Join the Blossom Support Program

Whether you are already using INTRAROSA or planning to talk to your healthcare provider about starting it, Blossom is here to help you.
Below are the benefits of signing up for Blossom.

INTRAROSA copay savings program card INTRAROSA copay savings program card

Saving on INTRAROSA. Commercially insured patients pay $0 COPAY on their first prescription (28-day supply) and NO MORE THAN $25 COPAY per 28-day supply for each following prescription—up to 11 refills.*

Blossom Support Program offers informational emails about painful sex due to menopause and more

Timely and informative emails about moderate to severe painful sex due to menopause, refill reminders, and more
 

Blossom Support Program offers a welcome kit for patients using INTRAROSA

A Welcome Kit for women using INTRAROSA, including a discreet carrying case for storage between doses and traveling away from home

Fill out the form below to sign up for Blossom, and select the benefits you would like to receive.
For individuals in the US aged 18 years and older.

Tell us a little about yourself. What's your name?

What is your email address?

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Has your healthcare provider prescribed INTRAROSA for you?

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Would you like a copay card for savings?

Are you over 18?

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Would you like us to send you a Welcome Kit?

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What address would you like us to send your Welcome Kit to? We'll send it in an unmarked package for privacy.

Thank you for registering with Blossom. You'll receive an email from us shortly!

By clicking “Submit” I certify that I am giving AMAG Pharmaceuticals permission to send me information about moderate to severe painful sex due to menopause, and INTRAROSA programs and services that may be of interest to me. I certify that I am 18 years or older and I want to receive more information about moderate to severe painful sex and AMAG products and services. I understand that the information I have provided will be used in a manner consistent with the AMAG Pharmaceuticals Privacy Policy.

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*Offer valid on up to 12 uses for commercially insured patients with a valid prescription for INTRAROSA. A valid prescriber ID# is required on the prescription. Limitations apply. See below or back of card for full Terms and Conditions.

†For US patients only. While supplies last. INTRAROSA should be stored at 41°F to 86°F (5°C to 30°C). It can be stored at room temperature or in the refrigerator. To avoid higher temperatures that could cause INTRAROSA to melt, don’t store INTRAROSA in areas like a hot car, a sunny window sill, or directly near a heater.

SAVINGS CARD TERMS AND CONDITIONS

Most eligible patients will pay $0 copay for the first 28-day supply, and each 28-day supply thereafter will pay no more than $25 copay for INTRAROSA. Each copay card may be used once every 28 days for up to 12 uses or program expiration, whichever occurs first. A valid prescriber ID# is required on the prescription. Any remaining out-of-pocket expense will be the patient’s responsibility.

Patient Instructions: In order to redeem this offer, you must have a valid prescription for INTRAROSA. Follow the dosage instructions given by the doctor. This offer may not be redeemed for cash and is not insurance. By using this offer, you are certifying that you meet the eligibility criteria and will comply with the terms and conditions described in the Restrictions section below. Patients with questions about the INTRAROSA Savings offer should call 1-844-492-9898.

Pharmacist: When you apply this offer, you are certifying that you have not submitted a claim for reimbursement under any federal, state, or other governmental programs for this prescription. Participation in this program must comply with all applicable laws and regulations as a pharmacy provider. By participating in this program, you are certifying that you will comply with the terms and conditions described in the Restrictions section below.

Pharmacist Instructions for a Patient With an Eligible Third-Party Payer: Submit the claim to the primary Third-Party Payer first, then submit the balance due to Argus as a Secondary Payer as a copay only billing using BIN# 019158 and a valid Other Coverage Code (eg, 8). For the first use, most eligible patients will pay $0 copay for the first 28-day supply. For each additional 28-day supply, most eligible patients will pay as little as $25 copay until program expiration or use limitation is reached. Reimbursement will be received from Argus. Valid Other Coverage Code required. For any questions regarding Argus online processing, please call the Help Desk at 1-844-373-0987.

Restrictions: This offer is valid in the United States and Puerto Rico for commercially insured patients 18 years of age or older. Offer not valid for prescriptions reimbursed under Medicaid, Medicare, TRICARE, VA, DOD, or other federal or state health programs (such as medical assistance programs). If the patient is eligible for drug benefits under any such program, the patient cannot use this offer. By using this offer, the patient certifies that he or she will comply with any terms of his or her health insurance contract requiring notification to his or her payer of the existence and/or value of this offer. It is illegal to (or offer to) sell, purchase, or trade this offer. Program expires 12/31/2018. This offer is not transferable and is limited to one offer per person. Not valid if reproduced. Void where prohibited by law. Program managed by ConnectiveRx on behalf of AMAG Pharmaceuticals, Inc. The parties reserve the right to rescind, revoke, or amend this offer without notice at any time.