*The WD Rx Access copay savings program is only valid for individuals with commercial insurance. The WD Rx Access copay savings program is not valid for any person eligible for reimbursement of prescriptions, in whole or in part, by any federal, state, or other governmental programs, including, but not limited to, Medicare (including Medicare Advantage and Part A, B, and D plans), Medicaid, TRICARE, Veterans Administration or Department of Defense health coverage, CHAMPUS, the Puerto Rico Government Health Insurance Plan or any other federal or state health care programs. These patients may qualify for alternative financial assistance. These offers are good only in the United States of America (including the District of Columbia, Puerto Rico and the U.S. Virgin Islands). These offers are not available for individuals who live in Massachusetts and/or who have insurance coverage for prescriptions in Massachusetts. California residents and/or individuals who have insurance coverage for prescriptions in California may not be eligible to participate in the program unless they have a prior authorization or are otherwise eligible under California law. These offers are only good for use with SYPRINE® or CUPRIMINE®. No other purchase necessary. These offers are not health insurance. The patient agrees not to seek reimbursement for all or any part of the benefit received through one of these offers and is responsible for making any required reports of his/her use of one these offers to any insurer or any third party who pays any part of this prescription filled. Patients must be 18 years of age or older to redeem these offers. These offers are not transferable. These offers are not valid with other offers. These offers have no cash value. The patient is responsible for paying the first $5 for each eligible prescription fill. There is a maximum benefit for the program, and the patient is responsible for all additional costs and expenses after the maximum benefit limit is reached. The patient understands and agrees to comply with the terms and conditions of these offers. Program term eligibility expires December 31, 2021. Bausch Health reserves the right to rescind, revoke, terminate, or amend these offers at any time, with or without notice. For more information, call a WD Rx Access representative at 888-607-7267.