You agree to not to seek any reimbursement for all or any part of the co-pay assistance received through the Program. If you are a member of one of these plans, please call 1‑877‑264‑2440. Patients who are members of health plans that claim to eliminate their out-of-pocket costs are not eligible for cost support. Patients covered by TRICARE, CHAMPUS, Puerto Rico Government Health Insurance Plan or any other state or federal medical or pharmaceutical benefit program or pharmaceutical assistance program. Patients covered by Medicare or a Medicare Part D or Medicare Advantage plan (regardless of whether a specific prescription is covered). Patients covered under Medicaid (including Medicaid patients enrolled in a Medicaid Managed Care Plan or a qualified health plan purchased through a health insurance exchange marketplace established by a state government or the federal government). The following patients are ineligible for this Program. ![]() To participate in this Program, you must have commercial health insurance and be a resident of the United States, Puerto Rico, Guam, or the Virgin Islands. ![]() If you have any questions regarding Eligibility, the Terms and Conditions, or to discontinue participation, please call 1‑877‑264‑2440 (8:00 AM-8:00 PM EST, Monday-Friday). Enrollment is subject to the Eligibility Rules and Terms and Conditions, stated below. ![]() Patients with commercial health insurance who qualify to participate may pay as little as $20 for 1 tube (60-gram tube) of WINLEVI. To participate in the WINLEVI ® (clascoterone) cream 1% Co-Pay Program ("Program"), you must present this card, along with a valid prescription for WINLEVI, to your pharmacist.
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