*Value Option Pricing – 90-day supply for $100 (same product)
*Value Option Pricing – 90-day supply for $150 (same product)
eSCRIBE: ASPN Pharmacies
290 West Mount Pleasant Avenue
Building 2, 4th Floor, Suite 4210
NCPDP #: 3147863
NPI #: 1538590690
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CALL: 844-436-7928 FAX: 866-357-8434
Fax forms are available for download at PruGen.AspnPrograms.com
Reminder!
Include your patient’s cell phone number with their prescription for easy verification and refill reminders through PruGen Solution’s Text Message Program.
Offer only available to patients with commercial insurance and patients who are uninsured. Patient must meet the eligibility requirements of the PruGen Solutions™ Program, including presenting their prescription at a participating pharmacy or authorizing the transfer of their prescription to a participating pharmacy for dispensing.
Most commercially insured patients, when the product is covered by insurance, the patient will pay no more than $25 for the product(s). For patients with commercial insurance that does not provide coverage for the PruGen product(s) (e.g., drug not covered) or if the patient is underinsured*, the eligible patient pays no more than $50 or $75.
Prescriptions may be filled at any pharmacy of the patient’s choice, however, the PruGen Solutions™ Program is only available at participating pharmacies.
Patient is not eligible for participation in the PruGen Solutions™ Program if they are enrolled in any state or federally funded prescription drug program (i.e., Medicaid, Medicare, Medigap, VA, DOD, or Tricare) or where prohibited by law. Patient is also not eligible if they are in the Medicare Part D coverage gap (the “donut hole”).
All trademarks are the property of their respective owners. All products listed are eligible for the PruGen Solutions™ Program; however, this list may not be inclusive of all eligible products.
PruGen Pharmaceuticals reserves the right to rescind, revoke, or amend this offer at any time.
*Underinsured patients means any patient whose out of pocket costs for a claim processed by the pharmacy are the same or more than the pharmacy’s Usual & Customary price.
Eligibility: The Prugen Solutions Program is only available to residents of the 50 United States, District of Columbia, Puerto Rico, or US territories at participating pharmacies in the US, including DC and its territories. You must be 18 years or older to use the program for yourself or a minor. The Prugen Solutions Program is not insurance and is not intended to be substitute for insurance. Patient, pharmacist, and prescriber agree not to seek reimbursement for all or any part of the benefit received by the patient through the offer. Both patient and pharmacist are each individually responsible for reporting receipt of discount benefit to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the program, as required.