Directions: Help Paying for Tarceva. Tarceva Co-Pay Card Program
Please note: This coupon for Tarceva co-pay reduction is only available from your healthcare provider. He should have a supply of these coupons on hand. If not, he must contact his Genentech field representative . If he does not know who the proper representative is, he should call a Tarceva Access solutions specialist at: 888-249-4918 for a detailed explanation of the process.
Certain eligibility limitations apply regarding the coupon for Tarceva:
The maximum they will pay is $4000.
You must use the card within one tear after you activate it.
You need to be 18 years old or older.
Your household income must be less than $100,000.
Your co-pay for Tarceva must be greater than $100.
You must not be a resident of Massachusetts because this program is illegal in Massachusetts.
If any government program pays for your medicines you can no6t use this program.
How it works: You pay the first $100 of your co-pay. Genentech pays 80% of the rest.
Examples:
(A) Your co pay is $200.
You pay the first $100.
Genentech pays 80% of the remaining balance of $100 or $80.
Your total out-of-pocket cost would be $120.
(B) Your co-pay is $150
You pay the first $100.
Genentech pays $80% of the remaining balance of $50 or $40.
Your total out-of-pocket cost would be $110.
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Directions: Print up this page and cut out the coupon. Present the coupon to the pharmacist along with your signed prescription BEFORE your prescription is filled. The pharmacist will put the coupon codes into his computer and tell you if you have a discount coming and how much you are saving compared to the normal retail price.
Important Information; Please Read: This is a InternetDrugCoupon.com Membership Card & Reuseable Coupon. It is like a discount prescription card, only better; it is 100% free. There are no membership fees, no registration forms, no paperwork, nothing to buy associated with this program. It never expires! It is already activated. You can photocopy it as many times as you want and give it to your friends. Carrying this coupon means that you are part of our medicine group. It's similar to when you present your AAA card to a motel to get a discount.
Most of the big chains will grant you a discount ranging from 10% to 75% on most drugs but NOT ALL DRUGS when you use this coupon as long as you are a cash paying customer.
Also, most privately owned drugstores accept this coupon. Each drugstore decides what products they will discount and how much they will discount it. If you want to maximize your savings with this reusable coupon, the first few times you use it, take it to 2 or 3 drugstores and get a price quote on your various medicines. This way you can get a feel for which drugstores offer the biggest discounts to our group on particular medicines. You might wind up using the coupon for drug "A" at one store and drug "B" at a different store.