Take the Fight

Information for Pharmacists about the ALVESCO Instant Rebate Card

In these tough economic times, ALVESCO is helping asthma patients control their disease by reducing their copay to $0 with the ALVESCO Instant Rebate Card.

How it Works

• For qualifying patients, the insurance copay will be reduced to $0 if it is currently $75 or less. If the copay is more than $75 or the patient is paying cash, they will receive $75 in savings.
• Discount available on up to twelve (12) prescription fills for ALVESCO.

Help Your Asthma Patients Save Money

Let your asthma patients know about the $0 copay program when they present a new or refill prescription for an inhaled corticosteroid (ICS). If they are interested in ALVESCO:

• 1.  Offer to contact their healthcare provider to determine if ALVESCO is an appropriate alternative.
• 2.  Enroll the patient in the program by calling 866-782-7852, then press 2.

If the patient is qualified for the program, the claim will be available for processing within 30 minutes. Follow the instructions below.

Processing an Electronic Pharmacy Claim is Easy^†

Simply follows these steps for electronic processing:

1. Input primary insurance information first, if available.

2. Enter the ALVESCO card information:

• Rx Group Number
• RX Bin Number 610524
• Patient's ID number

The card information should be entered:

• As secondary insurance for patients with primary insurance
• As primary insurance for patients paying cash

3. Submit the pharmacy electronic prescription transaction.

Applicable discounts on the copay amount will be applied and the cost to be collected from the patient will be displayed.

If your pharmacy does not accept loyalty cards, the patient can still get the benefit by requesting a refund for the copay. Simply instruct the patient to:

• 1. Save the receipt from the ALVESCO prescription payment, and
• 2. Contact the number on the card to request reimbursement

^† Note the card must be activated prior to use either online at www.alvesco.us or by calling 866-782-7852.

Program Support

For questions regarding setup, claims transmission, patient eligibility, or other issues, call the ALVESCO Instant Rebate Program at 866-782-7852, then press 2. Live pharmacy assistance is available from 8:00 AM – 8:00 PM EST, Monday thru Friday.

ALVESCO Instant Rebate Program Eligibility

Please be aware of the following program requirements:

• Valid only for qualified customers with a valid prescription for ALVESCO Inhalation Aerosol. No substitutions permitted.
• Not valid for prescriptions covered or paid for by Medicare (including true out-of-pocket expenses under Medicare Part D), Medicaid, or any other federal or state healthcare programs, such as state pharmaceutical assistance programs.
• Not valid for patients who are Medicare eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees (e.g. you are eligible for Medicare Part D but receive a prescription drug benefit through a former employer).
• A parent or guardian must enroll in the ALVESCO Instant Rebate Program on behalf of a patient under 18 years of age.

 

Submission of claims for the ALVESCO Instant Rebate program are subject to the LoyaltyScript® program Terms and Conditions established by McKesson Specialty Arizona Inc. By accepting and using this card from the patient, you agree: (i) to abide by the LoyaltyScript® program Terms and Conditions posted at www.mckessonspecialty.com and (ii) that your  participation in this program is consistent with all applicable state laws and any obligations, contractual or otherwise, which you are subject to as a pharmacy provider.