What is the Aerospan Savings Card?
It's a savings offer that can reduce the amount of your out-of-pocket expense to $14 per 30-day prescription of Aerospan through December 31, 2017. The Aerospan Savings Card helps eligible patients save up to $100 per use on out-of-pocket costs for those who have commercial health insurance. You can print the savings offer from your computer or store it on your smartphone. Just present your card at the pharmacy each time you drop off or refill your prescription.
Use it again and again.
The Aerospan Savings Card is reusable for up to twelve (12) times per calendar year.
See if you're eligible.
Fill out the following form to see if you are eligible. See below for Terms and Conditions Certain restrictions apply.

* = Required Fields

* Do you have:

If you do not have insurance, unfortunately you are not eligible to use the Aerospan Savings Card.
Unfortunately we cannot provide you with a savings card online. Please call 800-796-9526 for more information.
If you are covered by Medicare, Medicaid, or any other state or federally funded benefit program, unfortunately you are not eligible to use the Aerospan Savings Card.

* Your age:

If you are under 18 years of age, unfortunately you are unable to apply for the Aerospan Savings Card online.

Congratulations! You are eligible to receive the Aerospan Savings Card offer. Please complete the following fields and click "Submit" to receive your card.

Your Information




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Aerospan Savings Card Terms and Conditions

This SAVINGS card can be used to reduce the amount of your out-of-pocket expense up to a maximum of $100 after you pay the first $14 per 30 day prescription. No other purchase is necessary. This offer can be used up to a total of 12 times per calendar year through December 31, 2017, with a benefit cap of $1,200 per calendar year. Valid prescription with Prescriber ID# required.

Eligibility Requirements: This SAVINGS card can be redeemed only by patients or patient guardians who are 18 years of age or older and who are residents of the United States and its territories. Patients must have commercial insurance. Not valid for uninsured patients (but may be used by commercially insured patients without coverage for Aerospan) and patients who are covered by any state or federally funded healthcare program, including but not limited to any state pharmaceutical assistance program, Medicare (Part D or otherwise), Medicaid, Medigap, VA or DOD, or TriCare (regardless of whether Aerospan is covered by such government program); not valid if the patient is Medicare eligible and enrolled in an employer-sponsored health plan or prescription benefit program for retirees; and not valid if the patient's insurance plan is paying the entire cost of this prescription. Void outside the US and its territories or where prohibited by law, taxed, or restricted. This program is valid in Massachusetts through June 30, 2019, unless otherwise amended or extended by Massachusetts.

This SAVINGS card is not health insurance. The SAVINGS card is not transferable and the amount of the benefit cannot exceed the patient's out-of-pocket expenses. Cannot be combined with any other rebate/coupon, free trial, or similar offer for the specified prescription. This SAVINGS card is not redeemable for cash. Mylan Specialty reserves the right to amend or end this program at any time without notice.

NOTICE: Data related to your use of this SAVINGS card may be collected, analyzed and shared with Mylan Specialty for market research and other purposes related to assessing coupon programs. Data shared with Mylan Specialty will be aggregated and de-identified, meaning it will be combined with data related to other SAVINGS card redemptions and will not identify you.

Patient Instructions: Present your SAVINGS card and prescription drug insurance card, along with a valid prescription for the Aerospan By using this SAVINGS card, you acknowledge that you currently meet the eligibility criteria and that you understand and will comply with the following additional terms and conditions:

  • You have not submitted and will not submit a claim for reimbursement under any federal, state or other governmental programs for this prescription.
  • Your acceptance of this offer must be consistent with the terms of any drug benefit provided by your health insurer. You agree to report the use of this SAVINGS card to your insurer if required.

Pharmacist Instructions: When you use this SAVINGS card, you are certifying that you have received this SAVINGS card from an eligible patient; you have dispensed the product as indicated; you have not submitted and will not submit a claim for reimbursement under any federal, state or other governmental programs for this prescription; and you will otherwise comply with these terms and all applicable terms and conditions. You further certify that your participation in this program is consistent with all applicable state laws and any obligations, contractual or otherwise, that you have as a pharmacy provider, and that you will report the use of this SAVINGS card to the patient’s insurer if required.

