Commercially insured patients can start saving with the VEMLIDY Co-pay Coupon Program by using the form below to confirm your eligibility.
In order to receive the benefits of the program, it is important that you provide accurate information. When filling your prescription, be sure to have your
Co-pay Coupon Program information available.
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VEMLIDY Co-pay Coupon Program Terms and Conditions
The VEMLIDY Co-pay Coupon Program will cover the out-of-pocket costs of a patient's VEMLIDY prescriptions up to a maximum of $5,000 per year. This maximum applies to all eligible Gilead medications for the program.
The VEMLIDY Co-pay Coupon ("Coupon") can be used only by eligible residents of the U.S., Puerto Rico, or U.S. territories at participating eligible retail, specialty, or mail-order pharmacies in the U.S., Puerto Rico, or U.S. territories. Product must originate in the U.S. or Puerto Rico, or U.S. territories. Persons must be 18 years or older to use the Coupon for themselves or a minor.
The Coupon is limited to one per person and is not transferable. No substitutions are permitted. This Coupon is available for each valid prescription. Patient may not be currently receiving free drug assistance through Gilead Sciences, Inc. (“Gilead”)’s patient assistance programs. The Coupon is not insurance and is not intended to substitute for insurance.
THE COUPON IS VALID ONLY FOR PATIENTS WITH COMMERCIAL INSURANCE AND IS NOT VALID FOR PRESCRIPTIONS THAT ARE ELIGIBLE TO BE REIMBURSED:
- IN WHOLE OR PART, BY MEDICARE, MEDICAID OR A MEDICARE PART D PLAN, TRICARE, VA, DoD, PUERTO RICO GOVERNMENT HEALTH INSURANCE PLAN, OR ANY OTHER FEDERAL OR STATE-FUNDED HEALTHCARE BENEFIT PROGRAM (COLLECTIVELY, “GOVERNMENT PROGRAMS”); OR
- BY COMMERCIAL PLANS OR OTHER HEALTH OR PHARMACY BENEFIT PROGRAMS THAT REIMBURSE FOR THE ENTIRE COST OF PRESCRIPTION DRUGS.
Medicare Part D enrollees who are in the prescription drug coverage gap (the “donut hole”) are not eligible for the co-pay Coupon. Patients who begin receiving prescription benefits from such Government Programs at any time will no longer be eligible to use the Coupon. Void where prohibited by law, taxed, or restricted.
Patient, pharmacist, and prescriber agree not to seek reimbursement for all or any part of the benefit received by the patient through the offer. Both patient and pharmacist are each individually responsible for reporting receipt of coupon benefit to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the Coupon, as required.
It is illegal to sell, purchase, trade, or counterfeit, or offer to sell, purchase, trade, or counterfeit the Coupon.
Gilead reserves the right to terminate, rescind, revoke, or modify this program at any time without notice.