Coupons

Coupons Central page

Below you will find an easy-to-navigate alphabetical listing of drugs and the associated coupons and discounts most relevant and available to public consumers in the United States. Come back often, coupons are added weekly.

First, there are some aces that patients may try first. These are also great for pharmacies to advocate on behalf of patients.

Next, there are the resources defined per state. This section is continually growing as we add more states so check back often.

Finally, there is an alphabetical listing of the drugs and the coupons provided by manufacturers. If your pharmacy is not advocating on your behalf or otherwise getting you these coupons, then you can most likely get them yourself by filling out the appropriate forms online. Also, if your pharmacy is not doing this on your behalf, then it may be time to go to a different pharmacy.

Large chain pharmacies are notorious for refusing to honor these coupons or getting them for their patients. Independent pharmacies are more likely to honor them as well as get them on behalf of their patients at no charge.

Aces to Try First

PAN Foundation

See if you qualify for PAN Foundation help.

**Also, check out the National PACE website. (Find A PACE Program In Your Neighborhood.)

 

Natural Disaster Victims

Natural Disaster victims in need of prescription assistance should contact 1-844-989-PATH (7284).

 

By State (Alphabetical)

(CA)

First, every California resident is entitled to a free prescription discount card through the California Prescription Assistance Program (PAP) by visiting this website and writing down the numbers on the screen, filling out this form, or printing out this page.There's also the free California prescription card available on this website. Never hurts to have more than one and see which one offers the best discount. To order one over the phone, call them at (855) 222-4323. California's Medicaid program Medi-Cal is available by visiting this website or calling them at this number: (916) 552-9200.

California residents receiving Medicare should check out this website HICAP, which can also be reached by phone at: (800) 434-0222.

Finally, California residents who are pregnant and not in one of the two previous programs Medi-Cal or HICAP should visit this website or call this number:  (800) 433-2611.

 

(NJ)

NJ PAAD - Are you elderly or disabled? Try visiting this resource first before spending money out of pocket on prescriptions.

Program of All-inclusive Care for the Elderly - Still need more assistance? Not to worry; Try this resource dedicated to the elderly.

- You can also call PACE directly at 1-800-792-8820.

-  You can also try one of these phone numbers below to connect with one of the active PACE members as of 2018.

Try each one to see what benefits they can each provide you:

LIFE St. Francis: 609-599-5433

LIFE at Lourdes: 856-675-3675

Lutheran Senior LIFE: 877-543-3188

Inspira LIFE: 855-295-5433

Beacon of LIFE: 732-592-3400

AtlantiCare LIFE Connection: 609-572-8588

Senior Gold Prescription Discount Program - Yet another resource for the elderly is this program, check out the details here.

AIDS Drug Distribution Program - See if this program can benefit you at little or no cost out of pocket.

 

(NY)

Free Prescription Discount Card available to all New York residents by clicking on this link and writing down the numbers, or by printing this page, or by calling them at 800-931-2297.

Children under the age of 19 and residents of New York are eligible for the Child Health Plus program available by clicking this link.

New York also offers the Community Health Advocates website, which is available by clicking here. They offer free advice, so that's mildly helpful.

Seniors 65 or over living in New York are eligible for the EPIC program if they meet certain conditions, such as low income and Medicare or Medicaid spend down. Click here for more details.

More free advice on Medicare and Medicaid benefits can be found by visiting aging.ny.gov/healthbenefits.

 

Drug List (Alphabetically)

Adderall

www.shire.com

See if you qualify for brand-name adderall for as little as $25 per month.

Prescribing information for Adderall.

 

Aerobid

www.allergan.com

Partnership for Prescription Assistance is a free service that provides an application for the Forest Pharmaceuticals Patient Assistant Program here. The actual form is available here.

 

Atripla

www.atripla.com

Enroll in Gilead's copay assistance program here.

Call 1-800-226-2056 to speak with an Advancing Access agent.

Purchase the HIV Enrollment Form.

 

Aubagio

www.aubagio.com

Get financial assistance for Aubagio including a $0 copay card here. Some patients may be eligible for Aubagio at no cost for up to one year while benefits are verified. Pharmacists can also find information on the Sanofi Genzyme Patient Assistance Program for patients without insurance.

 

Austedo

www.austedo.com

Get the free trial offer for new patients here.

Get the $0 copay card for all patients here.

 

Avonex

www.avonex.com

Join the Biogen Support Program here.

Get insurance and financial assistance here, including a $0 copay card for eligible patients.

