Ultrase MT 20 Coupon $20.00 Off Rebate

This program will allow you to receive a rebate for your out-of-pocket expense (up to $20 per month), for a prescription of ULTRASE® MT12, ULTRASE® MT18, ULTRASE® MT20 or URSO Forte® Scored.

How the Program Works:
1.)Have your prescription for ULTRASE® MT or URSO Forte® Scored filled at your regular pharmacy. Note: Your prescription must be for ULTRASE® MT12, ULTRASE® MT18, ULTRASE® MT20 or URSO Forte® Scored (a minimum of 100 ULTRASE® MT capsules or URSO Forte® Scored tablets is required).
2.) Complete a Rebate Claim Coupon (which you may obtain from any CF center or by calling 800-472-2634), and mail it with the original pharmacy receipt to the address on the coupon. Please note that the Rx Cost Reduction ProgramSM is not available to patients who are participating in a federally-subsidized pharmacy benefit program, or where otherwise prohibited by federal or state law. Be sure to sign the coupon, certifying that the patient is not a participant in a federally-subsidized pharmacy benefit program.
3.) You will receive a check (up to $20) in about three weeks for the amount of your out-of-pocket expense. Included with your check will be another Rebate Claim Coupon for use the following month.

Pancrelipase is a combination of three enzymes (proteins): lipase, protease, and amylase. These enzymes are normally produced by the pancreas and are important in the digestion of fats, proteins, and sugars. Pancrelipase is used to replace these enzymes when the body does not have enough of its own. Certain medical conditions can cause this lack of enzymes, including cystic fibrosis, chronic inflammation of the pancreas, or blockage of the pancreatic ducts. Pancrelipase may also be used following surgical removal of the pancreas.