Savings to keep patients on the road to parenthood
Save up to $100 each month with the ENDOMETRIN® (progesterone) Vaginal Insert Patient Savings Program*
When you’re paying for fertility treatment, savings can make a difference. That’s why we created the ENDOMETRIN Patient Savings Program—to help eligible patients save on luteal support with ENDOMETRIN. Just take your Patient Savings Card to the pharmacy with your prescription for ENDOMETRIN to receive savings of up to $100 each month.
ENDOMETRIN Patient Savings Program Terms and Conditions
Patient Instructions: Use this ENDOMETRIN Patient Savings Card to reduce your out-of-pocket costs due on an eligible prescription for commercially insured or cash-paying patients by presenting it to your pharmacist along with your valid prescription for ENDOMETRIN. Keep this card and present it with your subsequent prescriptions up to the expiration date.†
Concerning Confidentiality: Information pertaining to your use of this card may be shared with Ferring Pharmaceuticals and its affiliates. Ferring Pharmaceuticals respects your right to have personal and medical information kept confidential. Ferring Pharmaceuticals will not share your personal and medical information with any third party (such as outside mailing lists).
Terms and Conditions: By redeeming this ENDOMETRIN Patient Savings Card, you agree that you are eligible pursuant to the Terms and Conditions below, and you agree not to seek reimbursement for all or any part of the benefit received through this offer. Patient or guardian is responsible for reporting receipt of the ENDOMETRIN Patient Savings Card benefit to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the ENDOMETRIN Patient Savings Card, as may be required. The value of this offer may not exceed the amount of the patient’s out-of-pocket costs for the prescription. This coupon is not insurance. Maximum value of this offer is $100/month. This ENDOMETRIN Patient Savings Card is not valid for prescriptions reimbursed in whole or in part by Medicare, Medicaid, or a Medicare Part D plan, TRICARE, US Department of Veteran Affairs, US Department of Defense, Puerto Rico, government health insurance plan, or any other federal or state-funded healthcare benefit program. This ENDOMETRIN Patient Savings Card is good for use only with a prescription for ENDOMETRIN at the time the prescription is filled and dispensed. Offer good only in the USA at participating retail or mail-order pharmacies in the United States or the Commonwealth of Puerto Rico. Product must originate in the United States or the Commonwealth of Puerto Rico and cannot be redeemed at government-subsidized clinics. This offer is not valid where 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 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 Pharmaceuticals 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.
*Valid for eligible insured and cash-paying patients. Terms and Conditions apply.
†This offer expires on 12/31/2018.