PLENVU® Medicare Part D Coupon Program
Thank You Your coupon is now activated and you may use it today. Please note that your coupon must be provided to the pharmacist when you fill your prescription at any participating pharmacy.
Print ELIGIBILITY CRITERIA/TERMS AND CONDITIONS: PLENVU® Medicare Part D Coupon Program is valid for a cost reduction of a qualifying prescription of PLENVU® for eligible patients. PLENVU® Medicare Part D Coupon Program can only be used by eligible patients one time for PLENVU® . You must have a prescription drug insurance through a Medicare Part D or a Medicare Advantage prescription drug plan. You must agree to not seek reimbursement from your Medicare or Medicare Advantage prescription plan for your out-of-pocket costs for PLENVU® purchased with the card. You must also agree not to count the cost of PLENVU® toward your deductible or true out-of-pocket cost. You must notify your prescription plan that you have purchased PLENVU® outside of your benefit by sending the form letter provided by Salix Pharmaceuticals at www.myPLENVU.com . Program is not valid for any patients with commercial/private insurance, uninsured patients, or patients with prescription coverage under any other federal or state health program such as Medicaid or TRICARE. No other purchase necessary. PLENVU® Medicare Part D Coupon Program card is not transferable. No substitutions are permitted. Cannot be combined with any other coupon, free trial, discount, prescription savings card, or other offer not already associated with this offer. PLENVU® Medicare Part D Coupon Program card is not insurance. PLENVU® Medicare Part D Coupon Program card can be used at mail order pharmacies. PLENVU® Medicare Part D Coupon Program card is the property of Salix Pharmaceuticals and must be turned in on request. It is illegal to sell, purchase, trade, or counterfeit, or offer to sell, purchase trade, or counterfeit the PLENVU® Medicare Part D Coupon Program card. Void if reproduced. Void where prohibited by law, taxed, or restricted. Patients participating in Medicare Part D or a Medicare Advantage prescription drug plan who are eligible to use the PLENVU® Medicare Part D Coupon Program card must agree to the following conditions: Patient must agree to not seek reimbursement from their Medicare or Medicare Advantage prescription plan for their out-of-pocket costs for PLENVU® purchased with the card. Patient must also agree not to count the cost of PLENVU® toward their deductible or true out-of-pocket cost. Patient must notify prescription plan that PLENVU® has been purchased outside of benefit by sending the form letter provided by Salix Pharmaceuticals at www.myPLENVU.com . The patient must purchase all prescriptions for PLENVU® before the expiration date on the card and the patient must not use Medicare Part D benefit for PLENVU® . PLENVU® Medicare Part D Coupon Program card can be used only by eligible United States residents (including Puerto Rico, Guam and the US Virgin Islands) at participating eligible retail pharmacies in the United States. Product must originate from the United States. Salix Pharmaceuticals reserves the right to rescind, revoke, or amend this offer at any time without notice. Data related to your redemption of the PLENVU® Medicare Part D Coupon Program card may be collected, analyzed, and shared with Salix Pharmaceuticals, for market research and other purposes related to assessing patient savings programs. Data shared with Salix Pharmaceuticals will be aggregated and de-identified, meaning it will be combined with data related to other card redemptions and will not identify the patient. For questions call: 1-866-686-0138.
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