Eligibility Criteria:
You may be eligible for the EUCRISA Copay Savings Program if you currently use private or commercial health insurance to cover a portion of your medication costs for EUCRISA.
Terms and Conditions
By using the EUCRISA Copay Savings Card (the “Card”), you acknowledge that you currently meet the eligibility criteria and will comply with the terms and conditions.
- Patients are not eligible to use this card if they are enrolled in a state or federally funded prescription insurance program, including Medicare Part D, Medicaid, TRICARE, a state prescription drug assistance program, or the Government Health Insurance Plan available in Puerto Rico (formerly known as “La Reforma de Salud”). If you are enrolled in a state or federally funded prescription insurance program, you may not use this savings card even if you elect to be processed as an uninsured (cash-paying) patient.
- This Card is not valid when the entire cost of your prescription drug is eligible to be reimbursed by your commercial insurance plan or any other health or pharmacy benefit program.
- By using this Card at participating pharmacies, eligible patients with commercial prescription drug insurance coverage for EUCRISA may pay as little as $10 per tube. Eligible patients with commercial prescription drug insurance coverage that does not cover EUCRISA may pay as little as $70 per tube. Eligible patients without prescription drug insurance who pay cash may pay as little as $100 per tube. Individual savings are limited to $970 per tube. Individual patient savings are limited to $3,880 in maximum total savings per calendar year.
- You must deduct the value of the savings that you receive from this Card from any reimbursement request submitted to your commercial insurance plan, either directly by you or on your behalf.
- You are responsible for reporting receipt of any savings from the Card to any commercial insurer, health plan, or other third party that pays for or reimburses any part of the cost of the prescription filled using the Card, as may be required by such insurer or plan. You should not use the Card if your insurer or health plan prohibits use of manufacturer copay cards.
- This copay program is not valid where prohibited by law.
- The Card cannot be combined with any other rebate/copay program, free trial or similar offer for the specified prescription.
- The Card will be accepted only at participating pharmacies.
- This Card is not health insurance.
- Offer good only in the U.S. and Puerto Rico.
- The Card is limited to 1 per person during this offer period and is not transferable.
- The Card may not be redeemed more than once per 30 days per patient.
- No other purchase is necessary.
- Data related to your redemption of the Card may be collected, analyzed, and shared with Pfizer, for market research and other purposes related to assessing Pfizer’s programs. Data shared with Pfizer will be aggregated and de-identified; it will be combined with data related to other Card redemptions and will not identify you.
- Pfizer reserves the right to rescind, revoke or amend this offer at any time without notice.
- No membership fees.
- Offer expires 03/31/20.
If you have questions or are in need of additional support, call 1-877-548-1739.
