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Eligible patients may save on their Jardiance® (empagliflozin) tablets or Synjardy® (empagliflozin/metformin HCl) tablets prescription with the Savings Card

HOW IT WORKS

Cut out your Savings Card and keep it in your wallet.
Activate the card by calling 1-888-232-8458.
Show the Savings Card to your pharmacist when you fill your prescription.

To The 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; that the acceptance of the coupon is not inconsistent with applicable law or your pharmacy provider contract; and that you will be responsible for complying with reporting obligations, if any, of any third-party payor.

HOW AN ELIGIBLE PATIENT MAY BENEFIT

Eligible patients 18 years or older may pay as little as $0/month for one year, with a maximum savings up to $250/monthly prescription.*
*Restrictions apply. Please read full terms and conditions below to see if you qualify.

QUESTIONS?

If you have any questions regarding your eligibility, or if you wish to re-enroll in the program or discontinue your participation, call the Savings Card Program at 1-866-279-8990 (8:00 AM-8:00 PM EST, Monday-Friday — 8:00 AM-4:00 PM EST Saturday–Sunday).

Please see Prescribing Information for JARDIANCE and Patient Information.

Please see Prescribing Information, including Boxed Warning for SYNJARDY and Medication Guide.

TERMS AND CONDITIONS

To the patient:

Eligible patients 18 years or older may pay as little as $0/month with a maximum savings up to $250/monthly prescription. Card valid for 12 consecutive months from activation date. Eligible patients may re-enroll for additional 12 consecutive-month periods by reactivating expired card; benefits may not exceed program expiration on September 30, 2019. If you live in Massachusetts, card expires on the earlier of June 30, 2017, or date AB-rated generic equivalent is available. One card per patient, not transferable, and cannot be combined with any other offer. Program not health insurance. Only valid for commercially insured patients in the 50 United States, DC, and Puerto Rico. Not eligible if prescriptions are paid in part/full by state or federally funded program(s), like medicare Part D, Medicaid, Vet. Aff., Dept of Def., or TRICARE and where prohibited by law. Offer may change at any time, without notice.

Pharmacist:

Use of this card certifies that you have not and will not submit a claim for reimbursement for this prescription under any federal, state of other governmental programs.

  • Submit transaction to McKesson Corporation using BIN #610524
  • If primary insurance 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 submission of claims for the Jardiance® (empagliflozin tablets) | Synjardy® (empagliflozin/metformin HCI) tablets Saving card program are subject to the LoyaltyScript® program Terms and Conditions posted at www.mckesson.com/mprstnc
  • Patient is not eligible if prescriptions are paid in part/full by state or federally funded program(s), like Medicare Part D, Medicaid, Vet. Aff., Dept. of Defense, or TRICARE and where prohibited by law.

For questions regarding setup, claim transmission, patient eligibility or other issues, call Solutions Plus® for the JARDIANCE | SYNJARDY Savings card program at 1-866-279-8990 (8:00 AM-8:00 PM EST, Monday-Friday, 8:00 AM–4:00 PM EST Saturday–Sunday).

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