Savings Card

Two ways to save on OTOVEL

It’s great to have choices, and you have two of them when it comes to savings programs for OTOVEL® (ciprofloxacin and fluocinolone acetonide). Decide which one is right for you. Saving on your prescription of OTOVEL is as easy as 1-2-3!

OTOVEL savings coupon

The OTOVEL savings coupon offers an instant discount at the pharmacy of your choice. Insured patients may pay no more than $20, while cash-paying patients may pay as little as $75.*

Here's how to redeem your OTOVEL savings coupon

  1. Get a prescription for OTOVEL from your healthcare provider

  2. Download and print the OTOVEL coupon

  3. Present your prescription and printed OTOVEL coupon to your pharmacist

Arbor E-Z Rx™ Pharmacy Program

The Arbor E-Z Rx Pharmacy Program is a network of more than 4,200 pharmacies across 46 US states that offer extra-low copays for eligible OTOVEL patients. Over 600,000 prescriptions for Arbor products have been filled at E-Z Rx partner pharmacies to date.1

Insured patients who use an Arbor E-Z Rx partner pharmacy may pay no more than $20 for their prescription of OTOVEL. Cash-paying patients may pay no more than $40. Some participating pharmacies will even deliver your OTOVEL prescription straight to your front door!

Here's how to fill your OTOVEL prescription with Arbor E-Z Rx

  1. Get a prescription for OTOVEL from your healthcare provider

  2. Find the nearest participating pharmacy using the Arbor E-Z Rx Pharmacy locator below

  3. Fill your your OTOVEL prescription at significant savings

No coupons or copay cards are needed to save! Call ahead to make sure the pharmacy has OTOVEL in stock.

Arbor E-Z Rx Pharmacy locator

Find your local participating pharmacy for additional savings on OTOVEL.

If you have questions, please contact our Help Desk at 1-877-264-2440 (8:00 AM-8:00 PM ET, Monday-Friday, excluding holidays).

e-z rx logo

    *Savings Coupon Terms and Conditions

    Patient: If your copay for OTOVEL exceeds $20 (insured patients), present this card to the pharmacist for an instant rebate. Benefit limitations apply. Cash-paying patients will receive a retail discount of $188 per box. Patient is responsible for the remaining balance after benefit limits are reached. For questions regarding your eligibility or benefits or if you wish to discontinue your participation, call 877-264-2440 (8:00 AM-8:00 PM EST, Monday-Friday).

    Pharmacist: Benefit limitations apply. When you use this card, you are certifying that you have not submitted and will not submit a claim for reimbursement under any federal, state, or other governmental programs for this prescription. By redeeming this coupon, you agree that you understand and will abide by the terms and conditions of this offer, posted at www.mckesson.com/mprstnc.

    • Submit transaction to McKesson Corporation using BIN #610524.

    • Patient not eligible if prescriptions are paid in part or full by any state or federally funded programs, including but not limited to, Medicare or Medicaid, Medigap, VA, DOD, or TriCare. This program is not valid where prohibited by law.

    • If primary coverage exists, input card information as secondary coverage and transmit using the COB segment of the NCPDP transaction. Applicable discounts will be displayed in the transaction response.

    • Acceptance of this card and your submission of claims for the OTOVEL Savings Program are subject to the OTOVEL Savings Program Terms and Conditions posted at www.mckesson.com/mprstnc.

      — LoyaltyScript® is not an insurance card.

    For questions regarding setup, claim transmission, patient eligibility or other issues, call 877-264-2440 (8:00 AM-8:00 PM EST, Monday-Friday).

    Arbor E-Z Rx Terms and Conditions

    Eligibility requirements: This offer cannot be used if a patient is a beneficiary of, or any part of their prescription is covered by: (1) any federal or state healthcare program (Medicare, Medicaid, TriCare, etc.), including a state pharmaceutical assistance program, (2) the Medicare Prescription Drug Program (Part D), or if the patient is currently in the coverage gap, or (3) has insurance that is paying the entire cost of the prescription.

    Copays are not valid for prescriptions purchased under Medicare, Medicaid, or similar healthcare programs. Patients enrolled in Medicare, Medicaid, or similar federal healthcare programs are not eligible for any part of the Arbor E-Z Rx Program. Drug discount cards cannot be used with this program.

    IMPORTANT SAFETY INFORMATION

    Do not use OTOVEL if your child:

    • Is allergic to quinolones including ciprofloxacin, corticosteroids including fluocinolone acetonide, or any of the ingredients in OTOVEL.

    • Has an outer ear canal infection caused by certain viruses including chicken pox (varicella) and the herpes simplex virus, or has a fungal ear infection.

    INDICATIONS

    OTOVEL® (ciprofloxacin and fluocinolone acetonide) is used in children 6 months of age and older, who have a tiny cylinder tube in their eardrum known as a tympanostomy tube to prevent excess fluid in the middle ear. Otovel is used to treat a type of middle ear infection called acute otitis media with tympanostomy tubes (AOMT) caused by certain bacteria.

    IMPORTANT SAFETY INFORMATION

    Do not use OTOVEL if your child:

    • Is allergic to quinolones including ciprofloxacin, corticosteroids including fluocinolone acetonide, or any of the ingredients in OTOVEL.

    • Has an outer ear canal infection caused by certain viruses including chicken pox (varicella) and the herpes simplex virus, or has a fungal ear infection.

    Before using OTOVEL, tell your healthcare provider about all of your child’s medical conditions, including if they:

    • Are pregnant or plan to become pregnant, although OTOVEL is not expected to harm the baby.

    • Are breastfeeding or plan to breastfeed, although OTOVEL is not expected to pass into the breast milk to harm the baby.

    Tell your healthcare provider about all the medicines your child takes, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

    Use OTOVEL exactly as your healthcare provider tells you. OTOVEL is for use in the ear only. Do not inject OTOVEL or use OTOVEL in the eye. If symptoms do not improve after 7 days of treatment with OTOVEL, contact your healthcare provider. Do not use OTOVEL for a condition for which it was not prescribed. Do not give OTOVEL to other people, even if they have the same symptoms. It may harm them.

    Call your healthcare provider right away if:

    • Fluid continues to drain from the ear after finishing treatment with OTOVEL.

    • Fluid drains from the ear 2 or more times within 6 months after treatment has stopped.

    OTOVEL may cause serious side effects, including allergic reactions. Stop using OTOVEL and contact your healthcare provider if any of the following signs or symptoms of an allergic reaction occur: hives, swelling of your face, lips, mouth, or tongue, rash, itching, trouble breathing, dizziness, fast heartbeat, or pounding in your chest.

    The most common side effects of OTOVEL include fluid draining from the ear, ear infection, ear itching, extra tissue that grows on a part of your body that has been injured, swelling of the outer part of the ear, ear pain, or balance problems.

    Tell your healthcare provider of any side effects that are bothersome or that do not go away. These are not all the possible side effects of OTOVEL. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. For more information, ask your healthcare provider or pharmacist, or consult the full Prescribing Information.

    Reference: 1. Data on file. Arbor Pharmaceuticals, LLC.