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Vascepa Vascepa

In order to determine eligibility for the program, please answer the following questions.

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Vascepa

Thank you for your interest
in the VASCEPA Savings Card Program

The following patients are not eligible:

The following patients are not eligible:

  1. Patients enrolled in Medicare, Medicaid, or Medicaid Part D or any other Federal or State-government reimbursed prescription program.
  2. Patients under 18 years of age.
  3. Residents of the Commonwealth of Massachusetts or the State of California.
  4. Patients whose plans or State or other applicable laws do not permit the use of copay cards.

Beneficiaries of any Federal, State, or other Governmental programs for this prescription are excluded by law from taking advantage of this savings card.

  1. Patients enrolled in Medicare, Medicaid, or Medicaid Part D or any other Federal or State-government reimbursed prescription program.
  2. Patients under 18 years of age.
  3. Residents of the Commonwealth of Massachusetts or the State of California.
  4. Patients whose plans or State or other applicable laws do not permit the use of copay cards.
Vascepa Vascepa

In order to determine eligibility for the program, please answer the following question.

Submit

Vascepa

Congratulations!
Your card is now registered.

When you use this card, you are certifying that you have not submitted and will not submit a claim for reimbursement under any Federal, State, or other Governmental programs for this prescription.

To print your savings card

Click here

Present your card when you fill your VASCEPA® (icosapent ethyl) prescription at the pharmacy. If you do not return to the same pharmacy where you obtained your first prescription, then please bring this card to your new pharmacy.

If you have any questions about your eligibility or if you no longer wish to participate in the VASCEPA Savings Card Program, call 1-855-497-8462.

The patient is responsible for the first $9 of their copay after the patient's insurance has been applied and the card pays up to the next $150 per 1-month fill and $450 per 3-month fill, up to a maximum savings of $2250 annually. Prescriber ID# required on prescription. Not for use by residents of the Commonwealth of Massachusetts or the State of California. May not be used to obtain prescription drugs paid for by Federal or State Healthcare Programs including Medicare Part D. This offer is not valid for those patients under 18 years of age or patients whose plans do not permit use of a copay card. Void where prohibited by law, taxed or restricted.

Patient Instructions: In order to redeem this card you must have a valid prescription for VASCEPA® (icosapent ethyl) and otherwise meet all eligibility criteria. Follow the dosage instructions given by the doctor. This card may not be redeemed for cash. Cardholders with questions, please call 1-855-497-8462.

Pharmacist Instructions for Patients with Commercial Insurance Claims: Submit the claim to the primary Third Party Payer first, then submit the balance due to CHANGE HEALTHCARE as a Secondary Payer COB [coordination of benefits] with patient responsibility amount and a valid Other Coverage Code, (e.g., 8). The patient is responsible for the first $9 after the patient's insurance has been applied and the card pays up to $150 per 1-month fill and $450 per 3-month fill, up to a maximum savings of $2250 annually. Reimbursement will be received from CHANGE HEALTHCARE.

Pharmacist Instructions for Cash-Paying Patients Without Insurance: Submit this claim to CHANGE HEALTHCARE. A valid Other Coverage Code (e.g., 1) is required. The patient is responsible for the first $9 and the card pays up to the next $150. Reimbursement will be received from CHANGE HEALTHCARE.

Valid Other Coverage Code required. For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk at 1-800-422-5604.

Program managed by Connective RX, LLC on behalf of Amarin Pharma, Inc. Amarin and Connective RX reserve the right to rescind, revoke or amend this offer without notice at any time. The card is not transferrable. Void where prohibited by law, taxed, or restricted.

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© 2023 connective RX, LLC.

SAVINGS CARD TERMS & CONDITIONS AND ELIGIBILITY CRITERIA

PATIENTS

By using this coupon, you acknowledge that you meet the Eligibility Criteria and will comply with the Terms and Conditions.
Present this coupon to your pharmacy along with your valid VASCEPA prescription.

  • You will pay the first $9 after your insurer's payment (if any) has been applied.
  • We will pay up to the next $150 per 1-month fill and $450 per 3-month fill, up to a maximum savings of $2250 annually.
  • Any additional amounts due are your responsibility.

If you have any questions, call 1-855-497-8462.

PHARMACIES

By applying this coupon, you are certifying that the patient meets the Eligibility Criteria.

Processing Instructions:

Commercial Insurance Claims: Process a coordination of benefits (COB/split bill) claim.

  1. Use patient’s prescription insurance as PRIMARY.
  2. Then submit the balance due as SECONDARY to Change Healthcare with patient responsibility amount and a valid Other Coverage Code, (e.g., 8).

Cash-Paying Patients Without Insurance: Submit a PRIMARY claim to Change Healthcare with a valid Other Coverage Code (e.g., 1).

