SANCUSO Copay Assistance Card Program

1. Show the Copay Assistance Card and your valid prescription each time you pay for your prescription.
2. Pay the initial $20 of your copay for each prescription of Sancuso and any remaining out of pocket cost will be reduced by $300 for 1 patch, $600 for 2 patches, $900 for 3 patches or $1200 for 4 or more patches. Up to a maximum of $1200 per month. Save your copay assistance card - this card be used multiple times up to 48 times per patient.