AFREZZA SAVING PROGRAM TERMS AND CONDITIONS
- This offer is valid only for patients 18 years of age or older and is good for use only with a valid prescription of AFREZZA (insulin human) Inhalation Powder at the time the prescription is filled by the pharmacist and dispensed to the patient.
- Depending on your insurance coverage, most eligible patients may pay as little as $15 per 30-day supply for each of up to twelve (12) prescription fills.
- This offer is not valid for prescription covered by or submitted for reimbursement under Medicaid, Medicare, VA, DOD, TRICARE, or similar federal or state programs including any state medical pharmaceutical assistance program.
- By Redeeming this coupon you are certifying that (1) you are not a beneficiary of any government funded programs as noted above (2) should you begin receiving prescription benefits from any government funded program, you will withdraw from this savings program and (3) you acknowledge and understand that adherence to the terms and conditions of this offer, as noted above is necessary to ensure compliance with laws pertaining to Federal Healthcare Programs.
- MannKind Corporation reserves the right to rescind, revoke, or amend this offer without notice.
- This program is not valid where prohibited by law.
- For questions regarding your eligibility or benefits, or if you wish to discontinue your participation, call the Afrezza Savings Card Program at 1-833-623-4843.
- By redeeming this card, you acknowledge that you are an eligible patient and that you understand and agree to comply with the terms and conditions of this offer.