PLENVU Medicare Part D Coupon Program

Welcome

The PLENVU Medicare Part D Coupon Program is sponsored by Salix Pharmaceuticals and designed to help reduce your out-of-pocket cost for PLENVU® if your Medicare Part D plan does not cover the product, or your out-of-pocket costs exceed $60*, and you opt out of using your Medicare Part D prescription benefit in conjunction with this offer.

Please note that you have the option to use existing prescription coverage if you have it. If you elect to take advantage of this offer, you will need to opt out of using your Medicare Part D prescription benefit and agree to certain conditions.

To receive your PLENVU Medicare Part D coupon, please complete the requested information below.

*Terms, conditions and limitations apply. Most eligible patients may pay as little as $60. Please see below for the program’s full Eligibility Criteria, Terms and Conditions.

* Required fields.

!You must be 18 years of age or older to redeem this offer for yourself or a minor.
!Please enter a valid 5-digit zip code.
!Please enter a valid phone number.


You must agree to each of the following statements to be eligible for the Part D Coupon Program:

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