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For questions about CaroSpir Copay Card program or to order additional coupons, please call 1-844-567-9503.

Please print out and take to your physician to see if CaroSpir is right for you.

Generic illustration of sample copay card
BIN# 004682
PCN: CN
GROUP: WCCAR2006
ID: 60527495736

*To the Pharmacist for Patient Paying Cash: Submit the claim to Therapy First Plus. A valid Other Coverage Code 0 is required. The patient will receive up to $75 off a 30 day prescription or $225 off a 90 day prescription of CaroSpir on their first and subsequent prescriptions. Patient will be responsible for any remaining out of pocket expense. You will receive this in your reimbursement from Therapy First Plus plus a handling fee.

To the Pharmacist for the Patient Paying via an Authorized Third Party: Submit the claim to the Primary Payer first, then submit the balance due to Therapy First Plus as a Secondary Payer as a co-pay only using Other Coverage Code of 8, 3. The patient will receive up to $75 off a a 30 day prescription or $225 off a 90 day prescription of CaroSpir on their first and subsequent prescriptions. Patient will be responsible for any remaining out of pocket expense. You will be reimbursed this amount plus a handling fee from your next reimbursement from Therapy First Plus.

To the Pharmacist ONLY: For any questions regarding Therapy First Plus online processing, please call 1-800-433-4893.

Terms and Conditions
Void where prohibited by law. CMP Pharma reserves the right to rescind, revoke or amend this program with- out notice. Offer not valid for patients eligible for benefits under Medicaid (including Medicaid managed care), Medicare, TRICARE, Veterans Affairs, FEHBP, or similar state or federal programs. Offer void where prohibited, taxed, or otherwise restricted. Offer good only in the U.S.A. No generic substitution with this offer.

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