Jul 21

NEW!!! Combivent Respimat First RX is FREE!!

Now that regular combivent is no longer available, try the new Combivent Respimat for free. Save up to $350

 

It’s easy to save with the COMIBIVENT RESPIMAT coupon. Just download and print the coupon,http://combivent.com/respimat/coupon.html, and bring it to your pharmacist along with your COMBIVENT RESPIMAT prescription.

 

Here are some frequently asked questions about the coupon:

How much can I save with the COMBIVENT RESPIMAT (ipratropium bromide and albuterol) Inhalation Spray coupon?
With your COMBIVENT RESPIMAT coupon, you may receive your first COMBIVENT RESPIMAT prescription at no charge or save up to $350 on out-of-pocket costs.

By using the COMBIVENT RESPIMAT coupon, you agree that your personal information may be used for eligibility verification and to process your savings.

Is the COMBIVENT RESPIMAT coupon widely accepted at pharmacies?
Yes, the COMBIVENT RESPIMAT coupon can be used at most retail pharmacies.

How do I use the coupon?
Download your coupon. Then present the coupon along with your COMBIVENT RESPIMAT prescription to your pharmacist. Follow your healthcare professional’s instructions for using COMBIVENT RESPIMAT. Call your healthcare professional if you experience any problems with COMBIVENT RESPIMAT. You can use your card only once through September 2013, then the coupon expires.

Who is eligible to use the COMBIVENT RESPIMAT co-pay coupon?
The Debit offer (the left side of the coupon) is only for patients with private insurance. Redeem this card ONLY when accompanied by a valid prescription for COMBIVENT RESPIMAT. Prescriber ID# is required on prescription.

This coupon is valid towards out-of-pocket expenses up to $350 on your first 30-day prescription for COMBIVENT RESPIMAT and cannot exceed your actual out-of-pocket expenses.

Patients without insurance or those covered by Medicare/Medicaid should use the Patient Choice portion of the coupon (the right side of the coupon).

Offer is not valid for those under 18 years of age. Card holder questions please call 1-855-879-4016.

You are not eligible if prescriptions are paid by any state or other federally funded programs, including but not limited to Medicare or Medicaid, Medigap, VA or DoD or TriCare, or where prohibited by law, and you must otherwise comply with the program terms and conditions. This coupon will expire on September 30, 2013. Boehringer Ingelheim Pharmaceuticals, Inc. reserves the right to change or end this offer at any time, without notice. Only 1 coupon per patient. When you use this coupon, you certify that you have not submitted and will not submit a claim for reimbursement under any federal, state or other governmental program for prescriptions.

Pharmacist instructions for a patient with an Eligible 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 COB [coordination of benefits] with patient responsibility amount and a valid Other Coverage Code, (e.g. 8). Once the claim is processed, the card will be funded and the patient may use the card to offset the amount owed. Valid Other Coverage Code required. Acceptance of this coupon and your submission of claims for the COMBIVENT RESPIMAT coupon are subject to the Therapy First Plus program Terms and Conditions. For any questions regarding Therapy First Plus online processing, please call the Help Desk at 1-800-422-5604.