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Program Details

BAYER HEALTHCARE PHARMACEUTICALS
Bayer Savings Card

Beyaz (drospirenon/ethinyl estradiol/levomefolate calcium)
 
CONTACT INFO
Address:
,
Phone: 1-866-203-3503 Provider Phone:
Fax: Website: Program Website
ELIGIBILITY
Eligibility Info:
  • Patient must not have public insurance, but may have private insurance.
  • Income at or below: Not Published
    Medical expenses can be deducted from reported income: Not Published
    Social security requested on form: No
    US citizenship/residency specified: Not Published
    APPLICATION
    Attachments Required: Not Published
    Physician License #
    Required:
    Not Required
    Prescriber Signature
    Allowed:
    Not Published
    Application may be
    faxed:
    Not Published
    Eligibility determination
    letter sent:
    Not Published
    MEDICATION
    Receives: Pharmacy Card
    Shipped To: Patient
    Quantity in Shipment: Not Published
    Delivery Time: Not Published
    Re-application Policy: Not Published
    Refill Policy: Patient takes card to pharmacy
    Other Information:
  • Register/print card online at www.BayerSavingsCard.com.
  • Savings differ by medication.
  • Last Updated: 03/08/2024

     

     

     


    Application Forms
    & Instructions

    The following documents are provided in interactive PDF format, allowing you to type information directly into the form.



     

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