We got you with savings, too

Most eligible patients pay no more than $10 for a 30-day fill, $15 for a 60-day fill, or $20 for a 90-day fill!2

Present your savings coupon with your prescription to your participating pharmacy.

Register and activate a Balcoltra Savings Program Coupon

    All fields are required.

    • Avion respects individual privacy and values the confidence of our customers. The information pertaining to you that we collect will be used in accordance with our Privacy Policy. By providing your email address, you agree and acknowledge that you would like to receive information from Avion related to Balcoltra and the Balcoltra Savings Program, including site updates, education, and other Balcoltra products and services. If you later wish to opt out from receiving this information, you may click on the included opt-out link in future communications.

      If you provided a mobile number, clicking “Submit” will subscribe you to receive requested text messages from Avion containing notifications and reminders regarding our products, which may contain marketing content, on the mobile device that is personally owned by you. You represent that you have the authority to agree to receive SMS messages on the mobile number that you provided to us, or from which you sent the SMS request to us. Message frequency will be up to 3 times per month. Standard message and data rates may apply. SMS messaging is not available in all areas. Not all mobile devices or handsets may be supported. Avion is not liable for delayed or undelivered messages. Avion respects individual privacy and values the confidence of our customers. The information pertaining to you that we collect will be used in accordance with our Privacy Policy. By providing your email address, you agree and acknowledge that you would like to receive information from Avion related to Balcoltra, including site updates, education, and other Avion products and services. If you later wish to opt out from receiving this information, you may click on the included opt-out link in future communications. For additional assistance, please contact us.

    • Please Answer the Following Questions

    • By activating your Balcoltra Savings Program Coupon, you certify that you are not enrolled in a federal- or state-funded prescription drug benefit program, such as Medicare, Medicaid, or any private indemnity or HMO insurance plan that reimburses you for the entire cost of your prescription drugs. You also certify that you are not Medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. You further certify that should you begin receiving prescription benefits from one of these types of programs at any time, you will no longer participate in this savings program.

    1. This offer is only good for self-pay patients and commercial-prescription-drug-insured patients and is good for use only with a Balcoltra prescription at the time the prescription is filled by the pharmacist and dispensed to the patient.
    2. Depending on insurance coverage, most eligible insured patients pay $10 with a maximum benefit amount of up to $140 for a 30-day fill, $15 with a maximum benefit amount of up to $280 for a 60-day fill, or $20 for a maximum benefit amount of $400 for a 90-day fill. Patients may have additional financial responsibilities depending on their insurance plan. Please see full terms and conditions on your downloaded savings coupon.
    3. This offer is not valid for patients enrolled in Medicare, Medicaid, TRICARE, or other federal or state programs (including any state pharmaceutical assistance programs), or private indemnity or HMO insurance plans that reimburse you for the entire cost of your prescription drugs. Patients may not use this coupon if they are Medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. Qualified health plans purchased through a health insurance exchange or marketplace established by a state government or the federal government are not considered to be government programs and are eligible for this program.
    4. Each coupon is valid for unlimited refills. This coupon is not transferable. Avion reserves the right to rescind, revoke, or amend this offer without notice.
    5. Offer not valid in any states where prohibited by law, taxed, or restricted.
    6. The selling, purchasing, trading, or counterfeiting of this coupon is prohibited by law.
    7. By redeeming this coupon, you acknowledge that you understand and agree to comply with the terms and conditions of this offer.

    For questions about the Balcoltra Savings Program, please call 1-877-838-3846.

    Ready to see if Balcoltra is for you?
    We got your back!

    Now you can get a Balcoltra prescription online! Simply click the button below to leave balcoltra.com and be taken to a third-party telehealth service called Mint Clinic.

    Mint Clinic helps potential patients virtually connect with independent healthcare providers. The best part? Mint Clinic will also ship your prescription directly to you!

    It couldn’t be easier.