Qualifying patients are eligible for a maximum of 1benefit. Depending on your out-of-pocket costs the benefit may vary. Pay no more than $25* for up to 1 prescription. Sanofi Pasteur reserves the right to rescind, revoke, or amend this offer without notice.

*Maximum benefit is $100 off per prescription depending on your out of pocket costs.
RxBIN: 610524
RxPCN: Loyalty
RxGRP: 40006628
ISSUER: (80840)
ID: 698748369
Expiration Date: 03/31/2014
Patient/Pharmacist:
If prescription is covered by insurance, you may need to notify the insurance carrier of redemption of this card and/or comply with other applicable carrier contract or benefit plan requirements or limitations. 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.
By redeeming this coupon, Pharmacist agrees that it understands and will abide by the terms and conditions of this offer, posted at www.mckesson.com/mprstnc. For questions regarding your eligibility or benefits or if you wish to discontinue your participation, call 800-657-7613 (8:00 AM-8:00 PM EST, Monday-Friday).
  • For questions regarding setup, claim transmission, patient eligibility, or other issues,
    call 800-657-7613 (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 Corporation using BIN #610524
  • If prescription is covered by insurance, you may need to notify the insurance carrier of redemption of this card and/or comply with other applicable carrier contract or benefit plan requirements or limitations. 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.
  • 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 SKLICE® Lotion Savings Card Program are subject to the SKLICE® Lotion Savings Card Program Terms and Conditions posted at www.mckesson.com/mprstnc
LoyaltyScript® is not an insurance card