My Savings Program

You can start saving on your XIIDRA prescriptions

Eligible commercially insured patients may pay as little as a

$0 Copay*

*See Terms and Conditions below.

We’re sorry. Based on your response, you’re not eligible for the XIIDRA My Savings Program. See Terms and Conditions below.


Activate a XIIDRA copay card

Download a XIIDRA copay card

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Please enter the copay card group number.
Please enter the copay card ID number.
Please enter a first name.
Please enter a last name.
Please select a date of birth.
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By clicking “ACTIVATE COPAY CARD,” you confirm that you read and understand the Eligibility Criteria, Terms and Conditions, Privacy Policy, and Legal Notice of the program set forth below and that you currently meet all eligibility criteria and will comply with the Terms and Conditions of the copay program.

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