Pay No More Than $25 for Lantus SoloSTAR*

*Depending on your out of pocket costs the benefit may vary. Card carries a maximum benefit of $100 per prescription for up to 6 prescriptions (maximum of $600) for the duration of this program.
RxBIN: RxPCN: RxGRP: ISSUER: 610524 Loyalty 50776459 (80840)

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ID:

452916628

Patient/Pharmacist: If prescription is covered by insurance, you may need to notify the insurance carrier of redemption of this card. Patient not eligible if prescriptions are paid in part or full by any state or federally funded programs, including, but not limited to, Medicare or Medicaid, Medigap, VA, DOD, or TriCare. This program is not valid where prohibited by law. Patient: You must present this card to the pharmacist along with your prescription to participate in this program. By redeeming this coupon, you agree that you understand and will abide by the terms and conditions of this offer, posted at www.mckesson.com/mprstnc. Questions regarding your eligibility or benefits or if you wish to discontinue your participation, call the Lantus Savings Card Program at 855-242-6944 (8:00 AM-8:00 PM EST, Monday-Friday). Pharmacist: 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 governmental programs for this prescription. Submit transaction to McKesson Specialty Arizona, Inc. using BIN #610524. If primary coverage exists, input card information as secondary coverage and transmit using the COB segment of the NCPDP transaction. Applicable discounts will be displayed in the transaction response. Acceptance of this card and your submission of claims for the Lantus Savings Card Program are subject to the LoyaltyScript program Terms and Conditions established by McKesson Specialty Arizona, Inc. By accepting this card, you agree to the LoyaltyScript program Terms and Conditions posted at www.mckesson.com/mprstnc. LoyaltyScript is not an insurance card. Questions regarding setup, claim transmission, patient eligibility or other issues, call the LoyaltyScript for Lantus Savings Card Program at 855-242-6944 (8:00 AM-8:00 PM EST, Monday-Friday). 2013 sanofi-aventis U.S. LLC, A SANOFI COMPANY US.GLA.12.12.002 Full prescribing information for Lantus is available with your dispensed prescription. Also, you may ask your healthcare professional or pharmacist for full prescribing information by calling 800-633-1610 or simply visit www.Lantus.com.