Indication
Corlanor® is a prescription medicine used:
     • to treat adults who have chronic (lasting a long time) heart failure, with symptoms, to reduce their risk of hospitalization for Read more
Corlanor® is a prescription medicine used:
     • to treat adults who have chronic (lasting a long time) heart failure, with symptoms, to reduce their risk of hospitalization for worsening heart failure

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ELIGIBLE COMMERCIALLY INSURED PATIENTS MAY PAY AS LITTLE AS $20 PER MONTH* WITH THE CORLANOR® COPAY CARD

Corlanor® Co-Pay Card

*With the Corlanor® Copay Card, you may lower your out-of-pocket costs and pay as little as $20 per month* subject to a maximum dollar limit. See below for the full terms and conditions.

STEP 1 OF 2: CONFIRM YOUR ELIGIBILITY OR ACTIVATE YOUR COPAY CARD

To see if you are eligible for a Corlanor® Copay Card, please answer the following questions.
If you already have a Corlanor® Copay Card, please answer the following questions to activate it. Please have your card ready, as you will need to enter the information found on the card in order to successfully activate.


Answer all of these questions:
Are you (or the patient) a resident of one of the 50 United States or Puerto Rico?
Do you have commercial insurance?
Are you enrolled in a health plan purchased through the Federal Health Insurance Marketplace at healthcare.gov, or a State Exchange such as Covered California or the NY State of Health, with health insurance coverage starting after January 1, 2014?
Do you belong to or have prescriptions paid for by any federal government funded health care program, such as Medicare, Medicare Advantage, Medicare Part D, Medicaid, Medigap, Veterans Affairs (VA), the Department of Defense (DoD), or Tricare or any similar state funded program, such as a state pharmacy assistant program?
The Corlanor® Copay Card is not valid for patients who belong to any federal, state or government-funded healthcare program and you must have prescription drug coverage with a commercial or private healthcare insurance carrier to be eligible for this program. If at any time you begin receiving prescription drug coverage under any such federal, state or government-funded healthcare program, you will no longer be eligible to participate in the Corlanor® Copay Card program and you may no longer use this card. Do you agree with this statement?
Do you already have a Corlanor® Copay Card that you need to activate?

*Eligibility Information and Corlanor® Copay Program Terms & Conditions Open to patients 18 years or older with commercial prescription insurance and who are not enrolled in any government-funded program that pays for prescription drugs. This offer is not valid if patient is uninsured or receiving prescription reimbursement under any federal-, state-, or government-funded healthcare program, such as Medicare, Medicare Advantage, Medicare Part D, the Retiree Drug Subsidy Program, Medicaid, Medigap, Veterans Affairs (VA), the Department of Defense (DoD), or TRICARE or where prohibited by law. This offer may not be combined with cash discount cards or other noninsurance plans. If at any time patient begins receiving coverage under any such federal-, state-, or government-funded healthcare program, patient will no longer be able to use this offer and patient must call 1-844-6CORLANOR to stop participation. This applies to copayments, coinsurance, and prescription deductibles (subject to plan design).

Patient may not seek reimbursement for value received from this offer from any third-party payers, including flexible spending accounts or healthcare savings accounts. This is not health insurance. Participation is not a guarantee of insurance coverage. If patient qualifies, the Corlanor® Copay Card may cover out-of-pocket costs for Corlanor® up to a limit of $160 per 30-day supply, subject to an annual maximum dollar limit. This program does not cover out-of-pocket costs for any patient whose commercial insurance plan does not apply Corlanor® Copay Card payments to satisfy the patient’s copayment, deductible or coinsurance for Corlanor®. Patients with these plan limitations may not be eligible for the Corlanor® Copay Card program. If you believe your commercial insurance plan may have such limitations, please call 1-844-6CORLANOR.

This offer may only be valid in the United States, Puerto Rico, and the US territories. Other restrictions may apply. This offer is subject to change or discontinuation without notice. If you become aware that your health plan or pharmacy benefit manager does not allow the use of manufacturer copay support as part of your health plan design, you agree to comply with your obligations, if any, to disclose your use of the card to your insurer. Enrollment in the copay program is not ongoing and in order to remain eligible, patient must re-enroll when notified by Amgen by calling 1-844-6CORLANOR.

If you have questions regarding these terms and conditions or the Corlanor® Copay Card program, please call 1-844-6CORLANOR.

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