Learn how to save on Horizant®

Insured patients* pay $0 for up to 60 tablets

Insured patients*
Pay as little as $0 for up to 60 tablets per month

Cash-paying patients pay $55 for 30 tablets

Cash-paying patients†
$55 for 30 tablets per month

Relief can be within your reach—and within your budget. Reduce your out-of-pockets costs of Horizant® through one of our savings programs
If eligible, you can access savings regardless of insurance coverage. There are options for you whether you are insured or cash-paying

*Eligibility requirements for patients utilizing insurance: This offer cannot be used if a patient is a beneficiary of, or any part of their prescription is covered by: (1) any federal or state healthcare program (Medicare, Medicaid, TriCARE, etc.), including a state pharmaceutical assistance program; (2) the Medicare Prescription Drug Program (Part D), or if the patient is currently in the coverage gap; or (3) has insurance that is paying the entire cost of the prescription. Offer is void where prohibited by law.

†Any patient may opt to take advantage of Azurity’s cash-payment programs; patients must attest the claim is not being billed through insurance. Prescriptions for cash-paying patients will be triaged to Azurity Solutions Patient Direct, which is fulfilled by Truax Patient Services. You will receive a call from Truax Patient Services or you may call (844) 289-3981 to inquire about your prescription.

Azurity Solutions E-Z Rx™

If you’re commercially insured, the Azurity Solutions E-Z Rx program lets eligible* patients pay as little as $0 for up to 60 tablets of Horizant® per month through our premier independent pharmacy network
Get connected to one of the E-Z Rx pharmacies near you through our pharmacy locator

Any patient may opt to take advantage of Azurity’s Instant Savings Card, regardless of commercial insurance coverage

*Patients enrolled in state/federal programs (Medicare, Medicaid, VA/DOD, etc.) are not eligible for copay discount savings through Azurity Solutions E-Z Rx or any Azurity Instant Savings Card

Find an E-Z Rx pharmacy

Azurity Solutions Patient Direct

Azurity Solutions Patient Direct is a free program whether you have insurance or not. With Azurity Solutions Patient Direct, you pay a guaranteed price for Horizant®
- Cash-only savings
- Home delivery
- All patients eligible
- No insurance required

Enroll now

Copay Savings Card

If you’re a commercially insured patient and eligible for the program, use our Copay Savings Card and pay as little as $0 for 60 tablets of Horizant^® per month. Use these instant savings at any pharmacy of your choice

1-877-901-0488

Horizant® Copay Savings Card

Patient: Eligible commercially insured patients may receive their first prescription of Horizant® 600 mg or 300 mg for as little as $0 (up to 60 tablets per month). For questions regarding your eligibility or benefits or if you wish to discontinue your participation, call 1-855-700-2990 (8 ᴀᴍ–8 ᴘᴍ ET, Monday–Friday).

Cash-paying patients can pay as little as $55 for 30 tablets through Azurity Solutions Patient Direct.

Any patient may opt to take advantage of Azurity’s cash-payment programs; patients must attest the claim is not being billed through insurance. Prescriptions for cash-paying patients will be triaged to Azurity Solutions Patient Direct, which is fulfilled by Truax Patient Services. You will receive a call from Truax Patient Services, or you may call 844-289-3981 to inquire about your prescription.

Alternatively, cash-paying patients and patients with commercial insurance who are not eligible for the $0 copay and choose not to participate in the Azurity Solutions Patient Direct Program are allowed 1 fill per calendar year and will pay as little as $100 for up to 30 tablets.

Pharmacist: Benefit limitations apply. When you use this card, you are certifying that you have not submitted and will not submit a claim for reimbursement under any federal, state, other governmental programs, or drug discount card for this prescription. By redeeming this coupon, you agree that you understand and will abide by the terms and conditions of this offer, posted at www.mckesson.com/mprstnc.

Submit transaction to McKesson Corporation using BIN #610524
Patient not eligible if prescriptions are paid in part or full by any state or federally funded programs, including but not limited to Medicare, Medigap, VA, DOD, or Tricare. This program is not valid where prohibited by law
If primary coverage exists, input card information as secondary coverage and transmit using the COB segment of the NCPDP transaction. Applicable discounts will be displayed in the transaction response
Acceptance of this card and your submission of claims for the Horizant® Copay Savings Card program are subject to the Horizant® Savings Card Program Terms and Conditions posted at www.mckesson.com/mprstnc
LoyaltyScript® is not an insurance card

For questions regarding setup, claim transmission, patient eligibility, or other issues, call 1-855-700-2990 (8 ᴀᴍ–8 ᴘᴍ ET, Monday–Friday).

Not intended for distribution to healthcare providers in Vermont.