Join the Above MS Program here.

 

Betaseron

www.betaseron.com

Pay $0 copay for Betaseron or get up to a year free while insurance is authorized here.

 

Biktarvy

www.biktarvy.com

Advancing Access copay assistance program.

Advancing Access iAssist portal for the uninsured.

 

Bravelle

www.bravelle.com

Prescribing information can be found here.

Get reimbursed for Bravelle by the manufacturer here.

Purchase the Infertility Enrollment Form here.

 

Byetta

www.byetta.com

Get the manufacturer coupon savings card here.

Byetta prescription coverage counseling can be found here.

 

Campral

www.allergan.com

Partnership for Prescription Assistance is a free service that provides an application for the Forest Pharmaceuticals Patient Assistant Program here. The actual form is available here.

 

Celebrex

www.celebrex.com

Pay $4 for 30 day supply of Celebrex by filling out this manufacturer form.

 

Celexa

www.allergan.com

Partnership for Prescription Assistance is a free service that provides an application for the Forest Pharmaceuticals Patient Assistant Program here. The actual form is available here.

Information from the Mayo Clinic is available here.

 

Celsentri

www.celsentri.com

Manufacturer's support page for pharmacists.

Manufacturer support page for prior authorizations.

Register or activate a Viiv Connect savings card.

Learn more about the Viiv Connect patience assistance portal (PAP).

 

Cetrotide

www.fertilitylifelines.com

Get 10% off with this mail in rebate.

Fill out the compassionate care application for up to 75% off of self-pay medication.

Cancer patients / survivors can apply for financial assistance from the Livestrong Foundation.

Insured patients can get preauthorization by downloading these forms.

Military personnel or veterans can apply for financial assistance with the Compassionate Corp program by filling out this form.

Call this toll free number for assistance.

Purchase the Infertility Enrollment Form here.

 

Combivir

www.combivir.com

Manufacturer's support page for pharmacists.

Manufacturer support page for prior authorizations.

Register or activate a Viiv Connect savings card.

Learn more about the Viiv Connect patience assistance portal (PAP).

 

Complera

www.complera.com

Advancing Access copay assistance program.

Advancing Access iAssist portal for the uninsured.

 

Copaxone

www.copaxone.com

Get a $0 copay savings coupon from the manufacturer here.

 

Crestor

www.crestor.com

Pay as little as $3 for a three-month supply of Crestor using the following Bin: 004682, PCN: CN, Grp: EC57002181, ID: 414789416996

AstraZeneca also offers a mail-in rebate for Crestor by downloading the form available here.

 

Cymbalta

www.innovicares.ca

Cymbalta has a discount savings card, but it may be limited to Canadian pharmacies. Learn more by clicking here.

You may also try the Lilly Cares Foundation Patient Assistance Program by filling out this form.

 

Delstrigo

www.delstrigo.com

Sign up for the manufacturer Merck savings coupon program here.

 

Descovy

www.descovy.com

Advancing Access copay assistance program.
Advancing Access iAssist portal for the uninsured.

Download the Daily Charge app.

 

Duexis

www.duexis.com

$0 copay savings card free download available here.

 

Edurant

www.edurant.com

Sign up for the manufacturer Janssen CarePath discount savings program.

 

Emtriva

www.emtriva.com

Get the Gilead Advancing Access Medication Co-pay savings card here.

Enroll in the Gilead Advancing Access program here.

 

Enbrel

www.enbrel.com 

Call Enbrel at (888) 436-2735 to sign up, renew, or replace a copay card.

Apply for Enbrel Safety Net if you do not have health insurance.

Register for Enbrel Support Services, such as Nurse support.

 

Epivir

www.epivir.com

Manufacturer's support page for pharmacists.

Manufacturer support page for prior authorizations.

Register or activate a Viiv Connect savings card.

Learn more about the Viiv Connect patience assistance portal (PAP).

 

Epzicom

www.epzicom.com

Manufacturer's support page for pharmacists.

Manufacturer support page for prior authorizations.

Register or activate a Viiv Connect savings card.

Learn more about the Viiv Connect patience assistance portal (PAP).

 

Esgic

www.allergan.com

Partnership for Prescription Assistance is a free service that provides an application for the Forest Pharmaceuticals Patient Assistant Program here. The actual form is available here.

 

Euflexxa

www.euflexxa.com

Get a $100 refund from Euflexxa here.

 

Extavia

www.extavia.com

Get financial assistance from Novartis (manufacturer) for copay here.

