Information for patients

• Present this card to the pharmacist along with your prescription
• Pay the minimum $10 out-of-pocket expense. The pharmacist will then provide you up to $125 in instant savings off your purchase of NEUPRO to help cover out-of-pocket costs for which you may be responsible
• Report receipt of Savings Card benefit to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using this card as may be required

Information for pharmacists

• Submit transaction to McKesson Corporation using BIN #610524
• 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 NEUPRO Patient Savings Program^™ are subject to the LoyaltyScript^®† program Terms and Conditions posted at www.mckesson.com/mprstnc
• Pharmacist agrees to notify the patient's insurance carrier of the coupon redemption, as may be required by the insurance carrier's terms and conditions and applicable law

^†LoyaltyScript is a registered trademark of McKesson Corporation.

UCB reserves the right to change or cancel this program at any time without notice.

For more information

Questions? Contact the NEUPRO Patient Savings Program^™ at 1-855-841-0263, (8 a.m.-8 p.m. ET, Monday - Friday).