Here to help you reduce the cost of your medicine.

If eligible, the Bafiertam® Savings Card program may help you save on your copays. It is not available to you if you are enrolled in any state or federally funded prescription drug program, such as Medicare Part D and Medicaid.

You also do not qualify if you are in the Medicare Part D prescription coverage gap (the “donut hole”). For more information, and to see if you are eligible, see the Terms and Conditions below.

This site can help you enroll in the co-pay program. To replace your copay card or if you would like to speak to someone directly, please call 1-855- 3BANNER (855-322-6637). When enrolling you will have to answer a few questions to confirm you are eligible for the program.

TERMS AND CONDITIONS APPLY.

By using the Bafiertam® Savings Card , you attest that you meet the eligibility criteria, agree to and will comply with, the Terms and Conditions described below:

Offer expires 12/31/2025. Patient must have commercial drug insurance coverage for Bafiertam, program subject to a maximum annual cap of $15,000. Patient is responsible for any amounts exceeding annual cap. Offer void where prohibited by law. This offer is invalid for patients whose prescription claims for Bafiertam are eligible to be reimbursed, in whole or in part, by any governmental program, including, without limitation, Medicaid, Medicare, VA, TRICARE, or any State Patient or Pharmaceutical Assistance Program. Available only in the US for residents of the US. By accepting this offer, you agree that if you are required to do so under the terms of your insurance coverage for this prescription or are otherwise required to do so by law, you should notify your insurance carrier of your redemption of this Card. This offer may be terminated, rescinded, revoked, or amended by Banner Life Sciences at any time without notice. Card activation required. This Card is not health insurance. This Card expires on 12/31/2025.