Join the Extavia Go Program here.

 

Fetzima

www.fetzima.com

Pay as little as $30 per month with this manufacturer savings card.

Partnership for Prescription Assistance is a free service that provides an application for the Forest Pharmaceuticals Patient Assistant Program here. The actual form is available here.

 

Follistim

www.follistim.com

Get the Merck manufacturer coupon savings card here.

Watch the instructional video for patients.

Purchase the Infertility Enrollment Form here.

 

Ganirelex Acetate

www.ganirelex.com

Log into Merck Connect to request samples, vouchers, and coupons.

Purchase the Infertility Enrollment Form here.

 

Genvoya

www.genvoya.com

Advancing Access copay assistance program.

Advancing Access iAssist portal for the uninsured.

Download My Daily Charge app.

 

Humatrope

www.humatrope.com

Patient Assistance begins with a Benefits Investigation, which requires approval, which you can provide by filling out this form.

The Savings Card can be accessed by clicking on this link.

Purchase the Growth Hormone Deficiency Enrollment Form.

 

Humira

www.humira.com

Click to enroll in Humira Complete savings card.

Click to contact Humira by phone.

Purchase the Dermatology Enrollment Form, the Gastroenterology Enrollment Form, the Stelara Enrollment Form, or the Rheumatology Enrollment Form.

 

Intrarosa

www.intrarosa.com

Get the coupon savings card from the manufacturer and pay only $35 copay.

 

Isentress

www.isentress.com

Sign up for the manufacturer Merck's savings coupon program here.

 

Juluca

www.juluca.com

Manufacturer's support page for pharmacists.

Manufacturer support page for prior authorizations.

Register or activate a Viiv Connect savings card.

Learn more about the Viiv Connect patience assistance portal (PAP).

 

Kay Ciel

www.allergan.com

Partnership for Prescription Assistance is a free service that provides an application for the Forest Pharmaceuticals Patient Assistant Program here. The actual form is available here.

 

Kivexa

www.kivexa.com

Manufacturer's support page for pharmacists.

Manufacturer support page for prior authorizations.

Register or activate a Viiv Connect savings card.

Learn more about the Viiv Connect patience assistance portal (PAP).

 

Krystexxa

www.krystexxa.com

Contact their support line to enroll in Krystexxa Connect savings program and pay as little as $0 copay.

 

Levoxyl

www.allergan.com

Partnership for Prescription Assistance is a free service that provides an application for the Forest Pharmaceuticals Patient Assistant Program here. The actual form is available here.

 

lexapro

www.lexapro.com

Product information for pharmacists.

Product information for patients.

Partnership for Prescription Assistance is a free service that provides an application for the Forest Pharmaceuticals Patient Assistant Program here. The actual form is available here.

 

Lexiva

www.lexiva.com

Manufacturer's support page for pharmacists.

Manufacturer support page for prior authorizations.

Register or activate a Viiv Connect savings card.

Learn more about the Viiv Connect patience assistance portal (PAP).

 

Linzess

www.linzess.com

Sign up for the Linzess savings program here.

See if you qualify for the Extra Help program from Medicare.

 

Lipitor

www.lipitor.com

The Savings Card can be found by clicking this link.

Questions about the Savings Card or the Mobile Program should be directed to either 1-800-314-7957 or 1-855-496-8792, the first being the one less published and more likely to have shorter wait times.

There's also the even less advertised Pfizer Rx Pathways Prescription Assistance program available by calling 1-866-706-2400.

Even less known to the general public is the Rx Outreach program, which covers about 800 other drugs as well as Lipitor. They can be reached at (855) 796-4968.

 

Lokelma

www.lokelma.com

Register patients for access and support from AstraZeneca here.

 

Lupron Depot Peds

(Leuprolide Acetate)

www.lupronpedpro.com

Print the Lupron savings card here and pay as little as $10 per prescription.

Download the manufacturer rebate form here.

Complimentary live nurse support is available by calling this number.

Purchase the Urology Enrollment Form here.

 

Lyrica

www.lyrica.com

Download the Lyrica copay savings card for your patients.

 

Menopur

www.ferringfertility.com

Try Springstone patient financing here.

Also try the Assisted Reproductive Insurance Program here.

Various discounts available from the manufacturer can be found here.

Purchase the Infertility Enrollment Form here.

 

Migergot

www.migergot.com

Get the $0 copay manufacturer coupon savings card here.

