Retail Pharmacies

Reduce out-of-pocket costs for eligible, commercially insured patients with the XHANCE copay card*

Out-of-pocket costs for commercially insured patients with coverage for XHANCE
Initial prescription $0 copay
Refills $30 copay
per unit maximum

Optinose will pay the first $100 per unit for cash-paying and commercially insured patients who do not have coverage for XHANCE who utilize the XHANCE copay card at retail pharmacies.

*These offers are not valid for use by patients enrolled in Medicare, Medicaid, and TRICARE or other federal or state programs. Maximum benefit available per 30-day fill is two units. Optinose reserves the right to rescind, revoke, or amend this offer without notice. Visit www.XHANCE.com/terms-and-conditions/ for additional eligibility rules and terms and conditions.

NOTICE OF RESTRICTION FOR VERMONT HEALTHCARE PROVIDERS

If you are a healthcare professional licensed in Vermont, or a licensed healthcare professional who regularly practices in Vermont, Optinose corporate policy and the terms of this program prohibit you from downloading, printing, or accepting the savings card.

See terms and conditions and eligibility rules.

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