Welcome to the activation page for the Astellas Copay Program.

You can complete the activation process in 3 easy steps

Step 1

Click below to submit your Savings Card ID number or to activate without an ID.
Step 2

Answer a few simple questions.
Step 3

Start using your Savings Card!

Activate your card today and save up to $3000 per year*

Eligibility Restrictions, Terms and Conditions:

*Eligible participants in the Copay Card Program ("Program") may receive annual savings up to $3000 for PROGRAF or ASTAGRAF XL. Patients must have prescription drug coverage for PROGRAF or ASTAGRAF XL, however, this Program offer is not valid for patients whose prescription claims are reimbursed, in whole or in part, by any federal or state-government funded prescription drug benefit program including but not limited to Medicaid, Medicare, Medigap, Veterans Affairs (VA), Department of Defense (DoD), TRICARE, Puerto Rico Government Insurance, or any state patient or pharmaceutical assistance program. PROGRAF patients who reside in the states of Massachusetts and California are not eligible to participate in the Program. Furthermore, this offer for PROGRAF is not valid in the state of California. The Copay Card Program is valid for twelve (12) months from date of enrollment. Annual re-enrollment in the Program is required and subject to eligibility. Restrictions may apply. This offer is void where prohibited by law. Astellas reserves the right to rescind, revoke, or amend this offer without notice.

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.

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PROGRAF®, ASTAGRAF XL®, Astellas®, and the flying star logo are registered trademarks of Astellas Pharma Inc.
© 2017 Astellas Pharma US, Inc. All Rights reserved.

080-1460-PM 12/17

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