Eligibility Criteria: This savings card is not valid for prescriptions purchased under Medicaid, Medicare, Medicare Part D or a Medicare-endorsed drug discount savings card, federal or state programs (including any state prescription drug programs), or private indemnity or HMO insurance plans that reimburse you for the entire cost of your prescription drugs. This savings card is valid only for commercially insured patients. You must deduct the value of this savings card from any reimbursement request submitted to an insurance plan, either directly by you or on your behalf. Savings card cannot be combined with any other rebate/savings card, free trial, or similar offer. Most eligible commercially insured patients will make a payment of $0. In some situations, patients may pay more than $0. For example: deductibles. One savings card/rebate per prescription. If a savings card is lost, patients can continue to save by obtaining a new offer from www.antararx.com or a physician. Savings card/rebate is not transferable. Lupin reserves the right to rescind, revoke, or amend this offer without notice. You understand and agree to comply with the terms and conditions of this offer as set forth above. Only valid in the U.S. It is a violation of federal law to buy, sell or counterfeit this savings card.

* Offer only valid for eligible commercially insured patients.
^In some instances patients may pay more than $0. For example: deductibles
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