Request a card Activate your card Replace your card

Important Safety Information for HORIZANT® (gabapentin enacarbil) Extended-Release Tablets

INDICATIONS

HORIZANT® (gabapentin enacarbil) is a prescription medicine used to:

treat adults with moderate to severe primary Restless Legs Syndrome (RLS). HORIZANT is not for people who need to sleep during the daytime and stay awake at night.

manage pain from damaged nerves (postherpetic neuralgia) that follows healing of shingles (a painful rash that comes after a herpes zoster infection) in adults.

IMPORTANT SAFETY INFORMATION

Do not drive after taking your dose of HORIZANT until you know how it affects you, including the morning after you take it. Do not operate heavy machinery or do other dangerous activities until you know how HORIZANT affects you. HORIZANT can cause sleepiness, dizziness, slow thinking, and can affect your coordination. Ask your healthcare provider when it is okay to do these activities.

Do not take other medicines that make you sleepy or dizzy while taking HORIZANT without talking to your healthcare provider. Taking HORIZANT with these other medicines may make your sleepiness or dizziness worse.

HORIZANT may cause suicidal thoughts or actions in a very small number of people (about 1 in 500). Pay attention to any changes, especially sudden changes, in mood, behaviors, thoughts, or feelings. Call your healthcare provider right away if you have any of these symptoms, especially if they are new, worse, or worry you:

thoughts or actions about suicide, self-harm, or dying; attempt to commit suicide
new or worsening depression or anxiety; or feeling agitated
new or worse restlessness or panic attacks
new or worse trouble sleeping (insomnia); or irritability
acting aggressive, being angry, or violent; acting on dangerous impulses
an extreme increase in activity or talking (mania); other unusual changes in mood or behavior

Serious breathing problems. Serious breathing problems can occur when HORIZANT is taken with other medicines that can cause severe sleepiness or decreased awareness, or when it is taken by someone who already has breathing problems. Watch for increased sleepiness or decreased breathing when starting HORIZANT or when the dose is increased. Get help right away if breathing problems occur.

Do not stop taking HORIZANT without first talking to your healthcare provider. Suicidal thoughts or actions can be caused by things other than medicines. If you have these thoughts or actions, your healthcare provider may check for other causes.

HORIZANT may cause a serious or life-threatening allergic reaction that may affect your skin or other parts of your body such as your liver or blood cells. You may or may not have a rash with these types of reactions. Call a healthcare provider right away if you have any of the following symptoms: skin rash, hives, fever, swollen glands that do not go away, swelling of your lips or tongue, yellowing of your skin or eyes, unusual bruising or bleeding, severe fatigue or weakness, unexpected severe muscle pain, or frequent infections. These symptoms may be the first signs of a serious reaction. A healthcare provider should examine you to decide if you should continue taking HORIZANT.

HORIZANT is not the same medicine as gabapentin [for example, NEURONTIN® (gabapentin) and GRALISE® (gabapentin)]. HORIZANT should not be used in their place. Do not take these or other gabapentin products while taking HORIZANT.

Before taking HORIZANT, tell your healthcare provider if you:

have or have had kidney problems or are on hemodialysis
have or have had depression, mood problems, or suicidal thoughts or behavior
have or have had seizures
have a history of drug abuse
have any other medical conditions
are pregnant or plan to become pregnant. It is not known if HORIZANT will harm your unborn baby. Talk to your healthcare provider if you are pregnant or plan to become pregnant while taking HORIZANT. You and your healthcare provider will decide if you should take HORIZANT while you are pregnant
are breastfeeding or plan to breastfeed. Your body turns HORIZANT into another drug (gabapentin) that passes into your milk. It is not known if this can harm your baby. You and your healthcare provider should decide if you will take HORIZANT or breastfeed
drink alcohol

Do not drink alcohol while taking HORIZANT because it may increase the risk of side effects.

Tell your healthcare provider about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Taking HORIZANT with certain other medicines can cause side effects or affect how well they work. Do not start or stop other medicines without talking to your healthcare provider.

Do not stop taking HORIZANT without talking to your healthcare provider first. If you stop taking HORIZANT suddenly, you may develop side effects.

The most common side effects of HORIZANT include dizziness, sleepiness, and headache. Tell your healthcare provider about any side effect that bothers you or does not go away. These are not all the possible side effects of HORIZANT. For more information, ask your healthcare provider or pharmacist.

To report a possible side effect, contact Azurity Pharmaceuticals, Inc by email or phone at aereports@azurity.com (Adverse Event Report Form)/1-800-461-7449, or FDA at 1-800-FDA-1088 or www.fda.gov/MedWatch.

For more information, ask your healthcare provider or pharmacist, or consult the full Prescribing Information.