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YOUR ORIGINAL NEXIUM, NOW WITH FREE HOME DELIVERY

Start saving now

Present this card to your pharmacist to start saving now*

*See savings and eligibility details below.

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EC57005190
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If you have persistent heartburn caused by acid reflux disease, once-daily prescription NEXIUM, along with diet and lifestyle changes, can help provide 24-hour relief. Plus, if you're eligible for the NEXIUM Savings Card, you’ll pay just $15 a month or $30 for a 90-day supply.

If eligible, show this page to your pharmacist, along with your prescription, to instantly save.

You may be eligible for this offer if you are insured by commercial insurance and your insurance does not cover the full cost of your prescription or you are not insured and are responsible for the cost of your prescriptions.

Patients who are enrolled in a state or federally funded prescription insurance program are not eligible for this offer. This includes patients enrolled in Medicare Part D, Medicaid, Medigap, Veterans Affairs (VA), Department of Defense (DOD) programs or TriCare, and patients who are Medicare eligible and enrolled in an employer-sponsored group waiver health plan or government-subsidized prescription drug benefit program for retirees.

If you are enrolled in a state or federally funded prescription insurance program, you may not use this savings card even if you elect to be processed as an uninsured (cash-paying) patient.

This offer is not insurance and is restricted to residents of the United States and Puerto Rico or for patients younger than one month of age. This offer is valid for retail prescriptions only.

TERMS OF USE: Eligible commercially insured patients with a valid prescription for NEXIUM® (esomeprazole magnesium) who present this savings card at participating pharmacies will pay $15 for a 30-day supply or $30 for a 60-day supply or 90-day supply, subject to a maximum savings of $175 per 30-day supply. Cash-paying patients will receive up to $125 in savings on out-of-pocket costs per 30-day supply. This offer is good for 30-day supply, 60-day supply or 90-day supply. Other restrictions may apply. Patient is responsible for applicable taxes, if any. If you have any questions regarding this offer, please call 1-877-703-7283.

This offer will expire on 12/31/2019.

Non-transferable, limited to one per person, cannot be combined with any other offer. Void where prohibited by law, taxed or restricted. Patients, pharmacists, and prescribers cannot seek reimbursement from health insurance or any third party for any part of the benefit received by the patient through this offer. AstraZeneca reserves the right to rescind, revoke, or amend this offer, eligibility and terms of use at any time without notice. This offer is not conditioned on any past, present or future purchase, including refills. Offer must be presented along with a valid prescription for NEXIUM at the time of purchase.

BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE.

Program managed by PSKW, LLC, on behalf of AstraZeneca.

Pharmacist Instructions for a Patient With an Eligible Third Party Payer: Submit the claim to the primary Third-Party Payer first, then submit the balance due to Therapy First Plus as a Secondary Payer COB (coordination of benefits) with patient responsibility amount and a valid Other Coverage Code (eg, 8). The patient is responsible for the first $15 on 30-day supply, $30 on 60-day supply, or $30 on 90-day supply, and the card will cover up to $175 per 30-day supply. Reimbursement will be received from Therapy First Plus.

Pharmacist Instructions for a Cash-Paying Patient: Submit this claim to Therapy First Plus. A valid Other Coverage Code (eg, 1) is required. The patient is responsible for the first $15 on 30-day supply, $30 on 60-day supply, or $30 on 90-day supply and the card will cover up to $125 per 30-day supply. Reimbursement will be received from Therapy First Plus.

Valid Other Coverage Code Required: For any questions regarding Therapy First Plus online processing, please call the Help Desk at 1-800-422-5604. Program managed by PSKW on behalf of AstraZeneca.

After you receive your card, simply present it to your pharmacist with your prescription for NEXIUM.

Patients With Prescription Insurance

Rx Size You Pay* AstraZeneca Pays
30-day First $15 of co-pay Up to $175
60-day First $30 of co-pay Up to $350
90-day First $30 of co-pay Up to $525

*Patients are responsible for any balance: above $190 for a 30-day supply, above $380 for a 60-day supply, and above $555 for a 90-day supply.

