Learn more about the terms and conditions for the OPENINGS® Patient Support Program from Alcon

OPENINGS® Program Savings Card Terms and Conditions

*Terms and Conditions:
A patient is eligible for this promotion if the commercial health plan co-pay for the products identified on the front of this card is more than $30. Valid only for those with commercial insurance. Offer is not valid under Medicare, Medicaid, or any other federal or state program, for cash-paying patients, or where plan reimburses you for the entire cost of your prescription drug. Eligible commercially insured patients may pay as little as $30 in out of pocket expenses per product identified on the front of this card (with a valid prescription), with a maximum benefit of $105 for a 30-day supply. If insured patient reaches maximum benefit per 30-day supply, patient will be responsible for the difference. Offer not valid where prohibited by law. Valid only in the US, USVI, Guam and Puerto Rico. Patients must be 16 years or older to be eligible. This program is not health insurance. Offer may not be combined with any other rebate, coupon, or offer. This card is the property of Novartis Pharmaceuticals Corporation and must be returned upon request. Novartis reserves the right to rescind, revoke, or amend the program without notice. Patient certifies responsibility for complying with applicable limitations, if any, of any commercial insurance and reporting receipt of program rewards, if necessary, to any commercial insurer. In the event an A rated generic equivalent product becomes available for one of the products covered by this savings card, this offer will become void in Massachusetts with respect to that product. This offer expires on 6/30/18.

Minimum out-of-pocket expenses and maximum coverage amounts
Eligible commercially insured patients are responsible for paying out-of-pocket expenses noted below and any amount that exceeds the Novartis payment for each prescription, as follows:

  • For a 30-day supply (2.5 mL of TRAVATAN Z® Solution, 8 mL of SIMBRINZA® Suspension or 10 mL of AZOPT® Suspension), patient pays $30 out of pocket and Novartis will pay up to $105 of any remaining balance.
  • For a 60-day supply (5 mL of TRAVATAN Z® Solution, 16 mL of SIMBRINZA® Suspension or 15-25 mL of AZOPT® Suspension), the patient pays $60 out of pocket and Novartis will pay up to $210 of any remaining balance.
  • For a 90-day supply (7.5 mL of TRAVATAN Z® Solution, 24 mL of SIMBRINZA® Suspension or 30 mL of AZOPT® Suspension), patient pays $60 out of pocket and Novartis will pay up to $365 of any remaining balance.

Offer is good for up to 12 bottles each of TRAVATAN Z® Solution, SIMBRINZA® Suspension, and/or AZOPT® Suspension for a single patient. No other purchase necessary.

TRAVATAN® Z Solution is available in 2.5 mL and 5 mL, SIMBRINZA® Suspension is available in 8 mL and AZOPT® Suspension is available in 10 mL and 15 mL bottles. Unless the patient’s health insurer requires that a particular-sized bottle be used, patients may use any combination of bottles to satisfy the 30-, 60- and 90-day quantities.

This offer may be subject to limitations imposed by state or federal law, or by your health insurer. The OPENINGS® Program savings card is not valid where prohibited by law or by your health insurer.

Patient instructions: You must call (866) 972-3008 or visit www.openingsprogram.com/activate to activate your card. Then ensure this co-pay card information and a valid prescription is provided to your participating Pharmacist. The prescriber ID# must be identified on the prescription. This offer expires on 6/30/18.

When you use this card, you are certifying that you understand the program rules, regulations, and terms and conditions and that you will comply with them. You may not use this card if prohibited by your insurer. You are not eligible if you are a cash-payer or if prescriptions are paid by any federal or state program, or where prohibited by law; and you will otherwise comply with the terms and conditions above. You are responsible for any reporting of the use of this card required by your insurer.

Pharmacist Instructions: When you use this card, you are certifying that you have not submitted and will not submit a claim for reimbursement under any federal, state, or other government programs for this prescription. Pharmacist will comply with his/her obligations when processing the prescription for payment. By using this card, you agree to the terms and conditions of this program. Co-pay cards must be accompanied by prescriptions for products identified on the front of this card. If primary commercial prescription insurance exists, input card information as secondary coverage and transmit using the COB segment of the NCPDP transaction. Submit transaction to McKesson Corporation using BIN #610524. Acceptable discounts will be displayed in the transaction response. Acceptance of this card and your submission of claims are also subject to the Terms and Conditions posted at www.mckesson.com/mprstnc.

For questions regarding setup, claim transmission, patient eligibility or other issues, call the LoyaltyScript® for OPENINGS® Program at 844-236-8027 (8:00 AM-8:00 PM EST, Monday-Friday).

Novartis reserves the right to rescind, revoke or amend this offer at any time.

 
See More +