Fill out the form to activate your Co-pay Card.

Then show your co-pay card to your pharmacist. Eligible patients may qualify to pay $0 for each fill of once-a-day Oxtellar XR*

  • Including but not limited to Medicare (including Medicare part D,) Medicaid, Medigap, VA, DOD, TriCare, or CHIP

  • The Group Number is located above the card ID, on the right side of the card.

  • Terms and Conditions: This offer is good for commercially insured and cash-paying patients purchasing Oxtellar XR® (oxcarbazepine) extended-release tablets and may not be used for any other product. Maximum benefits apply. This offer is not valid for prescriptions purchased under Medicaid, Medicare, or other federal or state programs (such as medical assistance programs). Offer not valid where prohibited by law, taxed, or restricted. It is not transferable and may not be combined with any other offer. The amount of the rebate cannot exceed the patient’s actual out-of-pocket expenses up to a maximum of $250 per prescription. Offer must be presented along with a valid prescription for Oxtellar XR® at the time of purchase. By enrolling into this program you are consenting to the collection and use of certain personal information including your phone number and/or email address and elements of pharmacy claim information. This information will be collected and used by service providers of Supernus Pharmaceuticals, Inc. (“Supernus”), in order to administer this program. This information is not provided to Supernus directly. If you do not consent, please do not enroll into the program. Text messages received with the mobile program are automated, and responses are not read by any person. Text STOP to opt out at any time. If you require additional assistance, please call 1-866-398-0833. Supernus reserves the right to rescind, revoke, or amend this offer without notice at any time.

  • Message and data rates may apply. Text STOP to opt out.