Divigel Voucher

Patient: You must present this card to the pharmacist along with your prescription to participate in this program. Not all patients are eligible to participate in this program. If you have any questions regarding your eligibility or benefits or if you wish to discontinue your participation, call the Divigel^® Patient Savings Program at 1-800-657-7613 (8:00 AM-8:00 PM EST, Monday-Friday).

Pharmacist:

Submit transaction to McKesson Specialty Arizona Inc. 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 claim submission for the Divigel^® Patient Savings Program are subject to the LoyaltyScript^® Program Terms and Conditions established by McKesson Specialty Arizona Inc. By accepting this card, you agree to the LoyaltyScript^® Program Terms and Conditions posted at www.mckesson.com/mprs.
Patient not eligible if prescriptions are paid in part or full by any state or federally funded programs, including but not limited to Medicare or Medicaid, Medigap, VA, DOD, or Tricare and where prohibited by law, including Massachusetts. LoyaltyScript^® is not an insurance card.
For questions regarding setup, claim transmission, patient eligibility or other issues, call the Divigel^® Patient Savings Program at 1-800-657-7613 (8:00 AM-8:00 PM EST, Monday-Friday).
This program may be terminated at any time.