A RAPAFLO® Savings Card means savings with every prescription. Ask for a 90-day prescription and pay no more than $20.*


*Commercially insured patients only. Click here for Terms, Conditions, and Eligibility criteria.


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1. This offer is valid only for patients with commercial prescription drug insurance. 2. Depending on your insurance coverage, most eligible patients pay no more than $15 per 30 capsules or no more than $20 per 90 capsules for each prescription of RAPAFLO® filled. Check with your pharmacist for your copay discount. Maximum savings limit applies; patient out-of-pocket expense may vary. 3. This card is not valid for prescriptions submitted for reimbursement by Medicare, Medicaid, Tricare, or other federal or state programs (including any state pharmaceutical assistance programs), or private indemnity or HMO insurance plans that reimburse you for the entire cost of your prescription drugs. Patients may not use this card if they are Medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. 4. This card is good for use with a RAPAFLO® prescription at the time the prescription is filled by the pharmacist and dispensed to the patient. 5. Each card is valid for up to 16 prescription fills of 30 capsules each OR up to 5 prescription fills of 90 capsules each; offer applies only to prescriptions filled before the program expires on 03/31/17. 6. Allergan reserves the right to rescind, revoke, or amend this offer without notice. 7. Offer good only in the USA, including Puerto Rico, at participating retail pharmacies. 8. Void if prohibited by law, taxed, or restricted. 9. This card is not transferable. The selling, purchasing, trading, or counterfeiting of this card is prohibited by law. 10. This card expires March 31, 2017.
11. By redeeming this card, you acknowledge that you are an eligible insured patient and that you understand and agree to comply with the terms and conditions of this offer.

For questions regarding your eligibility please call 1-855-276-2952.