Pharmacist Instructions: Please submit the copay card authorized for all commercially insured patients by the patient’s primary insurance as a secondary
transaction to OPUS Health. When you use this card, you are confirming that you have not submitted and will not submit a claim for this prescription
for reimbursement under any federal, state, or government-funded healthcare program, such as Medicare (including Part D), Medicare Advantage, Medicaid,
Medigap, Veterans Affairs, the Department of Defense, or TRICARE. Pharmacists with questions please call OPUS Health at 800.364.4767.