FOCALIN XR® IS A CNS† STIMULANT PRESCRIPTION MEDICINE.
It is used for the treatment of Attention Deficit Hyperactivity Disorder (ADHD). FOCALIN XR may help increase attention and decrease impulsiveness and hyperactivity in patients with ADHD. FOCALIN XR should be used as part of a total treatment program for ADHD that may include counseling or other therapies.
†Central Nervous System
FREQUENTLY ASKED QUESTIONS
What is the FOCALIN XR Co-Pay
Card Program?
If eligible, patients may pay as little as $10 out of pocket for their prescription by using the FOCALIN XR Co-Pay Card.
Patients can register and activate their co-pay card and present it along with a valid prescription for their medication at any participating pharmacy.
Reimbursement limited to $60 for a 30-day supply. If eligible, your patient pays $10 towards their co-pay, and Novartis will pay the next $60 of your patient's co-pay for a 30-day supply. Patients are then responsible for any additional remaining co-pay costs for that 30-day supply. The Novartis co-pay support of $60 per month cannot exceed an annual maximum of $720. For example: If the co-pay for FOCALIN XR is $80, your patient pays the initial $10, Novartis will then pay $60, and your patient will be responsible for the remaining co-pay balance of $10.
Novartis reserves the right to rescind, revoke, or amend the Program and discontinue support at any time without notice.
Where can my patient get a
FOCALIN XR Co-Pay Card?
Direct your patient to focalinxr.com to fill out the co-pay card registration form. If your patients are eligible, they can print a co-pay card.
Is everyone eligible for the FOCALIN
XR Co-Pay Card?
This offer is valid only for those with private insurance. This offer is not valid for:
-
Patients using Medicare, Medicaid, TRICARE, VA, DoD, or any other federal or state health care program
-
Residents of Massachusetts or California
-
Patients whose insurance plan reimburses for the entire cost of their prescription drug
This offer is not valid where prohibited by law. This offer is valid only in the United States and Puerto Rico.
Are there any other program
disclaimers my patient should be
aware of?
This program is not health insurance. The Program may not be combined with any third-party rebate, coupon, or offer. Novartis reserves the right to rescind, revoke, or amend the Program and discontinue support at any time without notice. The patient certifies responsibility for complying with any applicable limitations and requirements of their health plan related to the use of the Program.
My patient filled their prescription at
a pharmacy, but forgot to present
their
FOCALIN XR Co-Pay Card. Can
they be reimbursed?
In order to be reimbursed for a past prescription, patients must use the reimbursement form. Please remind your patients to save their pharmacy receipt, as this will be needed to receive a refund. The form includes instructions on where to send the completed information.