INBRIJA Savings Programs
$0
$0 CO-PAY
Commercially insured patients may be eligible to pay as little as $0 for their INBRIJA prescription. *Limitations and restrictions may Apply
Eligibility Restrictions Apply. For Questions, call 1-833-INBRIJA (1-833-462-7452)

Patient Assistance
Program (PAP)
No-cost medication to patients who meet specific program eligibility requirements
*Please note, restrictions and maximum benefits apply to Merz’s co-pay assistance program, including monthly and yearly maximums. For more information, call 1-833-462-7452. Merz may modify these maximums or discontinue the program at any time. In this case, any change to what commercial patients are required to pay will be communicated to patients by their specialty pharmacy. The actual amount patients have to pay will vary depending upon these maximums and their insurance benefit. See Full Terms and Conditions
Patient
Support services
Formulary
Access
Terms and Conditions
*Co-pay program eligibility, Terms and Conditions, and Program Limitations
Patients must:
- Be 18 years of age or older
- Be prescribed INBRIJA for an FDA-approved indication
- Have commercial health insurance
- Not covered by any federal, state, or government-funded healthcare program, such as Medicare, Medicare Advantage, Medicare Part D, Veterans Affairs, Department of Defense, or TRICARE
This offer is valid only in the United States, excluding where its otherwise prohibited by law. Patients residing in the states of Massachusetts and Rhode Island are eligible for drug co-payment assistance only and are not eligible for other types of co-payment assistance, including but not limited to costs related to administration of the drug.
Patients who move from commercial to federally funded or state funded insurance will no longer be eligible for the program. Proof required for receiving payment for out-of-pocket drug costs includes a valid explanation of benefits (EOB) or specialty pharmacy invoice, which must be submitted with 180 days after each treatment. Patient/Guardian may not and agrees not to seek reimbursement for value received from the Program from any third-party payers, including flexible spending accounts or healthcare savings accounts. If at any time patient begins receiving coverage under any federal, state, or government-funded healthcare program, Patient is no longer eligible to participate in the Program and must call 1-833-INBRIJA (1-833-462-7452) between 8am – 8pm ET to stop participation. Restrictions may apply. This is not health insurance.
Patient/Guardian and pharmacist are responsible for notifying insurance carriers or any other third party who pays for or reimburses any part of the prescription filled using the Program as may be required by the insurance carrier’s terms and conditions and applicable law.
Once a patient is successfully enrolled into the Program, they will be automatically re-enrolled annually, for as long as your patient remains eligible. The patient is obligated to notify the program within thirty (30) days of any change in information provided in patient’s enrollment form. The patient may notify the Program at any time to terminate participation in the Program. The patient may submit a new enrollment form to make changes to any Program elections. This offer may not be combined with any other coupon, discount, prescription savings card, free trial, or other offer for INBRIJA.
This is a limited time offer, and Merz reserves the right to rescind, revoke, amend, or terminate this offer, or the program in its entirety, at any time without notice.
Patient Assistance Program
For information about the eligibility requirements of the Merz Patient Assistance Program, call 1-833-INBRIJA (1-833-462-7452).