![]() For patients with a co-pay obligation of $125 or less for a 30-day prescription, 120 pills or fewer, the offer will cover any amount over $20 up to a maximum benefit of $104. You additionally agree that you will not submit the cost of any portion of the product dispensed pursuant to this offer to a federal or state healthcare program for purposes of counting it toward your out-of-pocket expenses. Use of this offer is confirmation that you are permitted under the terms and conditions of the health benefit plan(s) covering your prescriptions, to take advantage of co-pay coverage programs. ![]() By using the CONTRAVE Savings Coupon Card, you agree to report your use of this offer to any Third Party that reimburses you or pays for any part of the CONTRAVE prescription price. If Medicare or TRICARE coverage status for CONTRAVE changes in the future, your CONTRAVE Savings benefits may change too. For Medicare Part D patients, the cash payments you make for CONTRAVE will not count towards your true out-of-pocket expenses. However, to receive the CONTRAVE Savings Coupon Card benefits, your prescription will be processed with the assumption that you are a cash-paying customer. Medicare Part D and TRICARE beneficiaries are eligible for the CONTRAVE Savings Coupon Card. The CONTRAVE Savings Coupon Card cannot be used if you are currently a Medicaid Beneficiary. ‡Terms and Conditions: Payment will depend on your pharmacy and your insurance.
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