Copay Card

Save up to $250*

A few simple facts to get you started with the Copay Assistance Program

Who is eligible to save?*

If you’ve been prescribed Collagenase SANTYL◊ Ointment 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 government healthcare programs or where copay assistance is taxed, restricted, or otherwise prohibited by law are not eligible.

Just how much will I save?*

Eligible recipients will pay the first $50; Smith+Nephew will pay the remaining out-of-pocket cost up to the next $250.* The card can be used for six prescription fills, up to a $1000 maximum, each year.

How does it work?*

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.

Copay Assistance Program Card

Print copay card

*Subject to terms and conditions below.

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.

For more information, please call the hotline at 1-800-364-4767.