

Eligibility and restrictions
- Limitations apply.
- Valid only for those with commercial insurance.
- Not valid if prescriptions are paid in part or in full by any state or federally-funded healthcare program.
- Not valid for cash-paying patients who have no commercial insurance or where plan reimburses you for the entire cost of your prescription drug.
- Offer is not valid where prohibited by law.
- Valid only for residents of the US and Puerto Rico.
- This program is not health insurance.
- Offer may not be combined with any other rebate, coupon, or offer.
- This card is the property of PharmaDerm, a division of Fougera Pharmaceuticals Inc. and must be returned upon request.
- Fougera reserves the right to rescind, revoke, or amend the program without notice.
- 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.
- Acceptance of this card and your submission of claims for the PharmaDerm RxSaver Program are subject to the program Terms and Conditions established by McKesson Corporation
- This card has no cash value.
- This Offer expires on December 31, 2021.
For any questions regarding set up, claims transmission, patient eligibility or other issues, call the PharmaDerm RxSaver Program 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 Pharmaderm, its third-party partners and McKesson entities. I also authorize Pharmaderm, 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, or by clicking on the "unsubscribe" link at https://www.us.sandoz.com. Pharmaderm and companies providing services to Pharmaderm will not sell or rent my personally identifiable information, as described in the Privacy Policy, which I can view by visiting https://www.us.sandoz.com.