You are eligible for the Lialda Pharmacy Savings Card. You're almost done. Please provide the following information and click "Submit" to get your card.
State*
We require this information so that we can send your permanent Pharmacy Savings Card and other important related information, and also to verify you as a patient.
By clicking “Submit” you are enrolling in the Lialda Pharmacy Savings Card Program and certifying that you are at least 18 years of age, are a resident of the US, and that you are ineligible for prescription drug benefits under Medicaid, a Medicare drug benefit plan, Tricare, or other federal or state health programs (including any state medical assistance program). If you are a commercially insured patient, you are responsible for reviewing the terms of your health insurance and /or prescription drug plan before using the Lialda Pharmacy Savings Card (a co-pay card), as some insurers may restrict your ability to use or require you to disclose your use of a pharmacy savings (co-pay) card.
Being a part of this program allows Shire to send you periodic communications. Shire respects your personal information. Please note that Shire may use this information to contact you for market research and other information believed to be of interest to you. Shire will also send you periodic reminder e-mails and other information about refilling your Lialda prescription. Shire’s partners will use your pharmacy claim information associated with your participation in the Lialda Pharmacy Savings Card program in order to send you these communications. If, in the future, you no longer want to receive information and communications from Shire, please call the patient customer service line printed on the back of your Lialda Pharmacy Savings Card. The toll-free number is 1-866-250-8840. Personal information provided and collected in connection with this program will be kept confidential and will not be shared except in accordance with Shire’s Privacy Policy. We encourage you to click here to view
Shire’s Privacy Policy .