ACTIVATE OR DOWNLOAD XIFAXAN INSTANT SAVING CARD

With the XIFAXAN Instant Savings Card, eligible* patients with commercial insurance covering XIFAXAN may pay no more than $0 for their XIFAXAN prescription.

$0 copay available for eligible commercially insured patients with coverage for Xifaxan

If for any reason you do not have a XIFAXAN Instant Savings Card, an eVoucher may also be available if you are deemed eligible at the pharmacy. eVoucher savings do not require any activation and are applied automatically for eligible patients at over 41,000 pharmacies with a XIFAXAN prescription and the eVoucher can be automatically applied at participating eVoucherRxTM pharmacies.
Visit eVoucherRx.RelayHealth.com/storelookup to find a local participating store.

*Maximum benefits and other restrictions apply. Please see below for the program’s full Eligibility Criteria, Terms and Conditions.

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*Eligibility Criteria, Terms and Conditions: This offer is only valid for patients with commercial insurance, including commercially insured patients without coverage for XIFAXAN. Patients without commercial insurance are not eligible. Maximum benefits apply. For more information regarding the maximum benefits, please call 1-855-250-3759. Patient is responsible for all additional costs and expenses after application of the maximum benefits. This savings card can be used up to 12 times per calendar year. This offer is not valid for any person eligible for reimbursement of prescriptions, in whole or in part, by any federal, state, or other governmental programs, including, but not limited to, Medicare (including Medicare Advantage and Part A, B, and D plans), Medicaid, TRICARE, Veterans Administration or Department of Defense health coverage, CHAMPUS, the Puerto Rico Government Health Insurance Plan, or any other federal or state health care programs. This offer is only good in the USA at participating retail pharmacies. This offer cannot be redeemed at other locations, including government-subsidized clinics or facilities. This offer is not valid where otherwise prohibited, taxed, or otherwise restricted. Patient is responsible for reporting receipt of copay assistance to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the copay card, as may be required. This offer cannot be combined with other offers. This card has no cash value. No other purchase is necessary. This offer is nontransferable. No substitutions are permitted. This card is not health insurance. You understand and agree to comply with the terms and conditions of this offer as set forth above. Salix Pharmaceuticals reserves the right to rescind, revoke, or amend this offer at any time without notice.

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