Patient Terms and Conditions:
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Must be a resident of the US or PR
- Legal residency is not required
- Must have primary commercial insurance that covers the product, and such payer must be the primary payer on each claim
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As required by law, the program is NOT available to individuals who:
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Have coverage or prescriptions paid for in part or full under any state or federally funded healthcare program including:
- Medicaid
- Medicare
- Medigap
- Department of Defense (DoD)
- Veterans Affairs (VA)
- TRICARE™
- Puerto Rico Government Insurance
- any state patient or pharmaceutical assistance program
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Have coverage or prescriptions paid for in part or full under any state or federally funded healthcare program including:
- Patient must attest to meeting above requirements
- Re-enrollment required every rolling 12 months
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Minimum out of pocket of $25 per prescription fill.
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If a claim exceeds $10,000, it will reject for review by VONJO Connect
- Their phone number will be provided in the rejection for the pharmacy to call
- The VONJO Connect team will need to understand the patient’s benefit design to ensure they do have an accumulator policy to approve claim
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If a claim exceeds $10,000, it will reject for review by VONJO Connect
- Maximum benefit up to $25,000 for a 12 month period