Access Pathways® Program

The Dual Savings Card has been updated to the Access Pathways® Program Platinum Pass® savings card. Access Pathways® is a dedicated savings and support team that offers copay assistance and administrative support.

The Platinum Pass® savings card offers various benefits

Affordable

Present your Access Pathways® Platinum Pass® savings card for ZEMBRACE SymTouch to the pharmacist for instant savings. Pay $0 per prescription,* per month, renewable annually.

Accessible

Get your prescription filled at the pharmacy of your choice, even if the commercial payer has rejected the prior authorization or the product is not covered.

*Restrictions apply. Maximum of eight single-use injections per month. Medicare, Medicaid and other state and federal health care program patients are not eligible.


Enroll or activate your Platinum Pass® for ZEMBRACE SymTouch

Fill out the form below to either enroll and download, or activate your card.

*All fields required.

Are you a resident of the United States, Puerto Rico, Guam or the Virgin Islands?

Do you have Commercial or Private Insurance?

Are your prescriptions paid for in part or full under any state or federally funded programs? Such programs include, but are not limited to, Medicare or Medicaid, Medigap, VA, TriCare, or DOD.

What is you preferred method of contact?


Information Disclaimer

I understand that the personal information I provide and information pertaining to my use of the card at the pharmacy will be shared with Upsher-Smith Laboratories, LLC, and its third party partners.

I also authorize Upsher-Smith Laboratories, LLC, and its partners to communicate with me about products, health conditions, co-pay and financial assistance. I agree to be contacted by mail, email, and at the phone number I provided to leave voice messages, and interactive voice recordings.

I may opt out of individual communications of the program entirely at any time by calling 1-855-699-6062. Upsher-Smith Laboratories, LLC and companies providing services to Upsher-Smith Laboratories, LLC will not sell or rent my personally identifiable information, as described in the Privacy Policy, which I can view by visiting www.upsher-smith.com.


Have a question or need support? Please call Access Pathways® Program at 1-855-699-6062.