By downloading this card you are certifying that you have not submitted and will not submit a claim for reimbursement under any Federal, State, or other government programs for your Zypitamag prescription.
If you decline your government coverage to pay cash and use this offer you are certifying that you will not submit a claim for Zypitamag to any government prescription drug benefits program for any current or any future Zypitamag prescriptions.
You may only use this card if you satisfy the Eligibility Criteria for the Zypitamag Dual Savings Program found at zypitamag.com