Program Rules: Patient Eligibility, Terms, and Conditions
Valid only for qualified customers with a valid prescription for OMNARIS Nasal Spray. No substitutions permitted.
A parent or guardian must enroll in the OMNARIS Relief Is Here Program on behalf of a patient under 18 years of age.
Not valid for prescriptions covered or paid for by Medicare (including true out-of-pocket expenses under Medicare Part D), Medicaid, or any other federal or state healthcare programs, such as state pharmaceutical assistance programs.
Not valid for patients who are Medicare eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees (ie, you are eligible for Medicare Part D but receive a prescription drug benefit through a former employer).
The OMNARIS Relief Is Here card is void in Massachusetts.
Your discount with the OMNARIS Relief Is Here card is valid to reduce your copay to $11 with a maximum reduction of $50 per prescription. Discount available on up to twelve (12) prescription fills for OMNARIS per calendar year.
Your acceptance of this offer must be consistent with the terms of any drug benefit provided by a health insurer, health plan, or other third-party payor, and you agree to report acceptance of this offer to your health insurer, health plan, or third-party payor as may be required.
Offer limited to one card per person, and may not be used with any other discount, coupon, or offer.
Only an original OMNARIS Relief Is Here card or web-generated paper card will be accepted and must be presented to your pharmacist at the time you have the prescription filled — not valid if reproduced.
Offer valid only in the United States. Void where prohibited by law, taxed, or restricted.
Sepracor Inc. reserves the right to change or discontinue this offer at any time without notice.
By participating in this program you the patient certify that: (a) you have read the above terms; (b) you are not reimbursed, nor will you submit a claim for reimbursement, nor will you seek to have any portion of this prescription counted toward your out-of-pocket costs (eg, TrOOP) under any federal, state, or private programs for this or other prescriptions for OMNARIS Nasal Spray to which this offer will apply; and (c) you will otherwise comply with the terms above.