Patients with questions about the Xiidra co-pay program should call 1-877-4XIIDRA.
Novartis reserves the right to rescind, revoke, or amend the Program and discontinue support at any time without notice. Program may not be combined with any third&madsh party rebate, coupon, or offer. Valid only in the United States and Puerto Rico. Patient is responsible for complying with any applicable limitations and requirements of their health plan related to the use of the Program. Patient may not seek reimbursement for the value received from this program from other parties, including any health insurance program or plan, flexible spending account, or health care savings account. Program is not valid where prohibited by law. The value of this program is exclusively for the benefit of patients and is intended to be credited towards patient out-of-pocket obligations and maximums, including applicable co-payments, coinsurance, and deductibles. Program not valid (i) under Medicare, Medicaid, TRICARE, VA, DoD, or any other federal or state health care program, (ii) where patient is not using insurance coverage at all, or (iii) where the patient's insurance plan reimburses for the entire cost of the drug. Patient is responsible for any costs once monthly savings limit is reached. After the first fill, eligible, commercially-insured patients may pay as little as $0 for prescriptions of Xiidra, subject to a maximum monthly savings of $250 for each 30 day prescription and $750 for each 90-day prescription. $0 first fill available for prescriptions up to 90 days. Eligible, commercially-insured patients using the Copay Card pay $0 for their first prescription of Xiidra. The Xiidra Copay Card Program includes the Copay Card and rebate. Valid for patients with private (commercial) insurance only.
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