Manufacturer copay cards can be powerful tools for patients on plans with high deductibles, high copays, or very limited drug formularies, but also for patients with rare or complex diseases. Many maintenance medications for illnesses like HIV and hepatitis C do not have generic alternatives and can be very expensive. Formularies have “tiers” that determine the copay for each prescription, with a “tier one” drug often being the cheapest, and the higher tiers more expensive. Pharmacy benefit managers usually take a cut of the rebate and then pass them on to the insurer. Insurers then typically use the money to lower costs for patients.
Are you a resident of the United States or Puerto Rico?
Make a selection.
You must live in the United States or Puerto Ricoto be eligible for this savings program.
Are you enrolled in any government, state, or federally funded prescription benefit programs?
These include Medicare, Medicaid, Medigap, VA, DOD, and TRICARE as well as any other state or federal employee benefit programs.
Make a selection.
We're sorry. By selecting yes, you are not eligible for this savings program.Do you have insurance for prescription drugs?
Under certain state laws, you may need to disclose your acceptance of offers to your third-party payer (insurer).
Make a selection.
We're sorry. You must have commercial prescription druginsurance to be eligible for this savings program.
Enrollment Form
Congratulations, !
You have completed enrollment for your At Your Service savings card.
You will receive a confirmation email shortly with your savings card details.
Medication Copay Help
If you do not have access to a printer, please download the PDF to view and write down the following information.
- BIN600426
- PCN54
- GRPEC51034002
- ID
That's as little as $10 per month for a 90-day supply
or call 1-833-Dial-AYS (1-833-342-5297)
or text SAVINGS to (72428)†
Medication Copay Cards
Medication Copay
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