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Bayer Savings Card Program Details

Offer currently valid on the following Bayer prescription products only:

PRODUCT DOSAGE OFFER FOR MOST COMMERCIALLY
INSURED PATIENTS
OFFER FOR PATIENTS
WITHOUT INSURANCE
Natazia®
(estradiol valerate
and estradiol valerate/
dienogest)
3 mg, 1 mg
tablets
and 2 mg/2 mg,
2 mg/3 mg
tablets
Pay as little as $0 up to a
maximum savings of $125 per month
for insured, covered patients
Up to $75 off each prescription for all other patients Please see full prescribing
information
about Natazia, including Boxed Warning.
Climara Pro®
(estradiol/levonorgestrel transdermal system)
0.045 mg/day,
0.015 mg/day
Pay as little as $0 up to a
maximum savings of $125 per month
for insured, covered patients
Up to $75 off each prescription for all other patients Please see full prescribing
information
about Climara Pro, including Boxed Warning.
Safyral®
(drospirenone/ethinyl
estradiol/levomefolate
calcium and
levomefolate calcium
tablets)
3 mg/0.03 mg/ 0.451 mg and 0.451 mg Pay as little as $0 for a
maximum savings of $125 per month
for insured, covered patients
Up to $100 off each prescription for all other patients Please see full prescribing
information
about Safyral, including Boxed Warning.
Beyaz®
(drospirenone/ethinyl
estradiol/levomefolate
calcium tablets and
levomefolate calcium
tablets)
3 mg/0.02 mg/ 0.451 mg and 0.451 mg Pay as little as $0 for a maximum savings of $125 per month for insured, covered patients Up to $100 off each prescription for all other patients Please see full prescribing
information
about Beyaz, including Boxed Warning.
YAZ®
(drospirenone/ethinyl
estradiol tablets)
3 mg/0.02 mg Pay as little as $0 copay for a maximum savings of a $100 per month for insured, covered patients Up to $100 off each prescription for all other patients Please see full prescribing
information
about YAZ, including Boxed Warning.
Yasmin®
(drospirenone/ethinyl
estradiol tablets)
3 mg/0.03 mg Pay as little as $0, up to a maximum savings of $75 per month for insured covered patients Up to $75 off each prescription for all other patients Please see full prescribing
information
about Yasmin, including Boxed Warning.
Angeliq®
(drospirenone and
estradiol)
0.25 mg/0.5 mg tablets, 0.5 mg/1 mg tablets Pay as little as $0 up to a maximum savings of $125 per month for insured, covered patients Up to $75 off each prescription for all other patients Please see full prescribing
information
about Angeliq, including Boxed Warning.
Lampit®
(nifurtimox) tablets
30 mg tablets and 120 mg tablets Pay as little as $0 up to a maximum savings of $1000 per year for insured, covered patients Please see full prescribing
information
about Lampit.

To the Patient: You must present this card to the pharmacist along with your insurance card (if you have one) and your prescription (at each refill) to participate in this program. This card can only be used with new or existing valid prescriptions for select Bayer products. Prescriber ID# required on prescription. This card is valid toward out-of-pocket expenses only. Please insist on your brand, that YOUR DOCTOR PRESCRIBED. If your brand is switched to another drug at the pharmacy, please MAKE SURE YOUR DOCTOR IS MADE AWARE OF THIS.

Any questions about the Bayer Savings Card? Call 1-866-203-3503 and speak to a live representative or read the Bayer Savings Card Program FAQs.

To the Pharmacist:
For a patient paying with an Authorized Third Party: Submit the claim to the primary Third-Party Payer first, then submit the balance due to Therapy First Plus as a Secondary Payer as a co-pay only billing using Other Coverage Code 8. Insured and covered may pay as little as $0 on each month’s prescription, depending on the brand prescribed. Maximum benefits apply. Any remaining balance will be the patient’s responsibility.

For a cash-paying patient: Submit this claim to Therapy First Plus. A valid Other Coverage Code is required. Patients without insurance may receive up to $100 off each month’s prescription depending on the brand prescribed, towards their out-of-pocket expense for each prescription of a select Bayer product.

Reimbursement: You will receive this in your reimbursement from Therapy First Plus plus a handling fee. As a condition of payment, you must comply with all contractual obligations you have with Third-Party Payers, and must provide notice to all payers as required by law, contract, or otherwise. Other Coverage Code required.

For any questions regarding Therapy First Plus online processing, please call the Pharmacist Help Desk at 1-800-422-5604.

Void where prohibited by law. Bayer retains the rights to rescind, revoke or amend this program without notice. Not valid for patients eligible for benefits under Medicaid (including Medicaid managed care), Medicare, TRICARE, Veterans Affairs, FEHBP, or similar state or federal programs. Offer good only in the USA and Puerto Rico. For select products that have AB rated generics, this offer is not valid in the state of California.