Launch Coupon; Doctor Distributed Reusable Coupon Card
Details: Daliresp is a new medication for COPD. Daliresp coupons are part of a comprehensive program designed to increase the likeliehood of a positive outcome regarding Daliresp (roflumilast) therapy.
Pharmaceutical sales representatives are distributing these coupons in large quantities to doctors that treat COPD patients.
If your doctor does not have a supply of these cards, he needs to contact Forest Laboratories.
Not all doctors qualify to participate in this program.
Daliresp Coupon Processing Credentials:
Bin: 004 682
Group ID: EC 4800 3001
ID#: Each card has a unique ID number
Daliresp Coupon Submission Process:
Submit claim to the patient's Primary Payer first, then submit the balance due to Therapy Plus as a secondary Payer as a copay only billing using a valid Other Coverage Code (EG 8).
- Daliresp coupon adjudicated by PSKW, LLC on behalf of Forest Laboratories.
Pharmacist help line is 1-800-422-5604; please have your NABP number handy when Daliresp coupon group number handy.