Advertisement
Dalbavancin Coupon - Dalbavancin 500mg vial
Dalbavancin
Specialty Drug

Dalvance

DALBAVANCIN is an antibiotic. It is used to treat certain kinds of bacterial infections. It will not work for colds, flu, or other viral infections. Compare glycopeptide antibiotics.
Dalbavancin Coupon - Dalbavancin 500mg vial
Advertisement

Dalbavancin Savings Tips

Manufacturer Coupon

Many manufacturers offer programs that will reduce your out-of-pocket costs for this prescription. These programs are free but may have some rules or restrictions, so you’ll want to review carefully. When you’re ready to use this coupon, simply present the coupon to your pharmacist with a valid prescription for your medication.

Program Name:Dalvance Connects Co-Pay Assistance Program
Provider:Allergan
Phone Number:1-855-387-2824
Website:https://www.dalvance.com/coding-and-reimbursement
How do I get the discount?Call 1-855-387-2824 for more information and to enroll
How much can I save?Your co-pay can be reduced by as much as $800 for one year.
Do I need insurance?Yes. The program is for commercially insured patients only.
Number of uses:Up to 1 use
Expiration:None Listed
Other notes:Offer only valid if receiving an infusion in a practice-based or freestanding infusion center, hospital outpatient department, or home infusion service.

Patient Assistance Program

Many programs are available from federal and state governments, non-profits, manufacturers, and other organizations to help you get the drugs you need at a reduced cost. Eligibility is often based on income, insurance or Medicare status, and other factors. You’ll need to apply through each program, either online, over the phone, or with your doctor's help. The following program is offered by the manufacturer of this drug.

Program Name:Actavis U.S. Patient Assistance Program
Provider:Actavis
Phone Number:1-800-851-0758
Website:http://www.allergan.com/responsibility/patient-resources/patient-assistance-programs
How do I apply?Ask your doctor to help you submit an application. You can find the form on the program website, or request one by calling 1-800-851-0758.
What are the benefits?You can enroll for 12 months at a time, and your medication will be shipped to your doctor or pharmacy every 90 days at no charge if you are approved.
What are the restrictions?You will need a valid prescription, proof of gross monthly househould income, and a copy of your LIS denial letter (Medicare Part D only). Please contact the program for more information about income eligibility requirements.
Keep in mindN/A

Cheaper Alternative

There may be other prescriptions in the same class (that work in the same way) that could treat your condition just as well at a much lower cost.

If you're taking an expensive brand-name-only drug, it may be worth asking your doctor if there are any other less expensive, generic, or over-the-counter options that might work for you.

GoodRx is not sponsored by or affiliated with any of the pharmacies identified in its price comparisons. All trademarks, brands, logos and copyright images are property of their respective owners and rights holders and are used solely to represent the products of these rights holders. This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. GoodRx provides no warranty for any of the pricing data or other information. Please seek medical advice before starting, changing or terminating any medical treatment.