Patient Support Program

Eligibility Criteria/Terms and Conditions: By using the WELLBUTRIN XL coupon, you confirm that you understand and agree to comply with the following terms and conditions of this offer:

• This offer is only valid for patients with commercial insurance.
• This offer is not valid for any person eligible for reimbursement of prescriptions, in whole or in part, by any federal, state, or other governmental programs, including, but not limited to, Medicare (including Medicare Advantage and Part A, B, and D plans), Medicaid, TRICARE, Veterans Administration or Department of Defense health coverage, CHAMPUS, the Puerto Rico Government Health Insurance Plan or any other federal or state health care programs.
• You agree not to seek reimbursement for all or any part of the benefit received through this offer and are responsible for making any required reports of your use of this offer to any insurer or other third party who pays any part of the prescription filled.
• This offer is good only in the United States of America (including the District of Columbia, Puerto Rico and the U.S. Virgin Islands) at participating retail pharmacies.
• This offer is not available for patients who live in California or Massachusetts and/or who have insurance coverage for prescriptions in either of these states.
• You must be 18 years of age or older to redeem this offer.
• You must present the coupon along with your prescription to participate in this program. You must activate the coupon before using by calling 1-855-330-1963 or by visiting www.wellbutrinXL.com.
• The coupon is good for use only with the products identified herein. No other purchase is necessary.
• This offer cannot be redeemed at government-subsidized clinics.
• The coupon is good for a maximum of 12 prescription fills.
• You are responsible for paying the first $5 for each eligible prescription fill using the coupon. The coupon has a maximum benefit, and the patient is responsible for all additional costs and expenses after maximum benefit limits are reached.
• The coupon and offer are not health insurance.
• The selling, purchasing, trading, or counterfeiting of the coupon is prohibited by law. Void if reproduced.
• This offer is not valid with other offers. The coupon has no cash value. No cash back.
• Bausch Health reserves the right to rescind, revoke, terminate, or amend this offer at any time, without notice.
• You understand and agree to comply with the terms and conditions of this offer as set forth above.
• This offer and coupon expire on 12/31/21.
• For questions call: 1-855-859-2966.