DESONATE Instant Co-Pay Assistance Card
$25 co-pay for most patients with prescription insurance benefits
Keep this card for savings on two more refills
Expires 6.30.08
Desonate Gel 60g tube or 120g
Insurance covered patient (Program not available to unisured patients) Present your primary insurance cared along with this co-pay assistance card and the prescription for Desonate. SkinMedica will help reduce the co-pay to $25 ($125 maximum assistance).
Legal notice: You may take advantage of the copay assistance program if your insurance copay exceeds $25 ($125 maximum assistance). You may not receive this rebate if you receive drug benefits from Medicaid, a Medicare drug benefit plan, or other state or federal program (includes state medical assistance programs and/or pharmaceutical patient assistance programs). Additionally, you may not receive this rebate if your private insurance, HMO, or other health or pharmacy benefit program paid for your entire prescription.
Void in any state where rebates are prohibited by law, taxed, or otherwise restricted.
You may not combine this offer with any other rebate coupon, free trial, or similar offer. SkinMedica, Inc. has the right to rescind, revoke, or amend this offer without notice. Keep This card for savings on two more refills. Expires on 6.30.2008
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