 

Namenda

www.namenda.com

Full prescribing information is available here.

Partnership for Prescription Assistance is a free service that provides an application for the Forest Pharmaceuticals Patient Assistant Program here. The actual form is available here.

 

Neurontin (Gabapentin)

Prescribing information for Neurontin.

Enroll a patient in the Pfizer savings program.

Patients or pharmacies can try needymeds.com for help with copays of gabapentin.

 

Nexium

www.nexium24hr.com

Save $3 on 28ct or 42ct of Nexium 24hr.

Save $1 off any 14ct Nexium 24hr.

 

Nitrogard

www.allergan.com

Partnership for Prescription Assistance is a free service that provides an application for the Forest Pharmaceuticals Patient Assistant Program here. The actual form is available here.

Information from the Mayo Clinic is available here.

 

Norditropin

www.norditropin.com

Contact Novo Nordisk for the Patient Assistance Program or to learn more about the NordiSure Copay Assistance or Coinsurance programs.

 

Odefsey

www.odefsey.com

Get the Gilead Advancing Access Medication Co-pay savings card here.

Enroll in the Gilead Advancing Access program here.

 

Otezla

www.otezla.com

$0 Copay card for Otezla is available by filling out this form. or calling them at (844) 468-3952.

Alternatively, you can try the Celgene Patience Assistance Program  (PAP) by filling out this form and faxing it to the number provided at the top of the page. They can also be reached by calling (855) 554-9168.

 

Ovidrel

www.fertilitylifelines.com

View the different options for saving on Ovidrel here.

Purchase the Infertility Enrollment Form here.

 

Pennsaid

www.pennsaid.com

Save up to $1,200.00 with a $0 copay on Pennsaid by printing out this page.

 

Pifeltro

www.pifeltro.com

Sign up for the Merck manufacturer savings coupon here.

 

Premarin

www.premarin.com

Pay as little as $15 copay for Premarin with this manufacturer coupon.

Pharmacies can use RxBin: 601341, RxPCN: OHCP, RxGrp: OH7715101, RxID: PMR160130947 (Valid until 12/31/2019)

 

Prolia

www.prolia.com

Join the Prolia patient support program.

Pay $25 out of pocket per dose with this manufacturer discount card.

Have Medicare? Save 97% - 100% by calling this number.

Enroll your office in the Prolia copay program.

No insurance? Try the Amgen Safety Net Foundation.

Purchase the Urology Enrollment Form here.

Proventil

www.proventilhfa.com

Save $15 on Proventil by printing out this coupon from the manufacturer.

 

Rayos (Prednisone)

www.rayosrx.com

Rayos Patient Savings Program (Up to $0 copay for patients)

Pharmacists can order samples of Rayos to provide to patients here.

 

Remicade

www.remicade.com

Pay only $5 per infusion with this discount card from the manufacturer.

 

Rescriptor

www.rescriptor.com

Manufacturer's support page for pharmacists.

Manufacturer support page for prior authorizations.

Register or activate a Viiv Connect savings card.

Learn more about the Viiv Connect patience assistance portal (PAP).

 

Retrovir

www.retrovir.com

Manufacturer's support page for pharmacists.

Manufacturer support page for prior authorizations.

Register or activate a Viiv Connect savings card.

Learn more about the Viiv Connect patience assistance portal (PAP).

 

Savella

www.savella.com

Pay as little as $30 per month with this manufacturer savings card coupon.

Partnership for Prescription Assistance is a free service that provides an application for the Forest Pharmaceuticals Patient Assistant Program here. The actual form is available here.

 

Selzentry

www.selzentry.com

Manufacturer's support page for pharmacists.

Manufacturer support page for prior authorizations.

Register or activate a Viiv Connect savings card.

Learn more about the Viiv Connect patience assistance portal (PAP).

 

Simponi

www.simponi.com

Enroll in the Janssen CarePath Savings program here.

Pay only $5 per injection here.

Get coding and billing information for reimbursement here.

Check the patient affordability options here.

Get additional Simponi support here.

Purchase the Gastroenterology Enrollment Form here.

 

 

Stribild

www.stribild.com

Get the Gilead Advancing Access Medication Co-pay savings card here.

Enroll in the Gilead Advancing Access program here.

 

Symlin

www.symlin.com

Get the manufacturer coupon savings card here.

Prescription coverage counseling can be found here.

 

Synthroid

www.synthroid.com

Join the Synthroid breakfast club.

Fill out the Partnership for Prescription Assistance form for Synthroid.