Cash-Paying Patients

Rx Size AstraZeneca Pays You Pay*
30-day Up to $125 Balance of cost
60-day Up to $250 Balance of cost
90-day Up to $375 Balance of cost

The offer is limited to 1 NEXIUM Savings Card per person. Offer expires 12/31/19. The offer is good only in the United States and its territories. AstraZeneca reserves the right to discontinue this offer at any time. Eligibility restrictions apply.

Call your insurance carrier for your specific plan coverage details. Not all insurance plans cover prescriptions over 30 days at retail pharmacies.

  • Patients with commercial insurance
  • Patients with no prescription drug coverage. Certain other restrictions may apply. See full eligibility information here
  • Patients with prescriptions covered by Medicaid, Medicare, or similar federal or state programs
  • Patients who are eligible for Medicare and enrolled in an employer-sponsored group waiver health plan or government-subsidized prescription drug benefit program for retirees
  • Patients younger than 1 month of age

The NEXIUM Savings Card can be used on each prescription fill until 12/31/19.

ELIGIBILITY: You may be eligible for this offer if you are insured by commercial insurance and your insurance does not cover the full cost of your prescription or you are not insured and are responsible for the cost of your prescriptions.

Patients who are enrolled in a state or federally funded prescription insurance program are not eligible for this offer. This includes patients enrolled in Medicare Part D, Medicaid, Medigap, Veterans Affairs (VA), Department of Defense (DOD) programs or TriCare, and patients who are Medicare eligible and enrolled in an employer-sponsored group waiver health plan or government-subsidized prescription drug benefit program for retirees.

If you are enrolled in a state or federally funded prescription insurance program, you may not use this savings card even if you elect to be processed as an uninsured (cash-paying) patient. This offer is not insurance and is restricted to residents of the United States and Puerto Rico or for patients younger than one month of age. Offer must be presented along with a valid prescription for NEXIUM at the time of purchase. For mail order prescriptions, visit purplepill.com for details and reimbursement form.

TERMS OF USE: Eligible commercially insured patients with a valid prescription for NEXIUM® (esomeprazole magnesium) who present this savings card at participating pharmacies will pay $15 for a 30-day supply or $30 for a 60-day supply or 90-day supply, subject to a maximum savings of $175 per 30-day supply. Cash-paying patients will receive up to $125 in savings on out-of-pocket costs per 30-day supply. This offer is good for 30-day supply, 60-day supply or 90-day supply. Other restrictions may apply. Patient is responsible for applicable taxes, if any. If you have any questions regarding this offer, please call 1-877-703-7283.

This offer will expire on 12/31/2019.

Non-transferable, limited to one per person, cannot be combined with any other offer. Void where prohibited by law, taxed or restricted. Patients, pharmacists, and prescribers cannot seek reimbursement from health insurance or any third party for any part of the benefit received by the patient through this offer. AstraZeneca reserves the right to rescind, revoke, or amend this offer, eligibility and terms of use at any time without notice. This offer is not conditioned on any past, present or future purchase, including refills. Offer must be presented along with a valid prescription for NEXIUM at the time of purchase.

BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE.

Unfortunately, you are not eligible for the NEXIUM Savings Card, due to government regulations.

If you go to the same pharmacy where you initially filled your prescription, the information should be saved in the system. If the information is no longer saved in the system, you would need to provide the card again.

If you lose your card after you've used it and received your first prescription, the information should already be stored in the computer system of the pharmacy first used. In that case, the card will not be necessary. If you lose your card before using it at a pharmacy or you lose it and want to switch pharmacies, your doctor can provide you with another card or you may request one by calling 1-877-703-7283. Or, you can always download a new card.

Yes. However, it will be necessary to present your NEXIUM Savings Card when you begin using a new pharmacy if it is not affiliated with your previous pharmacy.

You can continue using your current NEXIUM Savings Card until all fills are used or it expires. Or, simply print a new one.