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SAVE NOW!

Instant savings on CIPRODEX® Otic prescriptions for eligible patients

  • Ask your pharmacist to manually input the code from your printable rebate or mobile device
  • Make sure your pharmacy fills your prescription exactly as written
  • There is no generic version of CIPRODEX® Otic

Click here for Terms and Conditions

SAVE NOW!

Instant savings on CIPRODEX® Otic prescription for eligible patients

  • Ask your pharmacist to manually input the code from your printable rebate or mobile device
  • Make sure your pharmacy fills your prescription exactly as written
  • There is no generic version of CIPRODEX® Otic

Tap here for Terms and Conditions

RxBIN: 610524
RxPCN: Loyalty
RxGRP: 50777288
ISSUER: (80840)
ID #:

Offer Expires on: 12/31/2016

Tap here for Terms and Conditions

Terms and Conditions:

Valid only for those with commercial insurance. Offer not valid under Medicare, Medicaid, or any other federal or state program, for cash-paying patients, or where plan reimburses you for the entire cost of your prescription drug. Eligible commercially insured patients may pay as little as $40 in out-of-pocket expenses for each 7.5mL bottle of CIPRODEX® (ciprofloxacin and dexamethasone) with a maximum benefit per bottle of $135. Offer good for up to three (3) 7.5mL bottles of CIPRODEX® Otic for a single patient. If insured patient reaches maximum benefit per bottle, patient will be responsible for the difference. Offer is not valid where prohibited by law. Valid only in the US, USVI, Guam and Puerto Rico. This program is only valid for those patients 6 months and older. This program is not health insurance. Offer may not be combined with any other rebate, coupon, or offer. Alcon reserves the right to rescind, revoke, or amend the program without notice. Patient certifies responsibility for complying with applicable limitations, if any, of any commercial insurance and reporting receipt of program rewards, if necessary, to any commercial insurer.
This offer expires on 12/31/16.

Patient Instructions:

Ensure this copay offer, your insurance information and a valid prescription for CIPRODEX® Otic is provided to your participating pharmacist. The prescriber ID# must be identified on the prescription. If you have any questions, please call 1-844-236-8027 (8:00 am to 8:00 pm ET, Monday-Friday). This offer expires on 12/31/16. When you use this offer, you are certifying that you understand the program rules, regulations, and terms and conditions and that you will comply with them. You may not use this offer if prohibited by your insurer. You are not eligible if you are a cash payer or if prescriptions are paid by any federal or state program, or where prohibited by law; and you will otherwise comply with the terms and conditions above. You are responsible for any reporting of the use of this offer required by your insurer.

Pharmacist Instructions:

When you use this offer, you are certifying that you have not submitted and will not submit a claim for reimbursement under any federal, state, or other government programs for this prescription. Pharmacist will comply with his/her obligations when processing the prescription for payment. By using this offer, you agree to the terms and conditions of this program. Co-pay offer must be accompanied by a prescription for CIPRODEX® Otic. If primary coverage exists, input offer as secondary coverage and transmit using the COB segment of the NCPDP transaction. Submit transaction to McKesson Corporation using BIN #610524. Acceptable discounts will be displayed in the transaction response. Acceptance of this offer and your submission of claims are also subject to the Terms and Conditions posted at www.mckesson.com/mprstnc. If you have any questions, please call McKesson Help Desk at 1-844-236-8027 (8:00 am to 8:00 pm ET, Monday-Friday).

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