No activation required. Provide copay card information to your pharmacist. Available at participating retail pharmacies nationwide.*
If you have questions about how to use your SOLTAMOX Mayne Pharma Patient Savings Card, please call (347)-442-7919.
Most covered, insured, eligible patients may pay as little as $0 for their SOLTAMOX prescription. Uncovered, insured, eligible patients may pay as little as $75.
*Restrictions and limitations apply. Complete Terms, Conditions, and Eligibility Criteria are included with the Soltamox Mayne Pharma Patient Savings Card. Out of pocket costs may vary.
Is SOLTAMOX covered by your patient’s insurer? If it is not on the insurer’s prescription drug formulary or if the plan requires prior authorization, complete this form and send it to your patient’s insurer to request coverage of SOLTAMOX.