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Veozah Savings Card

How Your Patients Can Get the VEOZAH Savings Card

Patients with commercial prescription insurance may pay $0 for the first monthly
prescription and may pay as little as $30 per monthly refill.
a

  • A patient must have a valid prescription for VEOZAH® (fezolinetant), meet the eligibility requirements, and present the VEOZAH Savings Card to their pharmacy.
  • The program has an annual maximum copay assistance limit of $4000 per calendar year.
  • There are no income requirements.
Help your patients get started by sharing this link to the website where they can enroll in the VEOZAH Savings Program.

For Patients With No Insurance

If a patient does not have commercial
prescription insurance, the Astellas Patient
Assistance Programb provides VEOZAH at no cost
to those who meet the program eligibility
requirements.

Other Potential Ways to Save

Patients who are not eligible for the Patient
Assistance Program or the VEOZAH Savings Card
may be eligible for other financial assistance
programs.b

You or your patients can call 1-866-239-1637 to find out what financial
assistance options may be available or to enroll in VEOZAH Support Solutions.

Share this link with patients so they can enroll online.

Submit a Prescription to Your Patient's Preferred Pharmacy

Once you have made the decision to prescribe VEOZAH, you can submit the prescription to the patient's
preferred pharmacy.

If your patient experiences insurance-related delays, you can submit the prescription from your electronic
medical record system to the VEOZAH Support Solutions pharmacy:

Sonexus Health Pharmacy Services
2730 S. Edmonds Lane, Suite 300
Lewisville, Texas 75067
NPI Number: 1447680210
NCPDP: 5910206

We can help VEOZAH patients address potential access and affordability challenges.


aBy enrolling in the VEOZAH Savings Program ("Program"), the patient acknowledges that they currently meet the eligibility criteria and will comply with the following terms and conditions: The Program is for eligible patients with commercial prescription insurance and is good for use only with a valid prescription for VEOZAH® (fezolinetant) at the time the prescription is dispensed by the pharmacy. The Program has an annual maximum copay assistance limit of $4,000 per calendar year. After the annual maximum on copay assistance is reached, patient will be responsible for the remaining monthly out-of-pocket costs for VEOZAH. The Program is not valid for patients whose prescription claims are reimbursed, in whole or in part, by any state or federal government program, including, but not limited to, Medicaid, Medicare, Medigap, Department of Defense (DoD), Veterans Affairs (VA), TRICARE, Puerto Rico Government Insurance, or any state patient or pharmaceutical assistance program. Patients who move from commercial insurance to federal or state prescription health insurance will no longer be eligible, and agree to notify the Program of any such change. Patients agree not to seek reimbursement from any health insurance or third party for all or any part of the benefit received by the patient through the Program. This offer is not conditioned on any past, present, or future purchase of VEOZAH. This offer is not transferrable, has no cash value, and cannot be combined with any other offer, free trial, prescription savings card, or discount (including any program offered by a third party payer or pharmacy benefit manager, or an agent of either, that adjusts patient cost-sharing obligations, through arrangements that may be referred to as "accumulator" or "maximizer" programs). The full value of the Program benefits is intended to pass entirely to the eligible patient. No other individual or entity (including, without limitation, third party payers, pharmacy benefit managers, or the agents of either) is entitled to receive any benefit, discount or other amount in connection with this Program. This offer is not health insurance and is only valid for patients in the 50 United States, Washington DC, and Puerto Rico. This offer is not valid for cash paying patients. This Program is void where prohibited by law. No membership fees. It is illegal to sell, purchase, trade, counterfeit, duplicate, or reproduce, or offer to sell, purchase, trade, counterfeit, duplicate or reproduce the card. This offer will be accepted only at participating pharmacies. Certain rules and restrictions apply. Astellas reserves the right to revoke, rescind, or amend this offer without notice for any reason (including to ensure that the offer is utilized solely for the patient's benefit).

bSubject to eligibility restrictions. Program terms and conditions apply. Void where prohibited by law.

Questions?

VEOZAH Support Solutions is here to help.
Please call if you have questions or need assistance.

1-866-239-1637, Monday–Friday,
8:00 AM–8:00 PM ET