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With this Savings Card, you may pay as little as $0 up to $94 per 30-day supply of SEMGLEE® (insulin glargine-yfgn) or Insulin Glargine (insulin glargine-yfgn) injection while this program remains in effect, depending upon your commercial insurance coverage. Savings may vary depending upon your out-of-pocket costs associated with the applicable product as described in the chart below. This offer is valid for up to a maximum of ten (10) vials or ten (10) packs [fifty (50) total pens] per fill and for one (1) fill per month per 30-day supply. No other purchase is necessary. Valid prescription with Prescriber ID# is required. Biocon Biologics Inc., reserves the right to amend or end this program at any time without notice.
Patient Out-Of-Pocket Cost After Commercial Insurance: | Patient May Pay: |
< $175 | $0 |
$175.01 - $200 | $20 |
$200.01 - $225 | $45 |
$225.01 - $250 | $70 |
> $250 | $94 |
Eligibility Requirements: This Savings Card can be redeemed only by patients or patient guardians who are 18 years of age or older and who are residents of the United States and its territories. Patients must have commercial insurance. This program is not valid for uninsured patients (but may be used by commercially insured patients without coverage for the applicable product(s) above) and patients who are covered by any state or federally funded healthcare program, including but not limited to any state pharmaceutical assistance program, Medicare (Part D or otherwise), Medicaid, Medigap, VA or DOD, or TRICARE (regardless of whether the applicable product(s) above is covered by such government program); not valid if the patient is Medicare eligible and enrolled in an employer-sponsored health plan or prescription benefit program for retirees; and not valid if the patient's insurance plan is paying the entire cost of this prescription. This program is void outside the US and its territories or where prohibited by law, taxed, or restricted. Absent a change in Massachusetts law, this program will no longer be valid for Massachusetts residents as of January 1, 2026.
This Savings Card is not health insurance. This Savings Card is not transferable, and the amount of the savings cannot exceed the patient's out-of-pocket expenses. This program cannot be combined with any other rebate/coupon, free trial, or similar offer for the specified prescription. This Savings Card is not redeemable for cash.
NOTICE: Data related to your use of this Savings Card may be collected, analyzed and shared with Biocon Biologics Inc., for market research and other purposes related to assessing its savings card programs. Data shared with Biocon Biologics Inc., will be aggregated and de-identified, meaning it will be combined with data related to other savings card redemptions and will not identify you.
Patient Instructions: By using this Savings Card, you acknowledge that you currently meet the eligibility criteria and that you understand and will comply with the following additional terms and conditions:
Pharmacist Instructions: When you accept this Savings Card, you are certifying that you have received this Savings Card from an eligible patient; you have received a valid prescription for the applicable product(s) above for an eligible patient; you have dispensed the product as indicated; you have not submitted and will not submit a claim for reimbursement under any federal, state or other governmental programs for this prescription; and you will otherwise comply with these terms and all applicable terms and conditions. You further certify that your participation in this program is consistent with all applicable state laws and any obligations, contractual or otherwise, that you have as a pharmacy provider, and that you will report the use of this Savings Card to the patient's insurer if required.