If you have previously enrolled in the Patient Savings Program and/or are paying cash for your Butrans prescription, visit the Butrans Savings Card page instead.
Print and Activate the Card for the Butrans Trial Offer
Click here to print the card for the Butrans Trial Offer and follow the directions below to activate your card.
To activate the Butrans Trial Offer, you will need to have the number on the card handy and visit the card activation page.
The Butrans Trial Offer may cover your co-pay for up to $100 on your first 28-day prescription until 3/31/2014. The Butrans Trial Offer is only available to new commercially insured patients and cannot be used if you pay in cash for your Butrans prescriptions. After you use your one-time Trial Offer, you may use the Butrans Savings Card to save up to $50 on each eligible prescription until 3/31/2014. This card will automatically print when you print your card for the Trial Offer. If you are eligible for both offers, you only need to activate one card.
This card cannot be used if your prescriptions are covered by: (i) any federal or state healthcare program, including a state medical or pharmaceutical assistance program (Medicare, Medicaid, Medigap, VA, DOD, TRICARE, etc); (ii) Medicare Prescription Drug Program (Part D Program); (iii) insurance in states that have an "all payer" anti-kickback law or insurance that is paying the entire cost of the prescription. Cash-paying patients are not eligible for this offer. Patients in VT are not eligible.
Terms and Conditions
You must meet eligibility requirements. You agree to report your use of this card to any third party that reimburses you or pays for any part of the prescription price. You additionally agree that you will not submit any portion of the product dispensed pursuant to this card to a federal or state healthcare program for purposes of counting it toward your out-of-pocket expenses (such as TrOOP under Medicare Part D or Medicaid). This card is not valid with any other program, discount, or incentive involving the covered medication. This offer is not contingent upon any past, present, or future purchases of the covered drug or any other product, and this offer may be rescinded, revoked, or amended without notice. No reproductions.
This card is not insurance. This card is void where prohibited or where restricted beyond the terms herein. For questions about this card, call the Butrans Patient Savings Program at 1-866-747-9674.