The NEXLIZET & NEXLETOL Co-Pay Card is not valid for medications the Reimburses any part of the prescription filled using the Co-Pay Card, Or reimbursement to any insurer, health plan, or other third party who pays for or Reporting the receipt of all NEXLIZET & NEXLETOL Co-Pay Card savings Use of the NEXLIZET & NEXLETOL Co-Pay Card does not obligate use orĬontinuing use of any provider or continuing use of NEXLIZET or NEXLETOL. The NEXLIZET & NEXLETOL Co-Pay Card is not health insurance or a benefit plan. These Terms of Use should be read together with the Privacy Policy atĮligible patients with commercial prescription drug insurance coverage for NEXLIZET or NEXLETOL may The following Terms of Use apply to use of the NEXLIZET & NEXLETOL Co-Pay Card by any patient deemed eligible to participate in the If your card is lost or stolen, please visit Patients must reenroll for NEXLIZET & NEXLETOL Co-Pay assistanceĮach year that they wish to participate in the program. Final patient eligibility determinations are provided by Esperion and/or its programĮligibility in the NEXLIZET & NEXLETOL Co-Pay Card program is for one Esperion will evaluate the patient’s eligibility and communicate an eligibility decision to To determine if a patient is eligible for the NEXLIZET & NEXLETOL Co-Pay Card program, the patient must enroll online at or callĨ55-699-8814, and opt-in to the NEXLIZET & NEXLETOL Co-Pay Card Program, they may not use the NEXLIZET & NEXLETOL Co-Pay Card programĮven if they elect to be processed as a commercial or discount insurance plan patient. Also, if a patient is enrolled in a Government Representative and will no longer be eligible for the NEXLIZET & NEXLETOL Co-Pay Card program. Program, they must inform a NEXLIZET & NEXLETOL Co-Pay Card program Should a patient have any change in insurance coverage or become enrolled in a Government Programĭuring their enrollment in the NEXLIZET & NEXLETOL Co-Pay Card Program (collectively referred to as “Government Program”). Including but not limited to Medicare, Medicaid, Medigap, TRICARE of theĭepartment of Defense, or the Department of Veterans Affairs (VA) healthcare Is not enrolled in any state-, federal-, or government-funded healthcare program, Territories (such as Puerto Rico and the US Virgin Islands), AND Is a resident of the United States, including the District of Columbia but excluding Has commercial prescription drug insurance, AND Has a valid prescription for NEXLIZET or NEXLETOL, AND TERMS AND CONDITIONS Eligibility RequirementsĪ patient may be eligible for the NEXLIZET & NEXLETOL Co-Pay Card if
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