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CONCERTA® Savings Program Eligible Patients can pay $4

CONCERTA® Savings Program Eligible Patients can
pay $4

I read, understand, and agree to the program requirements shown below and would like to receive a CONCERTA® (methylphenidate HCl) Extended-release Tablets CII Savings Program card.

Download and print the card and present it at a participating retail pharmacy along with a valid prescription. Your eligibility to use this card is dependent upon meeting the program requirements each time you present the card when filling your prescription.

Program description:

Eligible patients using commercial or private insurance can save on out-of-pocket costs for CONCERTA® (methylphenidate HCl) Extended-release Tablets CII. Eligible patients pay as little as $4 per fill. There is a $150 limit for each 30-day supply. There is a maximum program benefit of $1,800 or 12 fills per calendar year, whichever comes first. Not valid for patients using Medicare, Medicaid, or other government-funded programs to pay for their medications. Terms expire at the end of each calendar year. Offer subject to change or end without notice. Offer not valid for residents of CA or MA or for prescriptions filled in CA or MA. There is no income requirement. See program requirements below.

Program Requirements:

Am I eligible?

You may be eligible for the CONCERTA® Savings Program if you are age 6 to 65, use commercial or private health insurance for your prescribed CONCERTA®, and must pay an out-of-pocket cost for your medicine. Participate without sharing your income information.

Some health plans have programs or benefit designs known as “accumulators” or “maximizers.” These programs divert patient assistance funds away from patients.

  • Accumulators don’t allow patient assistance to count toward the patient’s deductible and out-of-pocket maximum until the maximum value of the patient assistance is reached.
  • Maximizers also don’t allow patient assistance to count toward the patient’s deductible and out-of-pocket maximum. Maximizers apply the full value of the patient assistance over the year. This could be either the same amount each month or a larger amount early in the year that tapers off, without allowing any of those funds to count toward the patient’s annual deductible or out-of-pocket maximum.
  • The CONCERTA® Savings Program is designed solely for the benefit of the patient. Thus, Johnson & Johnson reserves the right to reduce the CONCERTA® Savings Program maximum benefit for patients in an accumulator or maximizer program or benefit design, except where prohibited by law.

In addition, some health plans have “non-essential health benefit maximizers” that conflict with the program requirements of the CONCERTA® Savings Program.

  • These programs or benefit designs, like the services offered by SaveOnSP, classify certain specialty medicines such as CONCERTA® as “non-essential.” This takes away protections for patients provided by the Affordable Care Act (ACA) related to maximum out-of-pocket limits.
  • The CONCERTA® Savings Program is designed solely for the benefit of the patient. If your insurance company or health plan partners with SaveOnSP, then except where prohibited by law, you will not be eligible for, and you agree not to use, the CONCERTA® Savings Program.
  • J&J reserves the right to discontinue cost support if you no longer meet eligibility requirements.
  • If your health plan removes CONCERTA® from its partnership with SaveOnSP or other non-essential health benefit maximizer, you may be eligible to be reinstated in the CONCERTA® Savings Program.

By utilizing this Savings Program, you accept and agree to abide by these program requirements. Any individual or entity who enrolls or assists in the enrollment of a patient in the Savings Program represents that the patient meets the eligibility criteria and other requirements described.

Other requirements

  • This program is only for people age 6 to 65 using commercial or private health insurance who must pay an out-of-pocket cost for their prescribed CONCERTA®. This includes plans from the Health Insurance Marketplace. This program is not for people who use any state or federal government-funded healthcare program. Examples of these programs are Medicare, Medicaid, TRICARE, Department of Defense, and Veterans Administration.
  • By enrolling in this program, you agree that this program is intended solely for the benefit of you, the patient. You may not seek payment for the value received from this program from any health plan, patient assistance foundation, flexible spending account, or healthcare savings account.
  • You must meet the program requirements every time you use the Savings Program.
  • Program terms will expire at the end of each calendar year. The program may change or end without notice, including in specific states. Offer not valid for residents of CA or MA or for prescriptions filled in CA or MA.
  • Program participants are subject to an annual maximum benefit. Program benefits are set at the discretion of J&J and may change without notice.
  • Patients who are subject to programs, health plans, or benefits that claim to reduce their patients’ out-of-pocket co-pay, co-insurance, or deductible obligations for certain prescription drugs based upon the availability of, or patient’s enrollment in, manufacturer-sponsored co-pay assistance for such drugs will be subject to a reduced annual maximum program benefit per calendar year (not applicable to patients in Maine).
  • Patients who are subject to programs, health plans, or benefits that claim to eliminate their out-of-pocket costs are not eligible for the CONCERTA® Savings Program, because this program is only for people who must pay an out-of-pocket cost for CONCERTA®.
  • Notwithstanding any other term of this program, patients who are members of health plans that partner with SaveOnSP, or who are subject to services administered by SaveOnSP, are not eligible for the CONCERTA® Savings Program. If your health plan removes CONCERTA® from its partnership with SaveOnSP, you may be eligible for the CONCERTA® Savings Program.
  • To use this program, you must follow any health plan requirements, including telling your health plan how much co-payment support you get from this program, if required. By using the Savings Program, you confirm that you have read, understood, and agree to the program requirements on this page, and you are giving permission for information related to your Savings Program transactions to be shared with your healthcare provider(s). These transactions include rebates and any funds placed on the card or balance remaining on the card.
  • Before you enroll in the program, you will be asked to provide personal information that may include your name, address, phone number, email address, and/or other information, including information related to your prescription medicine insurance and treatment. This information is needed for Johnson & Johnson Health Care Systems Inc. and our service providers to enroll you in the CONCERTA® Savings Program. The use of your information will be governed by our Privacy Policy.
  • This program offer may not be used with any other coupon, discount, prescription savings card, free trial, or other offer. Offer good only in the United States and its territories, excluding states noted above. Void where prohibited, taxed, or limited by law.
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