Save up to $150*
A few simple facts to get you started with the Copay Assistance Program
Who is eligible to save?*
If you’ve been prescribed Collagenase SANTYL® Ointment 250 units/g and pay more than $50 out of pocket for your prescription, whether you’re insured or not, you may be eligible to save.
Participants in governmental healthcare programs are not eligible.
Just how much will I save?
You’ll pay the first $50; Healthpoint will pay your remaining out-of-pocket cost up to the next $150.* The card can be used for 6 prescription fills, up to a $900 maximum, each year.
How does it work?
Click the print card button to start printing your Copay Assistance Program card. Then, just give the printed card to your pharmacist, along with your insurance card
(if you have one) and a valid prescription for SANTYL® Ointment. The amount you receive from the program will be subtracted from what you pay your pharmacy.
Collagenase SANTYL® Ointment 250 units/g is indicated for debriding chronic dermal ulcers and severely burned areas.
Occasional slight temporary redness has been noted in surrounding tissue when applied outside the wound. One case of an allergic reaction has been reported after 1 year of treatment with collagenase and a steroid cream. Use of Collagenase SANTYL® Ointment should be stopped when debridement is complete and granulation tissue is well established.
Terms and Conditions
Not valid for prescriptions eligible to be reimbursed under Medicare (including Medicare part D and Medicare Advantage), Medicaid, TRICARE, CHAMPUS, the Puerto Rico Governmental Health Insurance Plan,
or other federal, state, or governmental healthcare programs. Valid in the U.S. only, void where taxed, restricted, or prohibited by law. Accepted by participating pharmacies only. This Copay Assistance Program
is not insurance and may be changed or discontinued at any time without notice.