The REXULTI® (brexpiprazole) Savings Card offers two separate benefits: REXULTI as well as a generic ANTIDEPRESSANT*
What the REXULTI Savings Card covers:
Two Months of REXULTI as little as
REXULTI Refills as little as
90-day Prescription as little as
ANTIDEPRESSANTS as little as
(for up to 12 uses)
Your eligible patients† can text SAVE to 96747 to get their REXULTI Savings Card today.‡
*For eligible commercially insured patients who are prescribed REXULTI. Benefits apply to copays, co-insurance, and pharmacy deductibles. Up to $8,180 applied to your patient's annual deductible with up to 12 uses.a
†Terms and conditions apply.
Terms, Conditions, and Eligibility Criteria: This program is offered by Otsuka America Pharmaceutical, Inc. and applies only to valid REXULTI® (brexpiprazole) and/or eligible generic prescriptions. Eligible insured patients will pay as little as $0 for first two uses 8-33 and 34-60-day supply and as little as $5 for 90-day supply. On subsequent uses 3 and beyond, patients will pay as little as $5 and receive a maximum savings up to $1,200. For eligible generic prescription with 30-day supply patient will pay as little as $0 and receive savings up to $100 per 30-day supply. Up to $8,180 applied to your patient’s annual deductible with up to 12 uses. Limit 1 card per patient.
Restrictions: Offer is not transferable. Patients must have commercial drug insurance and a prescription consistent with FDA-approved product labeling. Patients are not eligible if they are covered in whole or in part by any state program or federal healthcare program, including, but not limited to, Medicare or Medicaid (including Medicaid managed care), Medigap, VA, DOD, or TRICARE. For eligible generic prescription, patient must be 18 years of age or older. Only valid in U.S. and Puerto Rico. Offer void where prohibited by law, taxed, or restricted. Other restrictions may apply. This program is not health insurance. Otsuka America Pharmaceutical, Inc. has the right to rescind, revoke, or amend this program at any time without notice. Your participation in this program confirms that this offer is consistent with your insurance coverage and that you will report the value received if required by your insurance provider. When you use this card, you are certifying that you understand and will comply with the program rules, terms, and conditions. Offer not valid for cash-paying patients OR where drug is not covered by the primary insurance.
REXULTI has broad national coverage and affordability support
OF PATIENTS NATIONALLY
have COVERAGE for REXULTI 1
*The total of prescriptions referenced is [XX%]. Of the total prescriptions, covered without restrictions represents [XX%] of prescriptions, prior authorization represents an additional [XX%] of prescriptions, and step edit represents an additional [XX%] of prescriptions as defined in footnotes ¶, §, ‖. Managed Markets Insight & Technology, LLC database as of [Month YYYY] and IMS Xponent PlanTrak data as of [Month YYYY].
†Your local area is determined as the geography associated with all ZIP codes around you that have the same first three digits.
‡Please note that plans may have multiple formularies, and they are subject to change by the plan. Please check with the health plan directly to confirm formulary status, requirements, and coverage information for individual patients.
Covered without restrictions includes health plans with prior authorization requirements that are consistent with REXULTI® (brexpiprazole) Prescribing Information and also establish the appropriate patient. Patients associated with plans that implement only these types of requirements are not considered restricted.
§Prior Authorization is defined as an approach to prescription drug management where specific criteria are required, as determined by the health plan, to be met before receiving access to a drug originally prescribed.
‖Step edit is defined as an approach to prescription drug management where patients are required to try one or more drug therapies before receiving access to a drug originally prescribed.
Data provided here do not guarantee coverage or payment (partial or full). Actual benefits are determined by respective plan administrators. Consult with payer for all relevant coverage requirements.