![]() ![]() By participating in this program, you are certifying that you will comply with the terms and conditions described in the Restrictions section below. Participation in this program must comply with all applicable laws and regulations as a pharmacy provider. When you apply for this offer, you are certifying that you have not submitted a claim for reimbursement under any federal, state, or other governmental programs for this prescription. For any questions regarding Therapy First Plus online processing, please call the Help Desk at 1-80. Reimbursement will be received from Therapy First Plus. A valid Prescriber ID# is required on the prescription. Eligible patients are responsible for as little as $10, with up to $8,000 in annual savings. Submit the claim to the primary Third Party Payer first, then submit the balance due to Therapy First Plus as a Secondary Payer COB with patient responsibility amount and a valid Other Coverage Code (eg, 8). As a condition of payment, you certify that you are in compliance with all program rules, terms, and conditions, as well as with any obligations to provide notice of your participation in this program to third-party payers as required by law, contract, or otherwise. 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. Patients with questions about the offer should call 1-88. By using this offer, you are certifying that you meet the eligibility criteria (not a member of a federal, state, or government insurance program) and will comply with the terms and conditions described in the Restrictions section below. If you would like to receive Coupons and Free Trial Offers (that GSK will report and track for the state of Vermont), please contact a sales representative at 1‑888‑825‑5249 or contact us here.In order to redeem this offer you must have a valid prescription for ABILIFY MAINTENA ® (aripiprazole). If you are a health care professional who practices outside the state of Vermont, but regularly practices in Vermont, please do not download, print, or otherwise accept Coupons and Free Trial Offers for GSK products. Under Vermont law, "regularly practice" means practicing at least periodically under contract with, or as an employee or owner of, a medical practice, health care facility, nursing home, hospital, or university located in Vermont. Under the law, distribution of Coupons and Free Trial Offers to health care professionals who are not licensed in Vermont but who "regularly practice" in Vermont must also be reported, whether or not the savings offer is received in Vermont. If you regularly practice in Vermont, the law requires pharmaceutical companies to report your acceptance of Coupons and Free Trial Offers to government authorities. GSK reserves the right to rescind, revoke or amend its coupons without notice. Some coupons have age, gender, or other specific requirements. ![]() If a mail-order pharmacy is used, please check with the pharmacy to determine if they accept coupons. The coupon should be presented when the prescription is dropped off at the pharmacy. ![]() Nontransferable and only an original coupon can be used.Patients with insurance can receive up to the amount for which they are responsible for the prescription, less any amounts specified on the coupon. Eligible patients without insurance can receive the dollars off amount specified on the coupon. ![]() This is part of an ongoing effort to ensure proper use of coupons in accordance with GSK policies as well as federal laws and guidances. Patients are required to complete an activation process prior to use to determine eligibility.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |