New Spravato Savings Program at NeuroMend

Patients can receive up to $8,150 maximum program benefit each calendar year. Depending on how your insurance covers Spravato™, there is a program benefit limit of

• List price of the medication and a quantity limit of three devices per day or 23 devices in a 24-day period
• A quantity limit of 24 devices in a 24-day period for one use per lifetime

Terms expire at the end of each calendar year and may change. See program requirements.

How do I apply?

You must be enrolled in the Savings Program before receiving your Janssen medication in order to qualify for out-of-pocket cost savings.

Once enrolled, you can share your Savings Program card with your doctor or pharmacist to receive savings on your Spravato™ medication costs.

You can enroll in the Savings Program by

• creating an account online,
• by phone (877-227-3728),
• by fax or email (must complete the patient enrollment form)

How do I use my Savings Program benefits?

How your card can be used depends on the insurance you use to pay for your medication.

If you use your medical/ primary insurance to pay for your medication through your doctor, treatment provider, or pharmacy:

• You may use the card to submit a rebate for reimbursement, OR
• You may assign your Savings Program benefits directly to your treatment provider. Please discuss this option with your treating provider.

If you use your pharmacy/ prescription insurance to pay for your medication from a pharmacy:

• You may use your card (provide your Member ID #, Rx BIN #, and Group #) to receive instant savings off the cost of your medication
• The pharmacy will collect your co-pay

If you are looking to submit an Explanation of Benefits (EOB) for a rebate check to be sent directly to you, download the Medical Benefit Rebate form below.