RxBIN: 601341

RxPCN: OHCP

RxGROUP: OH6701021

RxID: INVALID ID
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SUF: 01

Good for a maximum of 12 uses per card.
* See below for program rules and eligibility requirements.

 

Patient Instructions

Present this card to your participating pharmacist, along with your insurance
card, and a valid prescription for TARGADOX® (doxycycline hyclate USP) 50mg tablets.
Commercially insured patients may receive savings to reduce the co-pay amount to $7.
Cardholders with questions, please call 1-888-786-5876.

Eligibility Criteria

This offer is only good with a prescription of TARGADOX 50mg (NDC 69489-111-60).
This Savings Card is also valid for Doxycycline Hyclate 50mg (NDC 72143-211-60).
This offer is not valid for prescriptions reimbursed by Medicare, Medicaid, federal or
state programs (including any state prescription drug programs). Offer good only in
the United States and can not be redeemed at government subsidized pharmacies.
The selling, purchasing, trading or counterfeiting of this offer is prohibited by law.
Not valid with any other offer. Maximum reimbursement limits apply. Void where
prohibited. Good for a maximum of 12 uses per card.

Pharmacist Instructions

This card must be accompanied by a valid prescription for TARGADOX. Please submit
the co-pay authorized by the patient’s primary insurance as a secondary transaction to
Opus Health. Pharmacists with questions, please call Opus Health at 1-800-364-4767.

This card is the property of Journey Medical Corporation and Opus Health and must be
returned upon request. Not valid for patients covered under Medicare, Medicaid, or
similar state or federal programs. Card is nontransferable. This card is not an insurance
benefit. Both parties retain the right to rescind, revoke, amend, or terminate this offer
or the program in its entirety at any time.

This Savings Card is also valid for Doxycycline Hyclate 50mg (NDC 72143-211-60).
JMC-TGX-07.20