JALYN® For Your Patients

Patient Assistance Programs

Commercial Insurance


  1. Find the NPI #: NPI 1427160357 in your e-prescribing system
  2. Select ProCare Pharmacy Care as the Specialty Pharmacy*
    • 2650 SW 145th Ave, Miramar, FL 33027-6606
    • *If the specialty pharmacy does not appear, please contact your e-prescribing provider to update your system
  3. Save the Specialty Pharmacy in Your System
  4. Transfer the Prescription

Copay Card Information

Commercially insured patients may pay as little as $10 for their prescription. Information for the pharmacist here:

BIN #: 610600
RxGroup: 396
ID#: 39601973152

Send a copy via email:

    Provide your email to receive Copay Card information by email. where you'll receive your savings card information

    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 their prescription at a lower cost.

    1. Complete this referral form (PDF) and fax it to 844-470-2480
    2. Questions? Please contact the Woodward Direct Program at: 888-477-7080