WARNING: Do not leave this page until you have saved or printed your Savings Card. Once you leave, you may not be able to retrieve your Savings Card again.
Take your card to the pharmacy with your prescription and show it to your pharmacist.
To keep this card handy to share with your pharmacist, you may choose to take a screenshot of it, add it to your browser’s reading list, bookmark it, add it to your mobile wallet, or print it.
Need a Savings Card for someone else?
We’re here to support you
Have questions? Find a single point of contact with Supernus Support and get help with any of the following:
- Ways to save on Qelbree
- Medication access
- Insurance coverage for Qelbree
Reach us Monday - Friday, 8:30AM–6:30PM ET (excluding holidays): 1-866-398-0833
Your Savings Card
ID: [card_id]
RxBIN: [card_RxBIN]
RxPCN: [card_RxPCN]
RxGRP: [card_RxGRP]
ISSUER: [card_ISSUER]
To apply your discount, take your Savings Card with you to the pharmacy and show it to the pharmacist along with your prescription.
Your insurance plan may require additional information from your doctor before they will cover Qelbree. This is sometimes called a Prior Authorization. To avoid delays in your prescription’s approval, be sure that your doctor or pharmacist submits all necessary information to your insurance company as soon as possible.
Share the instructions below with your pharmacist!
Card not working or trouble filling your prescription?
Call 1-855-725-7736
General Instructions:
If you receive a rejection due to a Managed Care Restriction (e.g., Not Covered or NDC Block) and the pharmacy system allows, continue processing with valid Other Coverage Code (OCC) of 03.
Each pharmacy may have its own set of practice management systems and procedures, so these instructions may not apply. If the pharmacy still cannot adjudicate the claim, please call the McKesson Help Desk at 1-855-725-7736.
CVS, please use the following steps: (This rebate can be utilized for patients who are INSURED/NOT COVERED)
1. Run the primary insurance with rebate as secondary. Enter BIN#, Group# and ID# located on the rebate. After running the primary claim, a prompt will come up that says “Do you want to split the bill?” Select “Yes” and the next prompts to run the claim.
2. The primary will reject and the secondary will show “Pending” status.
3. In the reject message (DUR) screen, type in initials “BP” to bypass insurance or press the BP button in the lower right hand corner of the screen (the OCC-3 claim will auto populate when pharmacist enters "BP").
4. Once bypassed, the system will ask, “only proceed if claim is unresolvable”. DO NOT edit any fields, submit claim and let the system auto process.
Walgreens, please use the following steps: (This rebate can be utilized for patients who are INSURED/NOT COVERED)
1. Enter in copay card BIN#, GROUP# and ID# into the profile.
2. Process through primary insurance to see if covered at all. If there is a rejection for “drug not covered”, P.A. or step-edit, cash out the prescription and process an SDL (submit direct link).
3. Complete the SDL form, first processing for the primary insurance so that it will reflect the rejection from the primary payer.
4. Once the SDL through the Primary rejects, cash it out.
5. Next process the SDL for the rebate card using the Other Coverage Code “3” (other coverage exists, this claim is not covered).
Target please use the following steps: (This rebate can be utilized for patients who are INSURED/NOT COVERED)
1. Run the claim through the patient’s primary insurance – it will reject.
2. If the claim requires PA, step-edit, or is NDC blocked, submit OCC (Other Coverage Code) “3” OR Secondary Claim “8” using the rebate card. When submitting 3/8 claim, the pharmacy should click “YES” when prompted, “transmit to other insurance”. This does not always happen but is a good problem-solving technique if he/she runs into difficulty.
3. Utilize the BIN#, GROUP# and ID# located on the rebate.
Walmart please use the following steps: (This rebate can be utilized for patients who are INSURED/NOT COVERED)
1. Adjudicate the claim through patient’s primary insurance – it will reject.
2. If claim requires PA, step-edit or is NDC blocked, bypass the rejection and run the claim as a secondary payer by either choosing “OCC” (Other Coverage code “3”) or selecting “have insurance coverage, no payment collected”.
3. Utilize the BIN#, GROUP# and ID# located on the rebate.
Terms and Conditions
This offer is good for most commercially insured and cash-paying patients purchasing Qelbree® and may not be used for any other product. Maximum benefits and quantity of capsules may apply. This offer is not valid for prescriptions purchased under Medicaid, Medicare, or other federal or state programs (such as medical assistance programs). Offer not valid where prohibited by law, taxed, or restricted. It is not transferable and may not be combined with any other offer. The amount of the rebate cannot exceed the patient’s actual out-of-pocket expenses. Offer must be presented along with a valid prescription for Qelbree at the time of purchase. By enrolling into this program you are consenting to the collection and use of certain personal information including your phone number and/or email address and elements of pharmacy claim information. This information will be collected and used by service providers of Supernus Pharmaceuticals, Inc. (“Supernus”), in order to administer this program. This information is not provided to Supernus directly. If you do not consent, please do not enroll into the program. If you require additional assistance, please call 1-866-398-0833. Supernus reserves the right to rescind, revoke, or amend this offer without notice at any time.