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Topamax (brand)

FamilyWize pricing for
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PLEASE NOTE: Prescription medication costs can differ among pharmacies. All participating pharmacies will give you the best price available - whether it be the FamilyWize price, the insurance price or the pharmacy price.

Co-Pay Assistance and Trial Offers

Horizant Free 30-Tablet Trial Offer
Patients receive a free 30-tablet trial
Eligibility
  • , .
Terms and conditions apply
Horizant Free 30-Tablet Trial Offer
Patients receive a free 30-tablet trial
Limit 1 voucher per patient
Eligibility
  • Void where prohibited by law
How To Use This Program
View offer page to activate savings.
Momentum Savings Card
Patients pay $20 plus any differential over $90 for each prescription, after the first month.
Eligibility
  • For most patients who are paying out of pocket, .
Terms and conditions apply
Momentum Savings Card
Patients pay $20 plus any differential over $90 for each prescription, after the first month.
Savings up to $70 per month with a total maximum of $840 per year for 12 uses
Eligibility
  • For most patients who are paying out of pocket
  • Void where prohibited by law
  • Patients must be 18 years of age or older
How To Use This Program
Visit the offer page to fill out an online form.
Mail Offer Available: If you use a mail-order pharmacy, please contact your pharmacy provider to ensure that this offer will be accepted. If the mail-order pharmacy will not process your voucher, please call 1-866-666-8244 (Monday-Friday, 8 a.m.-8 p.m. ET, excluding holidays) and request to speak to an agent. An agent will mail a Direct Member Reimbursement (DMR) form to you. The form should be completed and returned to the address on the form, along with your pharmacy receipt. If you are eligible, you will receive your benefit in the mail. You can also visit www.patientrebateonline.com to obtain a DMR form.
Brilinta Savings Card
Patient will save up to $100 per 30-day supply
Eligibility
  • For most patients who are insured but their drug is not covered, .
Terms and conditions apply
Brilinta Savings Card
Patient will save up to $100 per 30-day supply
Eligibility
  • For most patients who are insured but their drug is not covered
  • Void where prohibited by law, taxed or restricted.
  • Patients must be 18 years of age or older
How To Use This Program
View offer page to activate savings.
Mail Offer Available: If patients fill their prescriptions through mail order, they can fill out this form located: https://www.brilinta.com/content/dam/website-services/us/542-dtc-brilinta-rwd/pdf/mail-order-rebate-form.pdf or call 1-888-462-3705