- Always ask for SOLOSEC by name.
- There is no generic equivalent to SOLOSEC.
- If SOLOSEC is not in-stock, you have the right to ask them to order it.
This process typically takes 24 hours.
- Always ask for SOLOSEC by name.
- There is no generic equivalent to SOLOSEC.
- If SOLOSEC is not in-stock, you have the right to ask them to order it.
This process typically takes 24 hours.
General Terms and Conditions
To the Patient: You must present this card or eCard to the pharmacist along with your prescription to participate in this program. If you have any questions regarding your eligibility or benefits, or if you wish to discontinue your participation, call the SOLOSEC® Co-pay Program at (347) 384-9022 (9:00AM-7PM EST, Monday-Friday). When you use this card, you are certifying that you understand the program rules, regulations, and terms and conditions. You are not eligible if prescriptions are paid by any state or other federally funded programs, including, but not limited to Medicare or Medicaid, Medigap, VA or DOD or TriCare, or where prohibited by law; and you will otherwise comply with the terms above.
To the Pharmacist: When you use this card or eCard, you are certifying that you have not submitted and will not submit a claim for reimbursement under any federal, state or other governmental programs for this prescription.
- If primary commercial prescription insurance exists, input card information as secondary coverage and transmit using the COB segment of the NCPDP transaction. Applicable discounts will be displayed in the transaction response.
- Patient is not eligible if prescriptions are paid in part or full by any state or federally funded programs, including but not limited to Medicare or Medicaid, Medigap, VA, DOD or TriCare and where prohibited by law.
- For questions regarding setup, claim transmission, patient eligibility or other issues, call the SOLOSEC Co-pay Program at (347) 384-9022 (9:00AM-7PM EST, Monday-Friday).
Evofem Biosciences, Inc. reserves the right to rescind, revoke or amend this offer at any time.
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