Pharmacies | Terms & Conditions

Terms & Conditions

The value of this offer may not exceed the amount of the patient's out-of-pocket costs for the prescription. This h.e.a.r.t + card is not valid for prescriptions reimbursed in whole or in part by Medicaid, Medicare, federal or state programs (including any state prescription drug programs). This h.e.a.r.t + card is good for use only with a corresponding prescription for BRAVELLE, MENOPUR, ENDOMETRIN, and/or NOVAREL at the time the prescription is filled and dispensed. Offer good only in the USA at participating retail pharmacies and cannot be redeemed at government-subsidized clinics. This offer is not valid in Massachusetts, except for cash paying patients, or where otherwise prohibited by law. By choosing to process a claim to a third-party payer in connection with this offer, the retail pharmacy represents and warrants to Ferring Pharmaceuticals that Ferring is not interfering with any legal obligation that the retail pharmacy may have to any third party and that processing the claim is not in violation of applicable law. Ferring reserves the right to rescind, revoke, or amend this offer without notice. The selling, purchasing, trading, or counterfeiting of this card is prohibited by law. Participating patients and pharmacists understand and agree to comply with the terms and conditions of this offer set forth above.

THIS IS NOT INSURANCE

Pharmacy claims processed by Envision Rx Options

  • Product service and price may vary by pharmacy provider
  • Purchaser responsible for entire product charge from participating pharmacy provider
  • Please call (1-800-361-4542) for questions or concerns
  • Unresolved concerns can be addressed with respective State Insurance Commissions.

Eligibility Criteria/Additional Rules:

For uninsured, this h.e.a.r.t. + card is valid for significant savings on BRAVELLE, MENOPUR, ENDOMETRIN, and NOVAREL. This card is valid for one calendar year from the date of activation. Certain rules apply. See your participating pharmacy for details.

For the insured, this h.e.a.r.t. + card is valid for additional savings on BRAVELLE only:

  • To qualify for this offer, the first prescription for Bravelle must have a minimum of ten (10) 75 IU vials of Bravelle. No quantity minimum on refills
  • The paid benefit from this offer shall not exceed $500 per qualifying prescription
  • Patients are eligible for 1 (one) benefit every thirty days, not to exceed $500 per benefit
  • This card ID shall be valid for one calendar year from the date of activation
  • Limit one card ID per patient