Understanding Your
Chronic Pain Treatment

NUCYNTA® ER is:

  • A strong prescription pain medicine that contains an opioid (narcotic) that is used to manage pain severe enough to require daily around-the-clock, long‑term treatment with an opioid, when other pain treatments such as non‑opioid pain medicines or immediate‑release opioid medicines do not treat your pain well enough or you cannot tolerate them
  • Also used to manage pain from damaged nerves (neuropathic pain) that happens with diabetes and is severe enough to require daily around-the-clock, long-term treatment with an opioid, when other pain treatments such as non-opioid pain medicines do not treat your pain well enough or you cannot tolerate them
  • A long‑acting (extended‑release) opioid pain medicine that can put you at risk for overdose and death. Even if you take your dose correctly as prescribed, you are at risk for opioid addiction, abuse, and misuse that can lead to death
  • Used to treat around-the-clock pain only

SAVE WITH THE NUCYNTA® ER/NUCYNTA® SAVINGS CARD

Eligible patients pay as little as
$35* for each prescription of


*Offer valid for commercially insured patients only. Maximum savings limit applies; patient out-of-pocket expense may vary. Please see Program Terms, Conditions, and Eligibility Criteria, below.

HOW YOU CAN SAVE:

  • Present your Co-pay Card to your pharmacist along with your NUCYNTA® ER or NUCYNTA® prescription to receive instant savings
  • Most eligible commercially insured patients will pay as little as $35 (maximum benefit amount of $100) for NUCYNTA® ER or NUCYNTA® tablets
  • If you have questions about the NUCYNTA® ER or NUCYNTA® savings offer please call 1‑844‑807‑0348

For Indications and Usage and Important Safety Information, click here.
Please see full Prescribing Information for more information about NUCYNTA ER.


 

PROGRAM TERMS, CONDITIONS, AND ELIGIBILITY

Offer is valid for commercially insured patients only. Most eligible commercially insured patients will pay as little as $35 (maximum benefit amount of $100) for Nucynta® ER or Nucynta® tablets. Any remaining out-of-pocket expense will be the patient’s responsibility. This offer is valid in the United States. Some restrictions may apply. Offer not valid for prescriptions reimbursed under Medicaid, a Medicare drug benefit plan, Tricare or other federal or state health programs (such as medical assistance programs). Cash Discount Cards and other non-insurance plans are not valid as primary under this offer. If the patient is eligible for drug benefits under any such program, the patient cannot use this offer. By using this offer, the patient certifies that he or she will comply with any terms of his or her health insurance contract requiring notification to his or her payer of the existence and/or value of this offer. This offer is not valid for cash paying patients. Offer not valid for patients under 18 years of age.

Patient Instructions: To redeem this offer, you must have a valid prescription for Nucynta® ER or Nucynta® and follow the dosage instructions provided by your healthcare provider with a valid Prescriber ID# (e.g. NPI or DEA). This offer may not be redeemed for cash. Patients with questions about the Nucynta® ER or Nucynta® savings offer should call 1‑844‑807‑0348.

Pharmacist: When you apply this offer, you are certifying that you have not submitted a claim for reimbursement under any federal, state, or other governmental programs for this prescription. Participation in this program must comply with all applicable laws and regulations as a pharmacy provider.

Pharmacist instructions for a patient with an Eligible Third Party Payer: Submit the claim to the primary Third Party Payer first, then submit the balance due to Change Healthcare as a Secondary Payer COB [coordination of benefits] with patient responsibility amount and a valid Other Coverage Code (e.g. 8). Most eligible commercially insured patients will pay as little as $35 (maximum benefit amount of $100) for Nucynta® ER or Nucynta® tablets. Reimbursement will be received from Change Healthcare. Valid Other Coverage Code required. For any questions regarding Change Healthcare online processing, please call the Help Desk at 1‑800‑433‑4893.

Program expires 06/30/2019.

This offer is not transferable and is limited to one offer per person. Not valid if reproduced. Void where prohibited by law. Program managed by ConnectiveRx on behalf of Collegium Pharmaceutical. The parties reserve the right to rescind, revoke or amend this offer without notice at any time.