LATUDA $15 Copay Savings Card

Already Have a LATUDA Savings Card?

Activate it Here.

If your doctor has given you a LATUDA Savings Card and you haven’t activated it, here’s what to do.

Please Tell us a Little About Yourself

I am a:



*What is your birthday?
*Valid day, month, and year required.
*We’re sorry but you need to be at least 18 years old to be eligible for our Savings Card, or to register for more information.

Let’s confirm your eligibility:

Are you a resident of the United States?
*We’re sorry but you need to be a resident of the United States to be eligible for our Savings Card, or to register for more information.
*Are you enrolled in any government, state or federally funded medical or prescription benefit program; this includes Medicare, Medicaid, Medigap, VA, DOD and TriCare, as well as any other state or federal employee benefit programs?
*We’re sorry but you are not eligible for the Savings Card. Please continue the registration to sign up for Sunovion Answers for LATUDA.

The LATUDA Savings Card is not valid for prescriptions purchased under Medicaid, Medicare or similar federal, state or other government funded benefit programs. Should you begin receiving prescription benefits from such a federal, state or government funded program at any time, you will no longer be eligible to participate in this program. We may contact you by phone or mail you periodically in order to verify that your eligibility for the program has not changed.

Do you acknowledge your agreement with the above statement?

*We’re sorry but you are not eligible for the Savings Card, please click here to sign up for Sunovion Answers for LATUDA.

 

Patient Information

What best describes you? (please select one)

How long have you been taking LATUDA?How long has your friend or family member been taking LATUDA?

By checking this box, I agree and acknowledge that the information I’ve provided voluntarily will be used only by Sunovion and its contracted third-parties to contact me with helpful information on treatments, services, and for marketing and informational purposes, along with information regarding my participation in any discount program, and/or for market research purposes. I understand that Sunovion will not sell or transfer my name to any third-party for their marketing use.

I certify that I have read and understand the savings program Terms and Conditions.

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Important Safety Information and Indications for LATUDA

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