For more information about JATENZO:
JATENZO is approved by the FDA as a prescription drug used to treat adult men who have low or no testosterone levels due to certain medical conditions.
JATENZO is a controlled substance (CIII) because it contains testosterone. It is not known if JATENZO is safe or effective in children younger than 18 years old. Improper use of JATENZO may affect bone growth in children.
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Print a copy to bring to the pharmacy, and keep your
Savings Card for future refills.
Eligible patients with commercial insurance will pay as little as $0 for their monthly prescriptions, up to a maximum benefit amount applied per calendar year. Eligible patients without commercial insurance may still save up to 50% on their monthly prescription, up to a maximum benefit amount applied per calendar year. Offer valid for up to 12 uses. A valid Prescriber ID# is required on the prescription.
Patient Instructions: To redeem this offer, you must have a valid prescription for JATENZO. Follow the dosage instructions given by the doctor. This offer may not be redeemed for cash. By using this offer, you are certifying that you meet the eligibility criteria and will comply with the terms and conditions described in the Restrictions section below. Patients with questions about the JATENZO Savings Card offer should call 1-844-269-27951-844-269-2795.
Pharmacist: When you apply this offer, you are certifying that you have not submitted a claim for reimbursement under any federal, state, or other governmental programs for this prescription. Participation in this program must comply with all applicable laws and regulations as a pharmacy provider. By participating in this program, you are certifying that you will comply with the terms and conditions described in the Restrictions section below.
Pharmacist Instructions for a Patient with an Eligible Third Party: Submit the claim to the primary Third-Party Payer first, then submit the balance due to CHANGE HEALTHCARE as a Secondary Payer COB (coordination of benefits) with patient responsibility amount and a valid Other Coverage Code, (e.g., 8). The patient is responsible for as little as $0 for their monthly prescriptions, up to a maximum benefit amount applied per calendar year. Offer valid for up to 12 uses. Reimbursement will be received from CHANGE HEALTHCARE. Valid Other Coverage Code required. For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk at 1-800-422-56041-800-422-5604.
Restrictions: This offer is valid in the United States and Puerto Rico. Offer not valid for prescriptions reimbursed under Medicaid, a Medicare drug benefit plan, TRICARE, or other federal or state health programs (such as medical assistance programs). Cash Discount Cards and other non-insurance plans are not valid as primary under this offer. If the patient is eligible for drug benefits under any such program, the patient cannot use this offer. By using this offer, the patient certifies that he will comply with any terms of his health insurance contract requiring notification to his payer of the existence and/or value of this offer. Offer not valid for patients under 18 years of age. It is illegal to (or offer to) sell, purchase, or trade this offer. This offer is not transferable and is limited to one offer per person. Not valid if reproduced. Void where prohibited by law. Program managed by ConnectiveRx on behalf of Clarus Therapeutics. The parties reserve the right to rescind, revoke, or amend this offer without notice at any time.