Whether they are commercially insured, have Medicare or government insurance, or are uninsured, the Waylis Patient Access and Affordability program has options to help eligible patients.
Commercial Insurance
Commercially insured patients may pay as little as $10 for their prescription. Information for the pharmacist here:
Your MYLERAN® Copay Card Information:
Provide this information to the pharmacist:
BIN #: 610600
PCN#: AS
RxGroup: 396
ID#: 39601973152
Send Copay information via email:
We care about your privacy: your email address is only used to send you your savings card information and is not saved here or anywhere else. For more information, visit the privacy policy page.
Medicare / Government Insurance OR No Insurance
Medicare / government insured patients and patients without insurance may qualify to get MYLERAN® at no cost.
- Fax: Fill out this PAP form (PDF) / Form en Espanol (PDF) and fax it to Waylis Patient Access and Affordability at (844) 470-1931
- Call: Call Waylis Patient Access and Affordability at (888) 218-8897 to get started.