*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.