Congratulations! Your FYCOMPA® Instant Savings Card is now ready for use. When you take it to the pharmacy, you could pay as little as $10 per month for your FYCOMPA prescription. The card is good for up to 12 months. Present this FYCOMPA® Instant Savings Card to the pharmacist along with your prescription.

If you are commercially insured, you may pay as little as $10 per month for your FYCOMPA prescription. You may need to pay more depending on your insurance plan. The most that will be paid through this program is $1,300 within 12 months.

If you have no insurance, Eisai will pay up to $60 per prescription for a maximum of $720 per year.

If you have questions, please call 1-855-347-2448.

ADDITIONAL TERMS AND CONDITIONS: Good toward the purchase of FYCOMPA prescriptions only. No substitutions permitted. Save this card to reuse with each prescription. Not available to patients enrolled in Federal or state healthcare programs, including Medicare, Medicaid, Medigap, VA, DoD or TRICARE. May not be combined with any other discount or offer. Federal law prohibits the selling, purchasing, trading, or counterfeiting of this card. Void outside the USA and where prohibited by law. Eisai Inc. reserves the right to rescind, revoke, or amend this offer at any time without notice. You must be 18 years or older to use the card for yourself or a minor. Patients and pharmacies are responsible for disclosing to insurance carriers the redemption and value of the card and complying with any other conditions imposed by insurance carriers, third-party payers, and applicable law on the redemption. The value of this card is not contingent on any prior or future purchases. May not be accepted at all pharmacies. Not valid for prescriptions for FYCOMPA or any other product reimbursed in full by third-party payers. Not an insurance program. No membership fees. This offer will expire July 1, 2020.

You can download your card by clicking below.