![]() If you have questions, please contact the OPUS Pharmacy Support line at 1-88. You will receive the remaining balance, plus a handling fee, in your next reimbursement from OPUS Health. Submit the claim to the Primary Third-Party Payer first, then submit the balance due to OPUS Health as a Secondary Payer as a co-pay only billing using Other Coverage Code indication. TO PHARMACIST: Your acceptance of this card and your submission of claims for the NAYZILAM Patient Savings Program are subject to the Terms and Conditions established by OPUS Health. If you have any questions regarding the NAYZILAM Patient Savings Program or wish to discontinue your participation, please call 1-88 (8:30 am – 5:30 pm ET, Monday – Friday and 8:30 am – 2 pm ET, Saturday). TO PATIENT: When you use this card, you are certifying that you meet the complete Eligibility Criteria and Terms and that you have not submitted, and will not submit, a claim for reimbursement under any federal, state or other governmental programs for this prescription. Not eligible for sale, purchase, trade, or counterfeit. reserves the right to rescind, revoke, or amend this offer without notice at any time. This offer cannot be combined with any other promotional offer. Void where prohibited by law, taxed, or restricted. The maximum annual benefit amount is $1200 per calendar year. This card is good for use only with a valid NAYZILAM prescription consistent with the approved FDA labeling at the time the prescription is filled by the pharmacist and dispensed to the patient. Offer good only in the U.S., including Puerto Rico. Eligibility Criteria and Terms: This savings card is not valid for use by patients who are covered by any federally funded or state-funded healthcare program (including, but not limited to, Medicare and those who are Medicare-eligible and enrolled in an employer-sponsored health plan for retirees, Medicaid, any state pharmaceutical assistance program, TRICARE, VA, or DoD), or for cash-paying patients.
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