Humalog jr copay card12/12/2023 ![]() ![]() Limit two (2) Tempo Smart Buttons per year. For patients without coverage for Tempo Smart Button through their commercial drug insurance, offer subject to a cap of WAC plus usual and customary fees per Tempo Smart Button. For patients with commercial drug insurance coverage for Tempo Smart Button, offer subject to a cap of $106.25 per Tempo Smart Button. Pay as little as $25 per Tempo Smart Button. ![]() For patients without coverage for Tempo Refill Kit through their commercial drug insurance, offer subject to a monthly cap of WAC plus usual and customary fees. For patients with commercial drug insurance coverage for Tempo Refill Kit, offer subject to a monthly cap of $148.25. Pay as little as $25 for 1 Tempo Refill Kit per month. For patients without coverage for Tempo Welcome Kit through their commercial drug insurance, offer subject to a monthly cap of WAC plus usual and customary fees. For patients with commercial drug insurance coverage for Tempo Welcome Kit, offer subject to a monthly cap of $237.50. Pay as little as $25 for 1 Tempo Welcome Kit. For patients without coverage for Lyumjev Tempo Pen, Basaglar Tempo Pen, and Humalog Tempo Pen through their commercial drug insurance, offer subject to a monthly cap of wholesale acquisition cost (“WAC”) plus usual and customary fees. For patients with commercial drug insurance coverage for Lyumjev Tempo Pen, Basaglar Tempo Pen, and Humalog Tempo Pen, offer subject to a monthly cap of $100. Pay as little as $25 for a 30-day supply of Tempo Insulin Pen. Patients must have commercial drug insurance to pay the following: Products eligible to be used with this card are limited to Lyumjev ® Tempo Pen™, Basaglar ® Tempo Pen™, Humalog ® Tempo Pen™, Tempo Welcome Kit, Tempo Refill Kit, and Tempo Smart Button (collectively “Tempo Products”). ![]() By using the Connected Care Tempo Savings Card (“Card”), you attest that you meet the eligibility criteria, agree to and will comply with the terms and conditions described below: ![]()
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