There are two coupons for Trianex :

#1

Trianex™ Coupon; Save Up To $100 Per Prescription; MANUFACTURER COUPON; Upsher Smith Laboratories (Patient Pays First $15)

Description:

Manufacturer Printable Coupon

Details:

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 Miscellaneous Information:
- Patient pays the first $15 for the Trianex 17 gram tube; the coupon pays the remaining balance up to $50; any residual costs are paid by the patient.
- Patient pays the first $15 for the Trianex 85 gram tube; the coupon pays the remaining balance up to $100; any residual costs if any are paid by the patient.
- Maximum value of Trianex coupon is $50 per prescription for the Trianex $17 gram tube and $100 for the Trianex 85 gram tube.
- Limit 1 Trianex coupon per prescription per patient for the lifetime of the program.

Trianex Coupon Processing Credentials:
Bin: 600 471
RxPCN: 7777
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.

#2

Trianex Reusable Buying Group Coupon (Free - No Membership Fees)

Save up to 75% off Retail Price

Trianex
Reusable Buying Group Coupon
  • Name: ________________________________
  • RxMBR: 10 Digit Phone Number
  • RxBin: 610709
  • RxPCN: 7777
  • RxGRP: EDRUGCOUPON
  • Program: UNA RX CARD - UNITED NETWORKS OF AMERICA
  • Discount program for drugs similar to how the AAA card gets you discounts on motel rooms.
  • Ideal for people with no drug coverage, self employed, donut hole seniors.
  • Accepted at all the big chains (Walgreens, CVS, Rite Aid, Etc.) and most independent pharmacies. Not to be combined with insurance, great for drugs not covered by your plan.
  • Click here for price quote from drugstore near you that participates in this program.
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