FREQUENTLY ASKED QUESTIONS

SAVINGS AND SUPPORT

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A: Samples of APTIOM are sometimes distributed to health care providers, who can determine dosage and prescribe APTIOM to their patients. Check with your doctor for samples, and ask if APTIOM may be right for you.

A: You may get prescriptions of APTIOM for as little as a $10 co-pay* with the APTIOM Savings Card. Click here to find out if you’re eligible when you sign up for Sunovion Answers for APTIOM®. Co-pay amounts may vary.

A: You can print a replacement card on the APTIOM website by clicking here or calling our customer service center at 1-844-4APTIOM (1-844-427-8466) 8 AM to 8 PM ET, Monday through Friday.

A: APTIOM is covered by a wide range of insurance companies, and Medicare and Medicaid. As there are a number of insurance companies with varying benefits, you should call your provider to understand your coverage. Some medicines, like APTIOM, may require a preauthorization from your insurance company, which generally means your insurance company might require more information from your doctor. If you go to the pharmacy and your pharmacist tells you your insurance company requires prior authorization for APTIOM, call Sunovion Answers for APTIOM® at 1-844-4APTIOM
(1-844-427-8466). Our reimbursement specialists will be able to assist you in initiating the Prior Authorization process.

A: When you sign up for Sunovion Answers for APTIOM®, you'll also receive information on living with epilepsy, along with helpful tips and tools. You can get started by signing up here.

A: For commercially insured patients with high-deductible commercial insurance, this High-Deductible Discount Program covers out-of-pocket expenses greater than $35 per prescription, with a maximum benefit of up to $500 each for three 30-day prescriptions. Restrictions may apply. Cash-paying patients and patients with federally funded insurance (such as Medicare, Medicaid, VA, DOD, or TRICARE) are not eligible for this offer.

A: If you already have a High-Deductible Discount Card you must activate the discount card prior to use. To activate your card, go to Activate My Discount Card or call 1-855-820-0071. Please present your activated discount card along with a valid APTIOM prescription for up to a 30-day supply to your pharmacy. Your discount may vary, but the card is valid for up to $500 off each prescription (up to 3 prescription fills). You are responsible for the first $35 of the co-pay or out-of-pocket cost and any costs above $500. You can sign up for a High-Deductible Discount Card here.

A: If you have a high-deductible insurance plan, register now to get your High-Deductible Discount Card. Then present your activated High-Deductible Discount Card along with a valid APTIOM prescription for up to a 30-day supply to your pharmacy. Your savings may vary, but the card is valid for up to $500 total off each APTIOM prescription up to 3 fills. You are responsible for the first $35 of the co-pay or out-of-pocket costs and any costs above $500.

A: If you are on any federally funded insurance (such as Medicare, Medicaid, VA, DOD, or TRICARE), you would not be eligible to take part in the APTIOM High-Deductible Discount Card Program. We do not provide co-pay assistance due to the federal Anti-Kickback Statute and guidance from the Office of the Inspector General. For more information regarding the Anti-Kickback Statute, please visit http://www.gpo.gov/fdsysl/. In the search area, type either “sec.1320a-7b” or “criminal penalties for acts involving federal health care programs.”

A: The High-Deductible Discount Card can be used up to 3 times with a valid APTIOM prescription for up to a 30-day supply. Offer expires December 31, 2018.

A: The last date to redeem your APTIOM High-Deductible Discount Card is December 31, 2018.

A: There is a limit of 1 card per person for up to 3 APTIOM prescription fills through December 31, 2018. After that, you may use your APTIOM Savings Card to pay as little as a $10 co-pay* for a 30-day prescription fill. See if you qualify for an APTIOM Savings Card or reprint your Savings Card here.

A: You can get a Direct Member Reimbursement Form at www.patientrebateonline.com. Once you print the form, provide all requested information on the form, attach your original mail-order receipt, sign, and mail to the address on the form. Once the information has been verified as accurate and complete, you can expect a check to be mailed to you in approximately 6–8 weeks. Repeat these steps each time you order a prescription from your mail-order pharmacy on up to 3 APTIOM prescription fills. Any order for a 90-day supply of APTIOM qualifies as three 30-day supplies meeting your total Discount Card benefit. Submissions for reimbursement must be made prior to December 31, 2018.

A: Yes. Because this is a special offer, please be sure to always present the High-Deductible Discount Card to the pharmacist.

A: After you have used your High-Deductible Discount card 3 times, you may use your APTIOM Savings Card to pay as little as a $10 co-pay* for a 30-day prescription fill. Sign up for or reprint your Savings Card here.

A: Up to $500 will be applied toward your deductible with the High-Deductible Discount Card for up to 3 APTIOM prescription fills for a total of up to $1,500 in savings per calendar year.

A: The High-Deductible Discount Program may deduct up to $500 for up to three 30-day prescriptions and may be used up to 3 times through December 31, 2018. See if you qualify for a High-Deductible Discount Card here.

A: No, you may only use one offer per APTIOM prescription fill. Please be sure to always present your High-Deductible Discount Card to the pharmacy when you fill your APTIOM prescription. Your High-Deductible Discount Card is valid on up to 3 APTIOM prescription fills through December 31, 2018.

A: Because the High-Deductible Discount Card is a limited-time offer, both programs will be active at the same time. Please be sure to always present your High-Deductible Discount Card to the pharmacy when you fill your prescription to take advantage of discounts of up to $500 for a 30-day prescription. Your High-Deductible Discount Card is valid on up to 3 prescription fills. After you have used your High-Deductible Discount card 3 times, you may use your APTIOM Savings Card to pay as little as a $10 co-pay* for a 30-day prescription fill. You may only use one offer per APTIOM prescription fill. If you don't already have an APTIOM Savings Card, register here.

