Patient must have private health insurance that provides coverage for the cost of the Program Product under a medical benefit plan.Patient must be prescribed the Program Product for an FDA-approved indication.To receive benefits under the Organon Co-pay Assistance Program (“Co-pay Assistance Program”) for RENFLEXIS (“Program Product”), the patient must enroll in the Co-pay Assistance Program and be accepted as eligible. Terms and Conditions – RENFLEXIS – (Medical Benefit): Both sets of Terms and Conditions for the Co-pay Assistance Program for RENFLEXIS are set forth below. The Organon Co-pay Assistance Program ("Co-pay Assistance Program") for RENFLEXIS consists of two sets of Terms and Conditions, one applicable to RENFLEXIS for which a claim is submitted by a patient’s health care provider (“Medical Benefit”) and the other applicable to RENFLEXIS purchased by a patient at a participating pharmacy (“Pharmacy Benefit”).
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