You can complete the enrollment process in 3 easy steps

Step 1 Click below to submit your Savings Card ID number or to enroll without ID.

Step 2 Answer a few simple questions.

Step 3 Start using your Savings Card!

Activate your card today and save up to $200 per month on each strength1

Eligibility Restrictions, Terms and Conditions:

1Eligible participants in the Prograf CoPay Card Program ("Program") may receive savings of up to $200 each month for each individual prescription strength of Prograf. For each individual prescription strength, Patient is responsible for the first $10 plus any differential over $200. Program offer not valid for those who participate in any federal or state funded prescription drug benefit program (e.g. Medicare, Medicaid, Medigap, VA, DOD, or TriCare). Patients who reside in the state of Massachusetts are not eligible to participate in the Program. The Prograf CoPay Card is valid for twelve (12) months from date of enrollment. Annual reenrollment in the Program is required and subject to eligibility. Restrictions may apply.

IMPORTANT SAFETY INFORMATION

Please see Important Safety Information here.

Please see Medication Guide and full Prescribing Information including Boxed Warning here.

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 is a trademark of Astellas Pharma, Inc. © 2013 Astellas Pharma US, Inc. All Rights reserved.
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