Terms and Conditions

h.e.a.r.t.+

Pharmacy Savings Card

The value of this offer may not exceed the amount of the patient's out-of-pocket costs for the prescription. This h.e.a.r.t.+ card is not valid for prescriptions reimbursed in whole or in part by Medicaid, Medicare, federal, or state programs (including any state prescription drug programs). This h.e.a.r.t.+ card is good for use only with a corresponding prescription for BRAVELLE^®, MENOPUR^®, ENDOMETRIN^®, and/or NOVAREL^® at the time the prescription is filled and dispensed. Offer good only in the USA at participating retail pharmacies and cannot be redeemed at government-subsidized clinics. This offer is not valid in Massachusetts, except for cash-paying patients, or where otherwise prohibited by law. By choosing to process a claim to a third-party payer in connection with this offer, the retail pharmacy hereby represents, warrants, and acknowledges to Ferring Pharmaceuticals that Ferring is not interfering with any legal obligation that the retail pharmacy may have to any third party and that processing the claim is not otherwise in violation of applicable law. Ferring reserves the right to rescind, revoke, or amend this offer without notice. The selling, purchasing, trading, or counterfeiting of this card is prohibited by law. Participating patients and pharmacists understand and agree to comply with the terms and conditions of this offer as set forth above.

THIS IS NOT INSURANCE
Program administered by Envision Rx Options
Please see www.heartplusrx.com for additional information

For the cash-paying patient:

Your h.e.a.r.t.+ card is valid for significant savings on BRAVELLE^®, MENOPUR^®, NOVAREL^®, and ENDOMETRIN^®. Your card ID is valid for one calendar year from the date of activation. Certain rules apply. See your participating pharmacy for details.

For the insured patient:

Your h.e.a.r.t.+ card is valid for additional savings on BRAVELLE^® only:

To qualify for this offer, the first prescription for BRAVELLE^® must have a minimum of ten (10) 75 IU vials of BRAVELLE^®. No quantity minimum on refills
The paid benefit from this offer shall not exceed $500 per qualifying prescription
This card ID shall be valid for one calendar year from the date of activation
Limit one card ID per patient

List of Participating
Pharmacies (pdf)

Frequently Asked Questions

Frequently
Asked Questions

Click each logo for Full Prescribing Information:

These products are registered trademarks of Ferring B.V. CORPORATION NETHERLANDS.

		Terms and Conditions h.e.a.r.t.+ Pharmacy Savings Card The value of this offer may not exceed the amount of the patient's out-of-pocket costs for the prescription. This h.e.a.r.t.+ card is not valid for prescriptions reimbursed in whole or in part by Medicaid, Medicare, federal, or state programs (including any state prescription drug programs). This h.e.a.r.t.+ card is good for use only with a corresponding prescription for BRAVELLE^®, MENOPUR^®, ENDOMETRIN^®, and/or NOVAREL^® at the time the prescription is filled and dispensed. Offer good only in the USA at participating retail pharmacies and cannot be redeemed at government-subsidized clinics. This offer is not valid in Massachusetts, except for cash-paying patients, or where otherwise prohibited by law. By choosing to process a claim to a third-party payer in connection with this offer, the retail pharmacy hereby represents, warrants, and acknowledges to Ferring Pharmaceuticals that Ferring is not interfering with any legal obligation that the retail pharmacy may have to any third party and that processing the claim is not otherwise in violation of applicable law. Ferring reserves the right to rescind, revoke, or amend this offer without notice. The selling, purchasing, trading, or counterfeiting of this card is prohibited by law. Participating patients and pharmacists understand and agree to comply with the terms and conditions of this offer as set forth above. THIS IS NOT INSURANCE Program administered by Envision Rx Options Please see www.heartplusrx.com for additional information For the cash-paying patient: Your h.e.a.r.t.+ card is valid for significant savings on BRAVELLE^®, MENOPUR^®, NOVAREL^®, and ENDOMETRIN^®. Your card ID is valid for one calendar year from the date of activation. Certain rules apply. See your participating pharmacy for details. For the insured patient: Your h.e.a.r.t.+ card is valid for additional savings on BRAVELLE^® only: To qualify for this offer, the first prescription for BRAVELLE^® must have a minimum of ten (10) 75 IU vials of BRAVELLE^®. No quantity minimum on refills The paid benefit from this offer shall not exceed $500 per qualifying prescription This card ID shall be valid for one calendar year from the date of activation Limit one card ID per patient List of Participating Pharmacies (pdf) Frequently Asked Questions Click each logo for Full Prescribing Information: These products are registered trademarks of Ferring B.V. CORPORATION NETHERLANDS.