The eVoucherRx Program for XADAGO offer applies to out-of-pocket (OOP) expenses (co-pay) greater than $25. Out-of-pocket expenses greater than $25 will be covered up to $125 per prescription. If your total out-of-pocket cost exceeds $125, you will be responsible for a $25 co-pay plus any additional amount over $125. If your co-pay is already $25 or less, this offer does not apply.
This offer is not valid for prescriptions paid in part or in full by any federally- or state-funded program, including but not limited to Medicaid, Medicare, Department of Veterans Affairs, Department of Defense, or Tricare, and where prohibited by law.
This savings program cannot be combined with any other coupon, certificate, voucher, or similar offer.
Offer not extended to clubs, groups, or organizations.
Participation in this program must comply with all applicable laws and contractual or other obligations as a pharmacy provider.
This is not an insurance program.
Participating patients and pharmacists understand and agree to comply with the Terms and Conditions of this offer as set forth herein.
Any step-edits or prior authorizations required by the insurance plan still apply.
This offer is void where taxed, restricted, or prohibited by law.
US WorldMeds reserves the right to modify or cancel this program at any time.
eVoucherRx™ is not extended on prescriptions for patients:
To find a participating pharmacy visit:
www.evoucherrx.relayhealth.com/storelookup
Questions? The RelayHealth Support Line can help resolve any problems redeeming the eVoucherRx™ electronic coupon: call 1-800-388-2316
eVoucherRx is a registered trademark of RelayHealth®.
Offer applies to out-of-pocket (OOP) expenses (co-pay) greater than $25. Out-of-pocket expenses greater than $25 will be covered up to $125 per prescription. If your total out-of-pocket cost exceeds $125, you will be responsible for a $25 co-pay plus any additional amount over $125. If your co-pay is already $25 or less, this offer does not apply.
This offer is not valid for prescriptions paid in part or in full by any federally- or state-funded program, including but not limited to Medicaid, Medicare, Department of Veterans Affairs, Department of Defense, or Tricare, and where prohibited by law.
This savings program cannot be combined with any other coupon, certificate, voucher, or similar offer.
Participation in this program must comply with all applicable laws and contractual or other obligations as a pharmacy provider.
This is not an insurance program.