Fill out this form to download a Copay Savings Card and receive ongoing tools, tips, and information about CIBINQO.
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*Eligibility required. No membership fees. This is not health insurance. For CIBINQO, the maximum benefit per patient is $15,000 per calendar year. Only for use with commercial insurance. If you are enrolled in a state or federally funded prescription insurance program, you may not use the copay card. Terms and Conditions apply.
Other ways to get your Copay Savings Card
- Text SAVE1 to 82000†
- Call us at 1-833-956-DERM (1-833-956-3376)
- Ask your doctor’s office