Frequently Asked Questions
Can a person elect to just use the Not Covered or Cash benefit if the person is insured or covered by federal or state government programs like Medicare, Medicare Advantage, Medicaid, TriCare or the VA?
No, the use of coupons or rebate cards by persons covered by government programs implicates the Federal anti-kickback statute, Section 1128B(b) of the Social Security Act (the “Act”).
Does my insurance cover your products?
Call your insurance company to verify your specific prescription coverage.
Can you tell me why some of your older products are not covered by the program or don’t have a cash option?
To ensure that Galderma remains committed to the future of dermatology, some tough economic decisions were made specific to a few of our older products.
If my patient gets a prescription for a Galderma product and they use a pharmacy that participates in the Galderma CAREConnect Program, will they be guaranteed a Galderma quality product?
If your patient fills the prescription for a branded Galderma product in the GCC program and chooses to pay the relevant copay, they will receive the branded Galderma product. If the patient decides not to pay the copay, they may receive a generic alternative to the branded Galderma product. For Oracea, a patient receiving a generic alternative will receive an authorized generic version of Oracea. Given the complexities of the market and the number of generics available supply chain dynamics, this may not occur for every Galderma branded product.
On the Patient Savings Card, what do the categories ‘Covered’ and 'Not Covered/Cash' mean?
‘Covered’ refers to commercial insurance product coverage without restrictions such as but not limited to an incomplete prior authorization, not meeting any step-edit requirements, not satisfying deductibles, your insurance having NDC (National Drug Code) block(s), meeting age criteria, or exceeding allowed product fills, and/or other criteria. ‘Not Covered’ refers to commercial insurance product coverage with restrictions or no product coverage. ‘Cash’ is available to patients without any kind of health insurance. Patients who are enrolled in a state or federal government run or government sponsored healthcare plan can not participate in the Program and are able to receive benefits as Covered, Not Covered, or Cash in the Program. If you are filling a prescription in the states of California or Massachusetts, and in the event a lower generic drug that the FDA has designated as a therapeutically equivalent product becomes available for one of the Galderma products covered by this Card, or if the active ingredient of a Galderma product is available at a lower cost without a prescription, this offer is void with respect to that Galderma product and you agree not to apply this Card to any discount or savings to such patient under the Program for such Galderma product.
How will I know if I pay the Covered or Not Covered price?
Only your insurance company can verify your specific prescription coverage. ‘Covered’ generally refers to commercial insurance product coverage without restrictions such as but not limited to an incomplete prior authorization, not meeting any step-edit requirements, not satisfying deductibles, your insurance having NDC (National Drug Code) block(s), meeting age criteria, or exceeding allowed product fills, and/or other criteria. ‘Not Covered’ refers to commercial insurance product coverage with restrictions or no product coverage.
Will this program remove the need for prior authorization?
This program does not remove the need to process insurances restrictions for individual coverage such as PAs or step edits to obtain the Covered benefit; however, if a patient has commercial insurance with restrictions they may qualify for the Not Covered benefit under the program.
Which patients qualify for the ‘Not Covered / Cash’ benefit under the Program?
For patients with restrictions limiting their commercial pharmaceutical benefit, the pharmacist can process the claim as ‘Not Covered/Cash’ (in which case, the patient may pay as little as the Not Covered / Cash offer) OR the HCP and pharmacist can process the applicable restrictions, making the patient eligible for the ‘Covered’ benefit . For patients without any health insurance, the pharmacist can process as ‘Not Covered/Cash’ offer.
Can this program be used at the large pharmacy chains (e.g., Walgreens, Target)?
Galderma CAREConnect Patient Savings Card may be used at any participating pharmacy located in the United States, but is not a guarantee of coverage under the Program. Additional savings and the level of participation is at the sole discretion of the pharmacy. If you are looking for a local pharmacy that offers full benefit coverage under the Program, you can contact 833-613-2333. Based on reimbursement policies of some major retail chains, a patient may be asked to pay more than the benefit offered under the Galderma CAREConnect Program. Always check the cost prior to filling prescriptions as costs may vary.
Will the independent pharmacy network have these offers? Will they have any unique offers or will it be the same offer that is in the market?
Yes, many independent pharmacies have access to the Galderma CAREConnect Program. Additional savings will be at the sole discretion of the pharmacy. You should call your local pharmacy to verify their participation, or feel free to call 833-613-2333.
How many times can I use the card?
Galderma is dedicated to the practice of dermatology and supporting the schedule each healthcare provider determines is best for patients to determine the best administration schedule for each patient, and so Galderma has created a generous offer that allows each patient to use the Galderma CAREConnect Program up to 15 times on 30-day supplies or up to 5 times on 90 day supplies each year.
What if I give my patient a prescription for more than one Galderma product?
This program will work well in this instance. Because the Galderma CAREConnect Program Patient Savings Card incorporates the portfolio of trusted Galderma products you prescribe, if your patient has valid prescriptions for more than one Galderma product, the savings apply to each product individually. Your patient may use the Patient Savings Card at participating pharmacies for each 30 day supply of each included Galderma product, up to 15 times annually or for each 90 day supply of each included Galderma product, up to 5 times annually per included Galderma product.
Will I need to give the patient a new card each month or a separate card for each product?
No, you only need to provide your patient with one card. Patients can also directly download the card from our website (insert website address). Your patient will keep the card and provide it to the pharmacy each month, along with the prescription and their pharmacy benefit card. If your patient has valid prescriptions for more than one Galderma product, the copay expense and savings apply to each product. Your patient may use the Patient Savings Card once every 30 days for each applicable Galderma product. This Program expires December 31, 2024, unless terminated earlier by Galderma; however, the benefits offered under the Program are subject to change.
What will happen if I call in a new Galderma prescription for a patient that is currently using the Galderma CAREConnect program?
When your patient goes to the pharmacy to pick up the prescription(s), they will provide their Galderma CAREConnect Program Patient Savings Card to the pharmacy, along with their health insurance or pharmacy benefit card for processing.
If a patient has a high-deductible plan, will they get their prescription for the covered offer?
Patients with commercially unrestricted access to their prescription should qualify at participating pharmacies for the covered offer. The patient will need to present the prescription and the Galderma CAREConnect Program Patient Savings Card, and their health insurance or pharmacy benefit card to the pharmacist. If the patient has restrictions for their prescription (such as not meeting their required deductible), or has no commercial pharmaceutical benefit, the patient will qualify for the not covered/cash offer.
What if my preferred pharmacy doesn’t redeem the card?
While many pharmacies nationwide participate in the Galderma CAREConnect Program, the decision to participate and in what way to participate in the Galderma CAREConnect Program is an individual pharmacy decision Sometimes, this means that a patient can not receive the full benefits available under the Program at their preferred pharmacy. Patients may elect to call 833-613-2333 for help finding a pharmacy that provides covered, uncovered, or cash benefits under the program