Help your patients save on EULEXIN®

Help your patients save on EULEXIN®

If you or your patient is uninsured, below are two ways to access our patient access program:

Patients with Commercial Insurance

Commercially insured patients may pay as little as $15 for their prescription. Access your digital copay card using this form:






    Medicare / Government Insurance OR No Insurance

    Medicare / government insured patients and patients without insurance may qualify to get EULEXIN® at no cost.

    1. Fax: Fill out this PAP form (PDF) and fax it to Waylis Patient Access and Affordability at (844) 470-1931
    2. Call: Call Waylis Patient Access and Affordability at (888) 218-8897 to get started.
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    EULEXIN™ Savings Program Information:

    BIN #: 610600
    PCN#: AS
    RxGroup: 377
    ID#: 37701557109

    Your Copay Card Information is below, please save for your records.

    copay card image