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ZYFLO connect. Savings. Shipping. Support.

Introducing ZYFLO connect®*

This program offers your patients a $0 co-pay (or up to $2,500 per month) on ZYFLO CR® (zileuton), shipping direct to their door, and other free features, plus streamlined enrollment and prior authorization.

Benefits for your patients

  • $0 monthly co-pay* on every prescription so patients pay nothing out-of-pocket
  • Free, next-day delivery direct to your patient’s door
  • Refill reminder phone calls from a ZYFLO connect® pharmacist
  • Pharmacists available by phone 24/7 for questions
  • Simple and streamlined enrollment process
  • Get prior authorization support by phone from ZYFLO connect® representatives to help with reimbursement approval

Get your patients started with ZYFLO connect® today

There are two ways to enroll patients:
  1. Through your EMR system
  2. By faxing a one-page form 
What your patients need to know:
  • A ZYFLO connect representative will call to welcome them to the program
  • The call will come from area code 314 (Missouri). It is very important that each patient responds to this call
  • The representative will assist with their delivery and refill options. Shipment of the first 30-day supply can even be set up during the prior authorization process

Download a PDF of the ZYFLO CR® (zileuton) patient brochure

ZYFLO CR patient brochure
  • Educates patients about asthma
  • Helps patients understand what to expect during treatment with ZYFLO CR®
  • Encourages patients to take ZYFLO CR® as directed by their physician
Download PDF

Please see Important Safety Information and Full Prescribing Information.

*ZYFLO Connect Terms and Conditions

How It Works
  • If you are uninsured or have commercial insurance, including insurance purchased through the Affordable Care Act Exchange plans, Chiesi USA may help pay the out-of-pocket expenses (co-pay, co-insurance, deductibles) of your prescription. For patients taking ZYFLO CR® (zileuton) extended-release tablets or ZYFLO® (zileuton) tablets (collectively, "ZYFLO"), up to $2,500 per month will be provided, if you meet the eligibility requirements below. If the total costs of your out-of-pocket expenses are over $2,500 per month, you will be responsible for the outstanding balance.
Eligibility Requirements
  • You are either:
    • Uninsured, or
    • You are insured by commercial or private insurance and your insurance does not cover the full cost of ZYFLO or ZYFLO CR
  • Your prescriptions are not covered in full or in part by any state or federally funded insurance program, including but not limited to Medicare, Medicaid, Medigap, Veterans Affairs (VA) or Department of Defense (DOD) programs, or the Government Health Insurance Plan available in Puerto Rico (formerly known as “La Reforma de Salud”); patients who move from commercial to state or federally funded prescription insurance will no longer be eligible
  • You are at least 18 years of age
  • Void where prohibited by law
Terms of Use
  • By accepting this offer and participating in the ZYFLO Connect program, you are representing and warranting to Chiesi that you currently meet the eligibility requirements described above and will comply with these Terms of Use.
  • Out-of-pocket benefit equals an amount up to $2,500 per month (maximum benefit of $30,000 per year) for ZYFLO or ZYFLO CR. Patient is responsible for applicable taxes, if any.

    EXAMPLE: If your monthly ZYFLO or ZYFLO CR prescription co-pay or out-of-pocket cost is $3,000, eligible patients will only pay $500 per month for ZYFLO or ZYFLO CR, a savings of $2,500 off of their co-pay or total out-of-pocket costs. If your co-pay or out-of-pocket costs are no more than $2,500, you pay $0. For a mail-order 3-month prescription, your total maximum savings will be $7,500 ($2,500 x 3).
  • If a patient exceeds the maximum monthly benefit of $2,500, the patient will be responsible for the outstanding balance.
  • Patients, pharmacists, and prescribers cannot seek reimbursement from health insurance or any third party, for any part of the benefit received by the patient through this offer.
  • Your acceptance of this offer confirms that this offer is consistent with your insurance and that you will report the value received as may be required by your insurance provider.
  • Only valid in the United States or Puerto Rico; this offer is void where restricted or prohibited by law.
  • No membership fees.
  • The ZYFLO Connect program is not insurance.
  • The ZYFLO Connect program cannot be combined with any other rebate/coupon, free trial, or similar offer for the specified prescription.
  • The ZYFLO Connect program expires on December 31, 2016.
  • The ZYFLO Connect program is limited to one per person.
  • Chiesi USA reserves the right to rescind, revoke, or amend this offer at any time without notice.
  • The ZYFLO Connect program is only offered through distribution from Foundation Care, a full-service pharmacy serving patients in all 50 states and Puerto Rico.

    Foundation Care, 4010 Wedgeway Court, Earth City, MO 63045 Phone: (844) 699-9356