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
The OPENINGS® Program savings card is provided by Alcon. The savings card provides savings on out-of-pocket expenses for up to a 90-day supply of TRAVATAN Z® Solution, SIMBRINZA® Suspension and/or AZOPT® Suspension, as described below. If you have valid prescriptions for more than one product, the copay expense and savings apply to each product. You may use the savings card once every 30, 60, or 90 days, depending on when you last received a 30-, 60-, or 90-day supply of each Alcon product. Use of the savings card does not obligate you to use or to continue using any Alcon product. You may use the savings card at any participating pharmacy located in the United States.

The OPENINGS® Program savings card may not be combined with any savings, discount, free trial, or other similar offer for the same prescription. The savings card is not transferable and is void if reproduced. The savings card is not health insurance. Limit 1 savings card per patient. The OPENINGS® Program savings card has no cash value. Please visit Alcon’s website for our privacy practices. Alcon reserves the right to revoke or amend this offer without notice at any time and to deny payment for noncompliance with the terms of this offer. This offer expires June 30, 2017, unless this offer is earlier terminated by Alcon.

Use of this savings card is subject to applicable state and federal law, and is void where prohibited. 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.

Eligibility
By using the OPENINGS® Program savings card, you acknowledge that you currently meet the following eligibility criteria:

  • You have a valid prescription for TRAVATAN Z® Solution, SIMBRINZA® Suspension, or AZOPT® Suspension;
  • You are subject to a private insurance copay requirement for your prescription;
  • You are not enrolled in Medicare Part D, Medicaid, Medigap, VA, DOD, Tricare, or any other government-run or government sponsored health care program with a pharmacy benefit;
  • No purchase is necessary and there are no membership fees;
  • You are at least 16 years old; and
  • You reside in the United States or Puerto Rico.

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 Alcon 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 Alcon 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 Alcon 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 Alcon will pay up to $315 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 openingsprogram.com/join to activate your program savings card. Then present the OPENINGS® Program savings card to your pharmacist along with an eligible prescription for TRAVATAN Z® Solution, SIMBRINZA® Suspension, and/or AZOPT® Suspension each time you fill your prescription. The prescriber ID# must be identified on the prescription. 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 responsible for any reporting of the use of this card required by your insurer. If you have any questions, please call the OPENINGS® Program at (866) 972-3008.

Pharmacist Instructions: 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, government-run or government sponsored health care program with a pharmacy benefit. 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 Condition 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).

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

 
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