 

Theocron

www.allergan.com

Partnership for Prescription Assistance is a free service that provides an application for the Forest Pharmaceuticals Patient Assistant Program here. The actual form is available here.

 

Thyrolar

www.allergan.com

Partnership for Prescription Assistance is a free service that provides an application for the Forest Pharmaceuticals Patient Assistant Program here. The actual form is available here.

 

Tiazac

www.allergan.com

Partnership for Prescription Assistance is a free service that provides an application for the Forest Pharmaceuticals Patient Assistant Program here. The actual form is available here.

 

Tivicay

www.tivicay.com

Manufacturer's support page for pharmacists.

Manufacturer support page for prior authorizations.

Register or activate a Viiv Connect savings card.

Learn more about the Viiv Connect patience assistance portal (PAP).

 

Trelstar

www.trelstar.com

Access and resources from Trelstar are available here including tiered pricing from AndaMEDS.

(For Medical Professionals Only)

Purchase the Urology Enrollment Form here.

 

Triumeq

www.triumeq.com

Manufacturer's support page for pharmacists.

Manufacturer support page for prior authorizations.

Register or activate a Viiv Connect savings card.

Learn more about the Viiv Connect patience assistance portal (PAP).

 

Triziver

www.triziver.com

Manufacturer's support page for pharmacists.

Manufacturer support page for prior authorizations.

Register or activate a Viiv Connect savings card.

Learn more about the Viiv Connect patience assistance portal (PAP).

 

Truvada

www.truvada.com

Advancing Access copay assistance program.

Advancing Access iAssist portal for the uninsured.

Download the Daily Charge app.

 

Tybost

www.tybost.com

Advancing Access copay assistance program.

Advancing Access iAssist portal for the uninsured.

Download the Daily Charge app.

 

Viberzi

www.viberzi.com

Sign up for the Viberzi newsletter.

Pay as little as $30 for a 90-day prescription by filling out this form to register for a savings card.

 

Vibramycin

www.vibramycin.com

Contact Pfizer Rx Pathways to see if you qualify for discounts on Vibramycin.

 

Victoza

www.victoza.com

Register for Victoza Care support here.

Pay as little as $25 for a Victoza prescription by registering for this manufacturer savings coupon.

 

Viibryd

www.viibryd.com

Pay as little as $15 per month with this manufacturer savings coupon.

Download this mail in rebate for mail order prescriptions.

Partnership for Prescription Assistance is a free service that provides an application for the Forest Pharmaceuticals Patient Assistant Program here. The actual form is available here.

 

Vimovo

www.vimovo.com

$0 copay saving card for vimovo available here.

 

Viracept

www.viracept.com

Manufacturer's support page for pharmacists.

Manufacturer support page for prior authorizations.

Register or activate a Viiv Connect savings card.

Learn more about the Viiv Connect patience assistance portal (PAP).

 

Viread

www.viread.com

Advancing Access copay assistance program.

Advancing Access iAssist portal for the uninsured.

Download the Daily Charge app.

 

Vivitrol

www.vivitrol.com

Get the $0 copay card from the manufacturer here.

Pharmacies can verify insurance benefits here.

 

Xanax

www.xanax.com

Pay only $4 for each 30 day fill of brand-name Xanax by filling out this manufacturer coupon page.

 

Xgeva

www.xgeva.com

Amgen offers financial assistance for patients with commercial insurance, government insurance, or no insurance here.

Purchase the Urology Enrollment Form here.

 

Xopenex

www.xopenex.com

Contact the manufacturer to have a reimbursement specialist perform a benefit investigation for you or your patient.

 

Zoladex

www.zoladex.com

ZOLADEX is the only treatment of its kind with its own unique J-Code for reimbursement. ZOLADEX J-Code: J9202. (Leuprolide acetate J-Code: J9217)

Commercially insured patients can get $0 copay and cash-paying patients can get $500 off every month by using the following manufacturer copay card coupon savings information: RxBin: 610524, RxGrp: 50777526, RxPCN: Loyalty, Issuer: (80840), ID: 1234567899. More information can be found here.

TerSera Therapeutics provides a Patients Assistance Program by filling out this form.

Purchase the Urology Enrollment Form here.

 

Ziagen

www.ziagen.com

Manufacturer's support page for pharmacists.

Manufacturer support page for prior authorizations.

Register or activate a Viiv Connect savings card.

Learn more about the Viiv Connect patience assistance portal (PAP).