Manufacturer Printable Coupon
The Trianex coupon is good for up to $50 on a 17 gram tube of Trianex or up to $100 for an 85 gram tube of Trianex. This is a pretty good deal considering that the 17 gram tube normally retails for about $80 and the 85 gram tube sells for in the $200 vicinity.
Trianex Coupon Processing Credentials:
Bin: 600 471
Group ID: X 5560
Person Code: 001
Claims Processor: Restat ID#: Please visit the above described website to get valid ID number.
Upsher Smith pays the pharmacist a $2.50 processing fee over and above the normal dispensing fee for each successful transaction.
Trianex Coupon Submission Process:
Submit claim to the Restat; patient's Primary Payer first, then submit the balance due to Restat as a secondary Payer as a copay only billing using a valid Other Coverage Code (EG 8).
- Trianex coupon adjudicated by Restat on behalf of the Trianex manufacturer - Upsher-Smith.
Pharmacist help line is 1-866-450-3277; please have your NABP number handy when Trianex coupon group number handy.
For paper claim submission procedures, please see the Trianex coupon Pharmacist instructions, paragraph 3.