Download and Print Bayer Savings Cards for your Patients To provide savings to your patients, for each patient please answer the following eligibility questions, download and print the Bayer Savings Card, then give it to your patient. Verify Patient Eligibility 1. The patient is a United States Resident. Yes No 2. The patient or policy holder of the patient's health insurance is over 18 years of age. Yes No 3. The patient currently has commercial health insurance for a portion of his/her prescription drug cost. Yes No *By Activating the Co-pay card, You agree to the following statements: The information entered above is true and correct. You are not enrolled in a federal or state-funded prescription drug benefit program, such as Medicare or Medicaid, or any private indemnity or HMO insurance plan that reimburses you for the entire cost of your prescription drug. You agree that you are not medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. Should you begin receiving prescription benefits from one of these types of programs at any time, you will no longer participate in this saving program. I agree to the information above and i accept the Program Terms, Conditions and Eligibility Criteria Hidden Leave this field blank