Pay No More Than $25 With Our New eVoucherRx™ Program*

No coupon needed! Discount automatically applied at the pharmacy.

With our new Avion Prescription eVoucherRx™ Savings Program, patients pay no more than $25 per prescription. Avion takes the hassle out of getting your discount by no longer requiring a coupon! The new eVoucherRx™ is a paperless electronic program that makes co-pay savings on your prescription easy.

The eVoucherRx program is accepted at over 45,000 U.S. Pharmacies

Simply take your eligible prescription to a participating pharmacy (~90% of retail pharmacies) and the discount will be automatically applied to your co-pay.

Universal EMR Instant Rebate Codes

For all pharmacies not able to participate in the Avion eVoucherRx™ program we offer a universal ID that will allow the patient to enjoy instant savings. Please present the IDs below for your Nicomide^® prescription and the savings will be automatically applied.

RxBIN: 601341
RxPCN: OHCP
Group: OH5534041
ID: 704100106713 Suf: 01

Trouble receiving your discount?

Remember to check that your insurance still covers Nicomide® and that you have met your insurance deductible to qualify for coverage. Find more help on the Pharmacy Checklist Guide available for download here:

*Most eligible patients will pay no more than $25 for each fill. For Nicomide^® the maximum benefit is $100 per fill. Patient will be responsible for any additional money due.

THESE STATEMENTS HAVE NOT BEEN EVALUATED BY THE FOOD AND DRUG ADMINISTRATION. THIS PRODUCT IS NOT INTENDED TO DIAGNOSE, TREAT, CURE OR PREVENT ANY DISEASE. CLICK HERE FOR IMPORTANT SAFETY INFORMATION.

Nicomide^® contains L-methylfolate calcium. The L-methylfolate ([6S]-N5-methyltetrahydrofolic acid calcium salt) in Nicomide^® is less than 1.0% D-isomer.

Pay No More Than $25 With Our New eVoucherRx™ Program*

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