Transcription of Restrictions and limitations apply.* Copay
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Restrictions and limitations apply.* Copay
Ost insured , eligible M. patients will pay $0*. No activation required. Restrictions and limitations apply.*. $. 0 Copay * (tazarotene) Foam, RxBIN: 610524. RxPCN: Loyalty RxGRP: 50777358. ID: 1175175966. Most insured , eligible patients will pay $0 for a Mayne Pharma branded prescription. No activation required. * Restrictions and limitations apply. Please see reverse side for Terms, Conditions, and Eligibility Criteria. * Please see reverse side for Terms, Conditions, and Eligibility Criteria for the Mayne Pharma Patient Savings Program.
Dear Pharmacist: I have given my commercially insured patient a Mayne Pharma Patient Savings Card for his/her prescription. It is …
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