To compare card terms, check the box by their corresponding table row!

My
Rx's
Drug

(Click link to get copay card)
ClassMinimum
Required
Co-Pay
pay the amount displayed below and the card will pay up to the maximum benefit thereafter toward meeting you co-pay
Maximum
Co-Pay
Discount
Maximum the card will contribute toward your copay.
Extra TermsCard Time LimitNon-Formulary or Cash Pay Rx Discounts
Afrezza (Inhaled insulin)Insulin - Rapid Acting$1530 refills
AdmelogInsulin - Rapid ActingGeneric.
No Insurance discounts
No Insurance discounts$99 cash per vial
$149 cash per box
ApidraInsulin - Rapid Acting"$0"$100 off copay$100 off cash price
BasaglarInsulin - Long Acting$5$150 off copay24 Rx's$150 off cash price
Bydureon BCiseGLP1-Agonists"$0"$150 off copaycomes with needlesCan be withdrawn at any time$150 off cash price
Bydureon PenGLP1-Agonists
FarxigaSGLT2-Inhibitors"$0"$150 off copayFirst 30 days free up to $378$150 off cash price
FiaspInsulin - Rapid Acting$25$100 off copayfree box pen needles24 months
FortametBiguinides
GlumetzaBiguinides$10$100 off copay
Glyxambi
"Invokana/ Tradjenta" (empagliflozin/ linaglipton)
DPP4-I + SGLT2-I Combo"$0"$250 off copayFree 30 min CDE phone conversation12 months
HumalogInsulin - Rapid Actingno card
Humalog 75/25Insulin - Mixedno card
Humalog U200Insulin - Rapid Acting$25$100 off copay24 months
Humlin 70/30Insulin - Mixedno card
InvokaMet / Invokamet XR
"Invokana + Metformin" (canagliflozin / metformin)
SGLT2-I + Metformin Combo"$0"$300 annual benefit off copay30 day free co-pay cardCan be withdrawn at any time$200 off cash price
InvokanaSGLT2-Inhibitors"$0"$300/box, $3000 annual benefit off copay30 days freeCan be withdrawn at any time$200 off cash price
Janumet
"Januvia + Metformin" (sitaglipton/ metformin)
DPP4-I + Metformin Combo $5$150 off copaycoupon may be redeemed every 21 days12 months$150 off cash price
JanuviaDPP4-Inhibitors$5$150 off copayCoupon may be redeemed every 21 days12 months$150 off cash price
JardianceSGLT2-Inhibitors"$0"$250 off copayFree 30 min CDE phone conversation12 months
Jentadueto XR "Tradjenta + Metformin" (linagliptin/ metformin)DPP4-I + Metformin Combo$10$150 off copay12 months$150 off cash price
Kazano
"Nessina + Metformin" (alogliption/ meformin)
DPP4-I + pioglitasone Combo$35$100 off copayCan be withdrawn at any time$100 off cash price
Kombiglyze
"Januvia + Metformin" (saxaglipton/ metformin)
DPP4-I + Metformin Combo"$0"$150 off copay$150 off cash price
LantusInsulin - Long Acting"$0"$500/box pens (3 boxes per Rx allowed) off copayCan be withdrawn anytime$100 off cash price
LevemirInsulin - Long Acting$25$100 off copay2 years$100 off cash price
NissenaDPP4-Inhibitors$35$100 off copayCan be withdrawn at any time$100 off cash price
Novlin 70/30Insulin - Mixedno cardIt can be purchased over the counter at Walmart for ~$25/vial cash price
Novolin NPHInsulin - Mixedno cardIt can be purchased over the counter at Walmart for ~$25/vial cash price
Novolin RegularInsulin - Mixedno cardIt can be purchased over the counter at Walmart for ~$25/vial cash price
NovologInsulin - Rapid Acting$25$100 off copay24 months$100 off cash price
Novolog 70/30Insulin - Mixed$25$100 off copay24 months$100 off cash price
OnglyzaDPP4-Inhibitors"$0"$150 off copay$150 off cash price
Oseni
"Nessina + Pioglitazone" (alogliptin / pioglitazone)
DPP4-I + Metformin Combo$35$100 off copayCan be withdrawn at any time$100 off cash price
OzempicGLP1-Agonists$25$150 off copaycomes with needlesCan be withdrawn at anytime
Qtern
"Farxiga/ Januvia" (dapagliflozin/ saxaglipton)
DPP4-I + SGLT2-I Combo"$0"$435 off copay30 day free co-pay cardCan be withdrawn at any time$150 off cash price
Riomet (liquid Metformin)Biguinides$35 off copay or cash price
RizodegInsulin - Rapid ActingFDA approvednot on market
SoliquaInsulin + GLP1 Combo$0up to $800 off copay free box pen needlesCan be withdrawn at any time$800 off cash price
SymlinAmylin$25$100 off copay24 months$100 off cash price
Synjardy
"Invokana + Metformin " (empagliflozin/ * osmotically released metformin)
SGLT2-I + Metformin Combo"$0"$250 off copayFree 30 min CDE phone conversation12 months-
ToujeoInsulin - Long Acting$10$500/box pens off copay (3 boxes per Rx allowed)With insurance, first 3 refills $0 ($10 thereafter)Can be withdrawn anytimeCASH price: $149
TradjentaDPP4-Inhibitors$10$150 off copay12 months
TresibaInsulin - Long Acting$5$150 off copay2 yearsMust have insurance to use card
TrulicityGLP1-Agonists$25$150 off copay24 months$150 off cash price
U500 RegularInsulin - Concentrated U500$257 packs KwikPens or 2 vials/rxFree Sample Voucher Available12 monthsNone, call Lilycares for patient assistance
VictozaGLP1-Agonists$25$150 off copay2 years
Xigduo
"Farxiga + Metformin" (dapagliflozin/ metformin)
SGLT2-I + Metformin Combo"$0"$435 off copay30 day free co-pay cardCan be withdrawn at any time$150 off cash price
XultophyInsulin + GLP1 Combo$30$400 off copayfree box pen needles12 months
Toujeo MaxInsulin - Long Acting$0 first 3 fills.
As low as $10 copay for the next 12 fills.
$150/pack off copay (3 boxes per Rx allowed)Can be withdrawn anytime
RybelsusGLP1 -oral$10 copayup to $700/mo off copay. Text READY to 21848 to get co-pay savings1 yearCan have ANY commercial insurance.

Last Modified on November 2, 2019

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