the LoyaltyScript® Help Desk at 1-844-396-8097 (Monday - Friday, 8 am to 8 pm EST).

NOTICE:

I understand that the personal information I provide and information pertaining to my use of the coupon at the pharmacy will be shared with ANI Pharmaceuticals, Inc., its third-party partners and McKesson entities. I also authorize ANI Pharmaceuticals, Inc., its partners and McKesson entities to communicate with me about products, health conditions, co-pay and financial assistance. I agree to be contacted by mail, email, and at the phone number I provided to leave voice messages, and interactive voice recordings. I may opt out of individual communications of the program entirely at any time by calling 1-844-396-8097. ANI Pharmaceuticals, Inc. and companies providing services to ANI Pharmaceuticals, Inc. will not sell or rent my personally identifiable information, as described in the Privacy Policy, which I can view by visiting www.anipharmaceuticals.com.