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; Smith & Nephew 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.

*Subject to the Terms and Conditions below
For more information please call the hotline at 1-800-364-4767.

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. 

Please see complete prescribing information for more details.


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.

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Copyright © 2014 Smith & Nephew

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General

Smith & Nephew PLC, registered office 15 Adam St, London, United Kingdom, WC2N 6LA, is a holding company and is not an operating company. Therefore, products and services are provided exclusively by subsidiaries and not by Smith & Nephew PLC. “Smith & Nephew” may refer to Smith & Nephew PLC itself or one or more of its subsidiaries.

With the exception of websites under our control, if this website is linked to from other websites, or if other websites are linked to from this website, Smith & Nephew does not endorse or have any responsibility for the content of such other websites, and Smith & Nephew shall not be liable for any damages or injury arising from the content (or the use of your data) of any other website.

This privacy statement is subject to change, and Smith & Nephew will not proactively notify you of any such changes. It is your responsibility to ensure you visit this web page regularly to review any changes that may have been made since your previous visit.

This agreement shall be governed by the laws of the state of Tennessee and any disputes subject to the exclusive jurisdiction of the courts of the United States of America.

This statement was last updated on 15 May 2012.

Copyright © 2014 Smith & Nephew