For questions about APTIOM, and taking APTIOM, click here.

*Restrictions apply and co-pay amounts may vary.

SAVINGS CARD TERMS AND CONDITIONS:

By using this card, you acknowledge that you currently meet the following eligibility requirements:

  • You must be 18 years of age or older to accept this offer. This offer is valid only for eligible patients and legal guardians of eligible patients. Patients must have a valid prescription for APTIOM within APTIOM's approved indication
  • Offer not valid if prescription is paid in part or full by any state or federally funded health care program, including but not limited to Medicare, Medicaid, VA, DOD or TRICARE, or where prohibited by law
  • This card is valid for up to $75 off each prescription fill for up to a 30-day supply. The card is further limited to twelve (12) qualifying prescription fills per calendar year
  • Offer is limited to one per person and may not be used with any other offer
  • This program is not health insurance. The amount of the benefit cannot exceed the patient's out-of-pocket expenses. Acceptance of this offer must be consistent with the terms of any drug benefit provided by a health insurer, health plan, or other third-party payer. If requested or required by any such payer, the patient must report the use of this card. The patient must deduct the value of the savings received under this program from any reimbursement request submitted to the patient's insurance plan, either directly or on the patient's behalf
  • For California and Massachusetts residents, benefits pursuant to this card will terminate automatically upon the introduction of a therapeutically equivalent product
  • Offer valid only in the United States and Puerto Rico. Void where prohibited by law, taxed or restricted
  • Sunovion reserves the right to rescind, revoke or amend this offer at any time without notice. This offer is not transferable and may not be sold, purchased or traded, or offered for sale, purchase or trade

To the Patient: You must present this card to the pharmacist along with your prescription to participate in this program. If you have any questions regarding your eligibility or benefits, or if you wish to discontinue your participation, call the APTIOM Savings Card program at 1-844-4APTIOM (1-844-427-8466) anytime between 8 AM to 8 PM ET, Monday through Friday. By using this card, you are certifying that you understand the enclosed program rules, regulations, and terms and conditions; you have not submitted and will not submit a claim for reimbursement under any federal, state or other governmental program for this prescription or where otherwise prohibited by law in your state; and you will otherwise comply with the terms mentioned herein.

To the Pharmacist: When you use this card, you are certifying that you have not submitted and will not submit a claim for reimbursement under any federal, state or other governmental program for this prescription.

  • Submit transaction to McKesson Corporation using BIN # 610524
  • If primary commercial prescription insurance exists, input 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 card and your submission of claims for the program are subject to the LoyaltyScript® program Terms and Conditions posted at www.mckesson.com/mprstnc
  • Patient is not eligible if prescriptions are paid in part or full by any state or federally funded health care program, including but not limited to Medicare or Medicaid, VA, DOD or TRICARE, or where prohibited by law
  • For questions regarding setup, claim transmission, patient eligibility or other issues, call the LoyaltyScript® Savings Card program at 1-866-279-8992, 8 AM–8 PM ET, Monday through Friday

Sunovion reserves the right to rescind, revoke or amend this offer at any time without notice.

HIGH-DEDUCTIBLE DISCOUNT CARD PROGRAM TERMS AND CONDITIONS:

  • This offer is valid only for eligible patients 18 years of age or older, or legal guardians of patients between 4 and 17 years of age with a valid prescription for APTIOM
  • Offer limited to one per person and may not be used with any other offer for APTIOM
  • High-deductible commercial insurance required
  • Cash-paying patients are not eligible
  • Patients are not eligible if prescriptions are paid in part or full by any state or federally funded health care programs, including but not limited to Medicare, Medicaid, VA, DOD, or TRICARE, or where prohibited by law
  • Activation is required to use this card
  • This card is valid for up to $500 off each of up to 3 qualifying prescriptions for up to a 30-day supply, and may not be used with any other offer. Patient is responsible for the first $35 of their co-pay and any additional out-of-pocket costs above $500
  • For patients using this card for a 90-day prescription fill, this card may only be used one time
  • This program is not health insurance
  • Offer valid only in the United States and Puerto Rico. Void where prohibited by law, taxed, or restricted
  • Sunovion reserves the right to rescind, revoke, or amend this offer at any time without notice. This offer is not transferable and may not be sold, purchased, or traded, or offered for sale, purchase, or trade
  • Offer expires 12/31/2018

To the Patient: You must present this card to the pharmacist along with your APTIOM prescription to participate in this program. If you have any questions regarding your eligibility or benefits, or if you wish to discontinue your participation, call the APTIOM High-Deductible Discount Card program at 1-855-820-0071 from 8 AM to 8 PM ET, Monday through Friday. When you use this card, you are certifying that you have read the program rules, regulations, and 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; if you are Medicare eligible, you are not enrolled in an employer-sponsored health plan or prescription drug plan for retirees; and you will otherwise comply with the terms above.

To the Pharmacist: When you use this card, you are certifying that you have not submitted and will not submit a claim for reimbursement under any federal, state, or other governmental programs for this prescription.

  • Submit transaction to McKesson Corporation using BIN #610524
  • Patient must be covered by Commercial Prescription Insurance. Input card information as secondary coverage and transmit using the COB segment of the NCPDP transaction.
  • Acceptance of this card and your submission of claims for the 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® Discount Card program at 1-855-820-0071, Monday through Friday, 8 AM to 8 PM ET

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