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  1. you may be eligible to pay as little as $25 for a 1-, 2-, or 3-month prescription (maximum savings of $150 per 1-month prescription, $300 per 2-month prescription, or $450 per 3-month prescription).

  2. a Savings card offer applies to eligible commercially insured patients with coverage for Ozempic ®. Maximum savings of $150 for a 1-month prescription, $300 for a 2-month prescription, and $450 for a 3-month prescription. Month is defined as 28 days. Offer is good for up to 24 months.

  3. Pay by check, money order, credit card, debit card, or Health Savings Account (HSA) card. Fill out the payment coupon at the bottom of your bill and include it with your payment. Payments made by mail take longer to process than payments made quickly and securely through your online Medicare account.

  4. Request or activate your Ozempic. Savings Offer. If you have private or commercial insurance, such as insurance you receive through an employer, you may be eligible to pay as little as $25 for a 1-, 2-, or 3-month prescription (maximum savings of $150 per 1-month prescription, $300 per 2-month prescription, or $450 per 3-month prescription).

  5. Online Bill Pay lets you set up one-time or recurring payments directly from a checking or savings account. Get Help Paying Your Medicare Costs. If you need help paying your Medicare costs, contact your State Medical Assistance Office (Medicaid) to see if you qualify for a Medicare Savings Program.

  6. • Present this coupon and, if applicable, your insurance card with your prescription for ANORO. at any participating pharmacy. • Eligible commercially insured patients will pay as little as $0 for each covered 30-, 60-, or 90-day supply (1-3 inhalers) of ANORO. Maximum savings of $190 per month

  7. www.medicare.gov › basics › forms-publications-mailingsMedicare Premium Bill (CMS-500)

    Sign up for Medicare Easy Pay. Check if your bank offers an online bill payment service to pay electronically from your savings or checking account. Mail your payment by check, money order, credit card, or debit card (using the coupon on your bill)

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