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Offer: If you are a commercially insured or cash-paying patient, you can save up to $50 on your initial fill of PROMISEB COMPLETE™, and then save up to $50 on out of pocket costs exceeding $20 on each of the next 5 refills. If you are filling a prescription for Promiseb Cream, and are a commercially insured or a cash paying patient, you can save up to $50 on out of pocket costs exceeding $20 on each of 6 fills.

Pharmacist instructions for a patient with an Eligible Third Party: Submit the claim to the primary Third Party Payer first, then submit the balance due to Therapy First Plus as a Secondary Payer as a copay only billing using a valid Other Coverage Code, (e.g. 8). For PROMISEB COMPLETE™, the patient pay amount will be reduced by up to $50.00 on the 1st use, for uses 2-6 the patient is responsible for the first $20.00 and the card pays up to the next $50. For Promiseb Cream, on uses 1-6, the patient is responsible for the first $20.00 and the card pays up to the next $50 and reimbursement will be received from Therapy First Plus.

Pharmacist instructions for a cash paying patient: Submit this claim to Therapy First Plus. A valid Other Coverage Code (e.g. 1) is required. For PROMISEB COMPLETE™, the patient pay amount will be reduced by up to $50 on the 1st use, for uses 2-6 the patient is responsible for the first $20.00 and the card pays up to the next $50. For Promiseb Cream, on uses 1-6, the patient is responsible for the first $20.00 and the card pays up to the next $50 and reimbursement will be received from Therapy First Plus.

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

Please consult full prescribing information for PROMISEB® CREAM. Not valid for patients reimbursed by federal health care programs, including Medicare, Medicaid, CHAMPUS, the Department of Veterans Affairs, state maternal and child health block grant programs under 42 U.S.C. 701 et. seq. state social service block grant programs under 42 U.S.C. section 1397 et. seq. or any other similar federal or state healthcare program. Void where prohibited by law, taxed or restricted. Void outside the United States. Void for residents of Massachusetts. Patient is responsible for reporting receipt of card program rewards to any private insurer that pays for or reimburses any part of the prescriptions filled with this card. This offer is limited to one offer per person and is not transferable. Void if reproduced. It is illegal for any person to sell, purchase, or trade, or offer to sell, purchase or trade, or to counterfeit this card. Offer expires 04/30/2014. Promius Pharma reserves the right to rescind, revoke or amend this offer at any time without notice.

Patients with questions should call 1-855-621-4818.