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Alvesco’s Coverage Options May
Lower the Cost of Your Prescription

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The Alvesco eVoucher Program

At participating pharmacies,* commercially insured patients may pay as little as $60 per prescription through the Alvesco eVoucher program †.

  • 1-2 Inhalers per prescription: maximum discount is $175 per prescription to as little as $60
  • 2-3 Inhalers per prescription: maximum discount is $350 per prescription to as little as $60
  • 4+ Inhalers per prescription: maximum discount is $525 per prescription to as little as $60

*Participating Pharmacy Lookup click here

†Restrictions apply and co-pay amounts may vary. Subject to eligibility rules; restrictions apply. The eVoucher program is not valid for prescriptions that are eligible to be reimbursed, in whole or in part, by Medicaid, Medicare (including Medicare Part D and Medicare Advantage), TriCare, CHAMPUS, or any other local, state or federal healthcare programs, including state prescription drug assistance programs and the La Reforma de Salud program in Puerto Rico.

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The Transition Pharmacy Program

Alvesco’s home delivery program for cash paying patients. Inhalers may be available for as little as $60 per prescription.

Covis Patient Assistance Program

The Covis Patient Assistance Program is available for patients who cannot afford their Alvesco prescription.

COVIS Patient Assistance Program Application Form

Revised Alvesco $0 Walgreens Copay Card Offer Terms & Conditions

BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE.

  • Patients are not eligible to use the Card if they are enrolled in a state- or federally funded insurance program, including but not limited to Medicare, Medicaid, TRICARE, Veterans Affairs health care, a state prescription drug assistance program, or the Government Health Insurance Plan available in Puerto Rico (formerly known as “La Reforma de Salud”).

Commercially Insured Patients
  • Eligible commercially insured, covered patients with no restrictions, (step-edit, prior authorization, or NDC block) and a valid prescription for Alvesco who present the Card at participating pharmacies may pay as low as $0 for each 30-day supply with no maximum benefit per fill.
  • Commercially insured patients are eligible for this program even when the medication is not covered by insurance and will receive reduced costs dependent on the Alvesco prescription size (e.g. Per prescription fill for 1 - 2 inhalers at $50 total cost; Per prescription fill for 3 - 4 inhalers at $100 total cost; Per prescription fill for 5 - 6 inhalers at $150 total cost).
  • Commercially insured patients are eligible for the uninsured program if they choose not to use their insurance.

Uninsured Patients
  • Uninsured and patients are eligible for this program.
  • Commercially insured patients are eligible for the uninsured program if they choose not to use their insurance.

Government Patients
  • Government funded patients are not eligible for the uninsured program, however Medicare Part D patients are eligible if they choose not to use their Medicare Part D insurance.
  • By accepting these terms, the Medicare Part D patient “opts-in” to using the manufacturer savings program. You must have a prescription drug insurance through Medicare Part D. You must not seek reimbursement from your Medicare Part D prescription plan for your out-of-pocket costs for Alvesco purchased with the card. You must also agree not to count the cost of Alvesco toward your deducible or true out-of-pocket cost. You must purchase all prescriptions for Alvesco for the remainder of the calendar year with the program saving card and not use Medicare Part D benefits for Alvesco.
  • This Card is not valid when the entire cost of your prescription drug is eligible to be reimbursed by your private insurance plan or other private health or pharmacy benefit programs.
  • You must deduct the value of this Card from any reimbursement request submitted to your private insurance plan, either directly by you or on your behalf.
  • Patient is responsible for reporting receipt of coupon benefit to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the coupon. You should not use the Card if your insurer or health plan prohibits use of manufacturer Cards.
  • The Card is not valid where prohibited by law.
  • The Card cannot be combined with any other savings, free trial, or similar offer for the specified prescription.
  • The Card will be accepted only at participating retail pharmacies owned and operated by Walgreen Co. (or its affiliates) and other participating independent retail pharmacies.
  • The Coupon is not health insurance.
  • Offer good only in the U.S. and Puerto Rico.
  • The Card is limited to 1 per person during this offering period and is not transferable.
  • No other purchase is necessary.
  • Covis reserves the right to rescind, revoke, or amend the program without notice.

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