Submitting a claim for reimbursement under any state- or federally-funded prescription insurance program or where otherwise prohibited by any state, federal, or other law automatically voids this offer.

For processing help, call 1-800-422-5604.

ELIGIBILITY CRITERIA/TERMS AND CONDITIONS

  1. This offer is valid only for adult, eligible patients with a valid VASCEPA prescription. This offer is also valid for adult cash-paying uninsured patients who agree not to submit a claim to any federal, state, or other healthcare program. The Savings card must be applied at the time of purchase.
  2. Patients enrolled in Medicare, Medicaid, TRICARE, or similar federal or state prescription drug insurance programs are not eligible for this offer.
  3. Offer may be used by eligible patients for a maximum savings of $2250 annually, for up to $150 per 1-month fill and $450 per 3-month fill.
  4. Offer only available in the United States. Void in the Commonwealth of Massachusetts (MA), the State of California (CA), and where otherwise prohibited, taxed, or restricted by a third party. It may not be redeemed for cash
  5. Offer is not transferable and may not be combined with any other savings offer or used for any other product. This is not health insurance.
  6. ConnectiveRx and Amarin Pharma, Inc. reserve the right to rescind, revoke, or amend this offer at any time with or without notice. It is a violation of federal law to buy, sell, or counterfeit this offer.

INDICATIONS AND IMPORTANT SAFETY INFORMATION

WHAT IS VASCEPA?

VASCEPA is a prescription medicine used:

  • along with certain medicines (statins) to reduce the risk of heart attack, stroke and certain types of heart issues requiring hospitalization in adults with heart (cardiovascular) disease, or diabetes and 2 or more additional risk factors for heart disease.
  • along with a low-fat and low-cholesterol diet to lower high levels of triglycerides (fats) in adults.

It is not known if VASCEPA changes your risk of having inflammation of your pancreas (pancreatitis).
It is not known if VASCEPA is safe and effective in children.

IMPORTANT SAFETY INFORMATION

WHO SHOULD NOT TAKE VASCEPA?

  • Do not take VASCEPA if you are allergic to icosapent ethyl or any of the ingredients in VASCEPA.

WHAT ARE THE POSSIBLE SIDE EFFECTS OF VASCEPA?

VASCEPA may cause serious side effects, including:

  • Heart rhythm problems (atrial fibrillation and atrial flutter). Heart rhythm problems which can be serious and cause hospitalization have happened in people who take VASCEPA, especially in people who have heart (cardiovascular) disease or diabetes with a risk factor for heart (cardiovascular) disease, or who have had heart rhythm problems in the past. Tell your doctor if you get any symptoms of heart rhythm problems such as feeling as if your heart is beating fast and irregular, lightheadedness, dizziness, shortness of breath, chest discomfort or you faint.
  • Possible allergic reactions if you are allergic to fish or shellfish. Stop taking VASCEPA and tell your doctor right away or get emergency medical help if you have any signs or symptoms of an allergic reaction.
  • Bleeding. Serious bleeding can happen in people who take VASCEPA. Your risk of bleeding may increase if you are also taking a blood thinner medicine.

If you have liver problems and are taking VASCEPA, your doctor should do blood tests during treatment. The most common side effects of VASCEPA include:

  • Muscle and joint pain
  • Swelling of the hands, legs, or feet
  • Constipation
  • Gout
  • Heart rhythm problems (atrial fibrillation)

These are not all the possible side effects of VASCEPA. Call your doctor for medical advice about side effects. You may report adverse events (i.e. side effects) or product complaints by contacting AmarinConnect at 1-855-VASCEPA (1-855-827-2372), emailing AmarinConnect@Amarincorp.com, or calling the FDA at 1-800-FDA-1088.

Tell your doctor if you take medicines that affect your blood clotting (anticoagulants or blood thinners).

For more information on VASCEPA, click here to see the full Patient Information or call 1-855-VASCEPA (1-855-827-2372).



Amarin

Amarin Pharma, Inc.
440 Route 22
Bridgewater, NJ 08807
Tel: 1-855-VASCEPA (827-2372)

This website, Vascepasavings.com, the official product site, Vascepa.com, VascepaHCP.com, and the company's website (amarincorp.com) are the only company sanctioned websites pertaining to the Amarin group of companies or its product, Vascepa® (icosapent ethyl) capsules. The Amarin group of companies is not responsible for false or misleading materials contained on other non-Amarin controlled websites or other social media sites.

VASCEPA, Amarin, and the Vascepa/Amarin logos are registered trademarks of Amarin Pharmaceuticals Ireland Limited.
©2023 Amarin Pharmaceuticals Ireland Limited. All rights reserved. VAS-00547v11 03/23

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