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This information is intended for U.S. healthcare professionals and/or healthcare professionals involved in healthcare reimbursement.

Comprehensive patient support for Qbrelis® (lisinopril), from office to pharmacy

Find the coverage and assistance that’s right for your patient

Co-Pay & Financial Assistance for Qbrelis®

For coverage questions, we’ve got you covered. Coverage and assistance may vary based on your insurance type.

Money Co-Pay Assistance

$30
co-pay
Co-pay available for as little as $30* for commercially insured patients

Instant savings on Qbrelis®

Patients with commercial insurance may pay no more than $30 for a Qbrelis® Prescription.*

Approximate participating pharmacies for eVoucherRx and Voucher on Demand.

Available at 70,000 pharmacies and counting

Automatic co-pay savings are applied at the pharmacy for eligible patients. That means no cards and no calls are required for your patients to save.

*Eligibility Restrictions, Terms, and Conditions

By participating in this savings program, participants understand and agree that the information provided, as well as non-personally identifiable information obtained from the pharmacy, will be shared with the manufacturer and with any companies working with the manufacturer. Participants also affirm that they will not submit, and have not had submitted on their behalf, a claim for reimbursement or coverage for items purchased with this card under Medicaid, Medicare, TRICARE, or any other federal or state government healthcare program, or where prohibited by state law.

  • Commercially insured patients may pay as little as $30. Benefit limitations apply.
  • Offer applies only to Qbrelis® patients and associated refills

  • This offer is not valid for prescriptions paid in part or in full by any federally or state‐funded program, including but not limited to Medicaid, Medicare, Department of Veterans Affairs, Department of Defense, or TRICARE, and where prohibited by law.
  • This savings program cannot be combined with any other coupon, cash discount card, certificate, voucher, or similar offer.
  • Offer good only in the USA at participating retail pharmacies and cannot be redeemed at government‐subsidized clinics. Void where taxed, restricted, or prohibited by law.
  • Offer not extended to clubs, groups, or organizations.
  • Participation in this program must comply with all applicable laws and contractual or other obligations as a pharmacy provider.
  • This is not an insurance program.
  • Participating patients and pharmacists understand and agree to comply with the Terms and Conditions of this offer as set forth herein.
  • Any step‐edits or prior authorizations required by the insurance plan still apply.
  • Azurity Pharmaceuticals, Inc. reserves the right to modify or cancel this program at any time.
  • eVoucherRx™ and Voucher on Demand™ are not extended on prescriptions for patients:
    • who are cash‐paying customers.
    • using institution-based pharmacies to fill their prescriptions, or who are recipients of federal or state government health care.
    • who are filling their prescriptions at nonparticipating pharmacies.

eVoucherRx™ is a trademark of RelayHealth.

Voucher on Demand™ is a trademark of eRx Network, LLC.

Questions?

Co-pay savings are facilitated by external partners eVoucherRx and Voucher on Demand. Learn more about this paperless co-pay program, which may help your patients save on their Azurity medications.

For eVoucherRx Questions:

For Voucher on Demand Questions:

Calendar and Clock Bridge Program

If insurance approval takes more than 48 hours, the Bridge Program may help cover the gap.

  • Covers the gap when insurance approval takes more than 48 hours
  • Up to 30 days of medication at no cost
  • Call to see if your patient qualifies

Calendar and Clock Bridge Program

If insurance approval takes more than 48 hours, the Bridge Program may help cover the gap.

  • Covers the gap when insurance approval takes more than 48 hours
  • Up to 30 days of medication at no cost
  • Call to see if your patient qualifies

Piggybank Patient Assistance Program

For patients without prescription insurance coverage, Qbrelis® may be covered by Medicaid. Patients who need additional financial support may also be eligible for the Patient Assistance Program.

Azurity Solutions offers guidance on medication approval, access, and co-pays to help eligible patients get their Azurity medications.

Learn more about Qbrelis®