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residents aged 18 and older.

Prescribing Information

Register Now for the BYSTOLIC® Savings Program


Sign up for the BYSTOLIC Savings Program. You may be eligible to pay no more than $30 for a 30-day or 90-day prescription.* See restrictions below.

You can also elect to receive helpful reminders about your BYSTOLIC Savings Card, an E-Savings Card via your mobile phone and other communications about BYSTOLIC, healthy tips and lifestyle choices.

Join the BYSTOLIC Savings Program today!
(*See full Terms, Conditions, and Eligibility
Criteria on the registration page)
(*See full Terms, Conditions, and Eligibility
Criteria on the registration page)

Already have a card?

Click Here To Activate
Get your E-Savings Card and reminders about when to refill and pick up your BYSTOLIC prescription delivered to your mobile phone.

By checking this box and by providing your mobile phone number, you agree that Allergan may text you information about BYSTOLIC® and the BYSTOLIC® Savings Program, including site updates, education, and other Allergan products and services, to your mobile device. You also understand that you may receive an average of 6 messages per month, that message and data rates may apply and that any message sent to your mobile device may be an unsecured communication. If you later wish to opt out from receiving this information, you understand that you can unsubscribe at any time by simply texting "STOP" to 855.827.8729 and receive help by texting "HELP" to 855.827.8729. The information pertaining to you that we collect will be used in accordance with our Privacy Statement.

Get even more information from BYSTOLIC, including healthy tips and lifestyle choices

By checking this box and by providing your email address, you agree that you would like to receive information from Allergan related to BYSTOLIC® and the BYSTOLIC® Savings Program, including site updates, education, and other Allergan products and services. The information pertaining to you that we collect will be used in accordance with our Privacy Statement.

Already have a card?

Click Here To Activate

Terms, Conditions, and Eligibility Criteria: 1. This offer is valid only for patients 18 years of age or older with commercial prescription drug insurance and is good for use only with a valid prescription for BYSTOLIC® (nebivolol) 2.5 mg, 5 mg, 10 mg, and/or 20 mg tablets at the time the prescription is filled by the pharmacist and dispensed to the patient. 2. Depending on your insurance coverage, most eligible insured patients may pay no more than $30 (a) per 30-day supply for each of up to twelve (12) prescription fills, (b) per 60-day supply for each of up to six (6) prescription fills, or (c) per 90-day supply for each of up to four (4) prescription fills. Other eligible insured patients check with your pharmacist for your copay discount. Maximum reimbursement limits apply; patient out-of-pocket expense may vary. 3. This card is not valid for prescriptions submitted for reimbursement to Medicare, Medicaid, or other federal or state programs (including any state pharmaceutical assistance programs), or private indemnity or HMO insurance plans that reimburse you for the entire cost of your prescription drugs. Patients may not use this card if they are Medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. 4. Each card is valid for up to 12 prescription fills of a 30-day supply, or 12 monthly uses. A 60-day supply counts as two (2) monthly uses and a 90-day supply counts as three (3) monthly uses towards the 12-monthly-use limit. Offer applies only to prescriptions filled before the program expires on 12/31/17. 5. Allergan reserves the right to rescind, revoke, or amend this offer without notice. 6. Offer good only in the USA at participating retail pharmacies. 7. Void if prohibited by law, taxed, or restricted. 8. This card is not transferable. The selling, purchasing, trading, or counterfeiting of this card is prohibited by law. 9. This card expires December 31, 2017. 10. By redeeming this card, you acknowledge that you are an eligible insured patient and that you understand and agree to comply with the terms and conditions of this offer.

For questions about the program, including savings on mail-order prescriptions, please call 1.800.572.5252.

Pharmacist Instructions for a Patient with an Eligible Third-party Payer: When you redeem this card, you certify that you have not submitted and will not submit a claim for reimbursement under any federal, state, or other government programs for this prescription. Submit the claim to the primary Third-party Payer first, then submit the balance due to COMP, LLC using BIN #637765 as a Secondary Payer COB [coordination of benefits] with patient responsibility amount and a valid Other Coverage Code (eg, 3 or 8). The patient’s out-of-pocket expense will be reduced up to the maximum reimbursement limit for the program. Reimbursement will be received from COMP, LLC. For any questions regarding online processing, call the Help Desk at 1.800.572.5252.

Program managed by COMP, LLC on behalf of Allergan. This is not insurance.

Mail Order Patients:

If you fill your prescription through a mail-order pharmacy, or if you are unable to have your savings card processed at your local pharmacy, please submit:

  • A photocopy of the front and back of your BYSTOLIC® Savings Card.
  • Your original proof of purchase (original pharmacy receipt with your name and address, pharmacy name, product name, prescription numbers, NDC number, date filled, quantity, and price).
  • A photocopy of the front and back of your insurance card.
  • Your date of birth.

Mail all of the information to:

BYSTOLIC® Claims Processing Department,
P.O. Box 1785
New York, NY 10156

Please allow 6-8 weeks to receive your reimbursement. Reimbursement requests must be postmarked within 4 weeks of fill date. Reimbursements are subject to Program Terms, Conditions, and Eligibility Criteria.