Hysingla ER Medication Guide
Download important information about this medication.
Hysingla®ER Savings Program
Patients with a valid prescription for Hysingla ER should call 1-855-396-2622 to speak to a customer service representative about signing up for the savings program. Patients must meet eligibility requirements. Other restrictions may apply.
- The Hysingla ER Savings Program can help reduce out-of-pocket prescription costs for eligible patients
- Patients with questions about the Savings Program should call 1-855-396-2622, 8 am to 6 pm ET, Monday through Friday
Eligibility Requirements
This offer is valid only for patients with commercial (private or non-governmental) insurance. It is not valid for patients (i) who are government beneficiaries or whose prescription drugs are eligible to be reimbursed, in whole or in part, by any Federal Health Care Program, as that term is defined at 42 U.S.C. §1320a-7b(f), including Medicaid, Medicare, a Medicare Part D or Medicare Advantage plan, TRICARE, CHAMPUS, Puerto Rico Government Health Insurance Plan, or any other state or federal health care program; (ii) who are Medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees; (iii) who are cash-paying patients; or (iv) who reside in a state where the card is prohibited.
Terms and Conditions
Patient must meet eligibility requirements. This offer is only available with a valid prescription. The offer is not valid for medications patient received for free or that are eligible to be reimbursed by private insurance plans or any other healthcare pharmaceutical assistance programs that reimburse patients for the entire cost of their medications. Patient agrees not to seek reimbursement for all or any part of the benefit received through this offer. Patient agrees to report their use of this offer to any third party that reimburses or pays for any part of the prescription price. Patient additionally agrees that they will not submit any portion of the product dispensed pursuant to this card to a federal or state healthcare program for purposes of counting it toward their out-of-pocket expenses. This offer has no cash value and is not valid with any other program, discount, or incentive involving the covered medication. Use of this offer must be consistent with all relevant health insurance requirements and payer agreements. Participating patients, pharmacies, physician offices, and hospitals are obligated to inform third-party payers about the use of the offer as provided for under the applicable insurance or as otherwise required by contract or law. This offer may not be sold, purchased, traded, or offered for sale, purchase, or trade. This offer is limited to one per person during the offering period and is not transferable. This offer is not contingent upon any past, present, or future purchases of the covered medication or any other product, and this offer may be rescinded, revoked, or amended without notice. No reproductions. This offer is not health insurance or a benefit plan. This offer is void where prohibited or where restricted beyond the terms herein. Maximum benefits apply. For questions about this offer, call 1-855-396-2622 (please dial carefully).
Purdue Pharma L.P. reserves the right to rescind, revoke, or amend this offer without notice at any time.