Savings Program

Pharmacy Help Desk: 844-728-3479

SAVINGS PROGRAM Instructions

Redeem this card only when accompanied by valid prescription. Card valid toward out-of-pocket expenses
for all Solubiomix, Basiem or Ayurax products.

Pharmacist for patient with eligible third-party payer

Pharmacist – Submit this claim to primary third-party payer first, then submit balance as Secondary Payer
COB (coordination of benefits) with patient responsibility amount.

Terms and Conditions

Terms and Conditions: Offer cannot be combined with any other rebate or coupon, free trial, or similar
offer for the specified prescription, Not valid for prescriptions reimbursed in whole or in part by Medicaid,
Medicare, VA, DOD, TriCare, or other federal or state programs (including state prescription drug
programs). Offer good only in United States at participating retails pharmacies. Absent a change in
Massachusetts law, offer not valid in Massachusetts. Offer not valid where otherwise prohibited by law.
Solubiomix reserves the right to rescind, revoke, or amend offer without notice. The selling, purchasing,
trading, or counterfeiting of this card is prohibited by law. This card is not insurance and is not intended to
substitute for insurance. Participating patients and pharmacists understand and agree to comply with all
Terms and Conditions of offer. Patients must be 18 or older.