If you’ve been prescribed Collagenase SANTYL Ointment 250 units/g and pay more than $50 out of pocket for your prescription, whether you’re insured or not, you may be eligible to save. Participants in governmental healthcare programs or where copay assistance is taxed, restricted or otherwise prohibited by law are not eligible.
Eligible recipients will pay the first $50; Smith & Nephew will pay the remaining out-of-pocket cost up to the next $150.* The card can be used for 6 prescription fills, up to a $900 maximum, each year.
Click the print card button to start printing your Copay Assistance Program card. Then, just give the printed card to your pharmacist, along with your insurance card (if you have one) and a valid prescription for SANTYL Ointment. If eligible, the amount you receive from the program will be subtracted from what you pay your pharmacy.
For more information, please call the hotline at 1-800-364-4767.
Not valid for prescriptions eligible to be reimbursed under Medicare (including Medicare part D and Medicare Advantage), Medicaid, TRICARE, CHAMPUS, The Puerto Rico Government Health Insurance Plan, or other federal, state, or government healthcare programs. Valid in the U.S. only, void where taxed, restricted, or prohibited by law. Accepted by participating pharmacies only. This Copay Assistance Program is not insurance and may be changed or discontinued at any time without notice.
Occasional slight temporary redness has been noted in surrounding tissue when applied outside the wound. One case of an allergic reaction has been reported after 1 year of treatment with collagenase and a steroid cream. Use of Collagenase SANTYL Ointment should be stopped when debridement is complete and granulation tissue is well established.
For more details, please see complete prescribing information.
You should report side effects of prescription drugs to the FDA. Call 1-800-FDA-1088 or visit www.fda.gov/medwatch.