The program offers many sophisticated online tools to ensure the application process is as streamlined as possible for patients, providers, and pharmacy representatives, including 24-hour web-based portals, electronic signature, document upload, and bar code fax routing capabilities. A copay is a flat fee you pay whenever you receive certain health care services or get prescription drugs Copays may apply before and after you hit your deductible A copay is different from coinsurance, which only applies after reaching your deductible and is the percentage of your final bill that you pay. WARNING WARNING WARNING. You have accessed a United States Government computer. Unauthorized use of this computer is a violation of federal law and may subject you to civil and criminal penalties.
Save on your prescription and receive NAYZILAM support
Eligible commercial patients* may pay as little as $20 per box of NAYZILAM® (midazolam) nasal spray, CIV. Just present the NAYZILAM Patient Savings Card at your pharmacy when filling your prescription. Patients who are covered by any state or federal program are not eligible. Please see Eligibility Criteria and Terms. Saxa card reader driver download for windows 10.
Project white driver download. The NAYZILAM Patient Savings Card will expire at the end of the calendar year.
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Here’s how to start saving with the NAYZILAM Patient Savings Card:
2Register for your card
3Present the card at the pharmacy when filling your prescription
HAVING TROUBLE GETTING STARTED?
If you have questions on your eligibility or how to sign up for the NAYZILAM Patient Savings Card, you can also call OPUS Health at 1-888-786-5879.
Patient Assistance Program
UCB, the maker of NAYZILAM, remains committed to helping epilepsy patients gain access to the medicines we manufacture. The NAYZILAM Patient Assistance Program may be able to help if you do not have health insurance or if you otherwise cannot afford your NAYZILAM medicine.
The NAYZILAM Patient Assistance Program may provide medication at no cost to eligible patients who are unable to pay for their NAYZILAM prescription.
To find out if you might be eligible for assistance, or to learn more about the NAYZILAM Patient Assistance Program, contact ucbCARES®.
Get started by reviewing the program instructions and filling out the application form.
ucbCARES is the hub for information on all UCB products. Reach out to our team of nurses, pharmacists, and customer service professionals to:
- Ask questions about UCB products
- Report side effects or product quality concerns
- Get clinical trial information and support
- Find information on affording your UCB medication
CONNECT WITH US
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Eligibility Criteria and Terms: This savings card is not valid for use by patients who are covered by any federally funded or state-funded healthcare program (including, but not limited to, Medicare [Part D and Medigap] and those who are Medicare-eligible and enrolled in an employer-sponsored health plan for retirees, Medicaid, any state pharmaceutical assistance program, TRICARE, VA, or DoD), or for cash-paying patients. Offer good only in the U.S., including Puerto Rico. This card is good for use only with a valid NAYZILAM prescription consistent with the approved FDA labeling at the time the prescription is filled by the pharmacist and dispensed to the patient. The maximum annual benefit amount is $1200 per calendar year. Void where prohibited by law, taxed, or restricted. This offer cannot be combined with any other promotional offer. UCB, Inc. reserves the right to rescind, revoke, or amend this offer without notice at any time. No cash value. Not eligible for sale, purchase, trade, or counterfeit.
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TO PATIENT: When you use this card, you are certifying that you meet the complete Eligibility Criteria and Terms and that you have not submitted, and will not submit, a claim for reimbursement under any federal, state or other governmental programs for this prescription. If you have any questions regarding the NAYZILAM Patient Savings Program or wish to discontinue your participation, please call 1-888-786-5879 (8:30 am – 5:30 pm ET, Monday – Friday and 8:30 am – 2 pm ET, Saturday).
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TO PHARMACIST: Your acceptance of this card and your submission of claims for the NAYZILAM Patient Savings Program are subject to the Terms and Conditions established by OPUS Health. Submit the claim to the Primary Third-Party Payer first, then submit the balance due to OPUS Health as a Secondary Payer as a co-pay only billing using Other Coverage Code indication. You will receive the remaining balance, plus a handling fee, in your next reimbursement from OPUS Health. Nicai driver. If you have questions, please contact the OPUS Pharmacy Support line at 1-888-786-5879.