  • Submit transaction to McKesson Corporation using BIN #610524
  • Patient must have primary coverage. Input SAVINGS card information as secondary coverage and transmit using the COB segment of the NCPDP transaction. Applicable discounts will be displayed in the transaction response.
  • Acceptance of this SAVINGS card and your submission of claims for the Aerospan® program are subject to the Mylan Specialty SAVINGS card Terms and Conditions posted at www.aerospanrx.com/copay.
  • Acceptance of this SAVINGS card and your submission of claims for the Aerospan® program are subject to the LoyaltyScript® program Terms and Conditions posted at www.mckesson.com/mprstnc.
  • For questions regarding setup, claim transmission, patient eligibility or other issues, call the LoyaltyScript® for Aerospan® program at 800-657-7613 (8:00 AM-8:00 PM EST, Monday-Friday).

Important Safety Information

  • Do not use AEROSPAN:
    • to treat the symptoms of a sudden asthma attack or status asthmaticus.
    • if you are allergic to flunisolide or any of the ingredients in AEROSPAN.
  • Use AEROSPAN exactly as your healthcare provider tells you to use it. Do not take more of your medicine, or take it more often than your healthcare provider tells you.
  • You must use AEROSPAN regularly. Do not stop using AEROSPAN, and do not change the amount of AEROSPAN you take without talking to your doctor.
  • AEROSPAN may cause serious side effects, including:
    • fungal infections (thrush) in your mouth or throat. Tell your healthcare provider if you have any redness or white colored patches in your mouth or throat. Rinse your mouth with water after you use AEROSPAN.
    • immune system problems that may increase your risk of infections. You are more likely to get infections if you take medicines that may weaken your immune system. Avoid contact with people who have contagious diseases such as chicken pox or measles while you use AEROSPAN. Symptoms of an infection may include: fever, pain, aches, chills, feeling tired, nausea, and vomiting.
    • Tell your healthcare provider about any signs of infection while you are using AEROSPAN.
    • decreased adrenal function (adrenal insufficiency). Adrenal insufficiency is a condition in which the adrenal glands do not make enough steroid hormones. Symptoms of adrenal insufficiency include: tiredness, weakness, dizziness, nausea, and vomiting.
    • decreased bone mass (bone material density). People who use inhaled steroid medicines for a long time may have an increased risk of decreased bone mass which can affect bone strength. Talk to your healthcare provider about any concerns you may have about bone health.
    • slowed or delayed growth in children. A child's growth should be checked regularly while taking AEROSPAN.
    • eye problems such as glaucoma and cataracts. If you have a history of glaucoma or cataracts or have a family history of eye problems, you should have regular eye exams while you use AEROSPAN.
    • increased wheezing (bronchospasm) can happen right away after using AEROSPAN. Stop using AEROSPAN and use an inhaled fast-acting bronchodilator (rescue inhaler) right away.
  • Tell your healthcare provider about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements.
  • The most common side effects with AEROSPAN include: sore throat (pharyngitis), runny nose (rhinitis), headache, nausea, sinusitis, and increased cough.
  • Tell your healthcare provider about any side effect that bothers you or that does not go away.
  • These are not all of the possible side effects of AEROSPAN. For more information, ask your healthcare provider or pharmacist.

Indications

Prescription AEROSPAN is used for the long-term (maintenance) treatment of asthma to control and prevent asthma symptoms in adults and children 6 years of age and older.

AEROSPAN is not a bronchodilator and does not treat sudden symptoms of an asthma attack, such as wheezing, cough, shortness of breath, and chest pain tightness. Always use a fast-acting bronchodilator medicine (rescue inhaler), such as albuterol, to treat symptoms.

Call your healthcare provider for medical advice about side effects.

For additional information, please see Full Prescribing Information and Patient Information for Aerospan.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.FDA.gov/medwatch, or call 1-800-FDA-1088.