Invokana/Invokamet Savings Program.pdf

You may be eligible for the J&J withMe Savings Program if you are age 18 or older, use commercial or private health insurance for your prescribed INVOKANA, INVOKAMET, or INVOKAMET XR, and must pay an out-of-pocket cost for your medicine. Participate without sharing your income information. Some health plans have programs or benefit designs known as "accumulators" or "maximizers" that divert patient assistance funds away from patients. The J&J withMe Savings Program is designed solely for the benefit of the patient and reserves the right to reduce the maximum benefit for patients in an accumulator or maximizer program or benefit design, except where prohibited by law. In addition, some health plans have "non-essential health benefit maximizers" that conflict with the program requirements of the J&J withMe Savings Program. If your insurance company or health plan partners with SaveOnSP, you will not be eligible for the J&J withMe Savings Program, except where prohibited by law. This program is only for people age 18 or older using commercial or private health insurance who must pay an out-of-pocket cost for their prescribed INVOKANA, INVOKAMET, or INVOKAMET XR. This includes plans from the Health Insurance Marketplace. This program is not for people who use any state or federal government-funded healthcare program. By enrolling in this program, you agree that this program is intended solely for the benefit of you, the patient. You may not seek payment for the value received from this program from any health plan, patient assistance foundation, flexible spending account, or healthcare savings account. You must meet the program requirements every time you use the Savings Program. Program terms will expire at the end of each calendar year. The program may change or end without notice, including in specific states. Program participants are subject to an annual maximum benefit. Program benefits are set at the discretion of J&J and may change without notice. Patients who are subject to programs, health plans, or benefits that claim to reduce their patients' out-of-pocket co-pay, co-insurance, or deductible obligations for certain prescription drugs based upon the availability of, or patient's enrollment in, manufacturer-sponsored co-pay assistance for such drugs will be subject to a reduced annual maximum program benefit per calendar year. Patients who are subject to programs, health plans, or benefits that claim to eliminate their out-of-pocket costs for certain prescription drugs based upon the availability of, or patient's enrollment in, manufacturer-sponsored co-pay assistance for such drugs will be subject to a reduced annual maximum program benefit per calendar year.