Co-pay card

RELPAX $10 Co-pay Card*

The RELPAX® (eletriptan HBr) $10 Co-pay Card was designed to
help make RELPAX prescriptions more affordable for patients.
If you are eligible, you can get your prescription
for no more than $10.
Area 1
*Some exclusions apply. See Terms and Conditions.
Area 2
Please note: This Co-pay Card is not health insurance and is only accepted at participating pharmacies. Savings limited to $100 per month for 12 uses. Card may be used once per month.
Pfizer understands your personal and health information is private. The information you provide will only be used by Pfizer and parties acting on its behalf to send you the materials you requested and other helpful information and updates on RELPAX and/or migraines, as well as related treatments, products, offers, and services.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.