ABSORICA® Copay Card Program

Through the ABSORICA Copay Card Program, you could pay as little as $25 for your ABSORICA prescription.* For more information, call our Help Desk at 1‑855‑820‑9189.

Here’s how the program works:

  • For commercially-insured patients only*
  • Present discount coupon card to your pharmacy
  • Valid for 5 fills and subject to applicable program maximum

*Patients are not eligible if prescriptions are paid in part or full by any state or federally funded programs, including but not limited to Medicare or Medicaid, Medigap, VA, DOD, or Tricare and where prohibited by law. Please read full Copay Card Program Terms & Conditions.

 

Please answer the questions below to see if you’re eligible for the ABSORICA Copay Card.

Do you already have a card to activate?

Please enter a valid card ID #.

Are you enrolled in any government-, state-, or federally-funded medical or prescription benefit program, including but not limited to Medicare, Medicaid, VA, DOD, or Tricare?*

Do you have commercial insurance coverage?*

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*Required fields.

Please enter your First Name.
Please enter your Last Name.
Please enter your Address.
Please enter your City.
Please select your State.
Please enter your ZIP code.
Please enter your Date of Birth.
Please enter your Email.
Please make a selection.
Please enter your start date.

I understand that the personal information I provide and information pertaining to the use of my ABSORICA Copay Card at the pharmacy will be shared with Sun Pharmaceutical Industries, Inc. and its third-party partners. Sun Pharmaceutical Industries, Inc. and companies providing services to Sun Pharmaceutical Industries, Inc. will not sell or rent my personally identifiable information, as described in the Privacy Policy.*

Please agree to the terms to enroll.

I consent to receive ABSORICA communications about products, services, and promotional offers from Sun Pharmaceutical Industries, Inc, in accordance with the Terms of Use. I will refer to the Privacy Policy for more information.*

Please make a selection.

Thank you for your interest in the ABSORICA Copay Card

Based on your answers, you do not qualify for the ABSORICA Copay Card at this time.

For more information, please call 1‑833‑754‑6457, Monday–Friday, 8:00 AM–8:00 PM ET.