BANZEL Connections & BANZEL Savings Card

On this page you can:

  • Sign up for BANZEL Connections
  • Sign up for a BANZEL Savings Card
  • Activate your BANZEL Savings Card if you already have one

BANZEL Connections

There is a lot to know and understand when caring for someone with LGS. That’s why we created BANZEL Connections, a free support program for parents and caregivers of people with LGS.

Sign up for BANZEL Connections below and receive exclusive information, tips, and suggestions from doctors and experts on such topics as:

LGS, epilepsy, and seizures

LGS, epilepsy, and seizures

How to work with your healthcare team

How to work with your healthcare team

Treatment with BANZEL

Treatment with BANZEL

Financial resources available to you

Financial resources available to you

How to care for someone with LGS

How to care for someone with LGS

The BANZEL Savings Card

We want to help make sure your child gets the medicine he or she needs. That's why we provide patients with the BANZEL Savings Card. With it, you may pay no more than $25 for your monthly prescription.*

For questions about the BANZEL Savings Card, please call 1-855-EISAI-4-U (1-855-347-2448).

Complete the registration form below to sign up for a BANZEL Savings Card or to activate the card you already have.

BANZEL Connections/BANZEL Savings Card Sign-Up

Fill out the registration form to sign up for BANZEL Connections and to sign up for or activate your BANZEL Savings Card.
All fields are required.

I receive (or the person I care for receives) prescription coverage in whole or in part from Medicare, Medicaid, or another state or federally funded program.

Small Card

Terms and Conditions

Please be advised that the personal information you provide will be used to satisfy your request to receive information about BANZEL. Eisai Inc. ("Eisai" or "we"), operates this website and our Privacy Policy will govern the collection, use, disclosure and retention of the information you provide here. Please do not submit any personal information unless you have read and agree with the terms of that Privacy Policy. Consistent with the Privacy Policy, we and our service providers may use the personal information you provide to contact you and send you communications, including about products and services that may interest you. By clicking the checkbox below, you agree that you have read, understand, and agree to these conditions.

In the event that I would like to opt out of receiving further communications, I can request that I be removed from the Eisai contact list at any time by clicking on the "Unsubscribe" link found at the bottom of all e-mail communications from Eisai.


*Commercially insured patients pay the first $25 and Eisai Inc. will pay up to $50 per month. Most commercially insured patients will pay no more than $25 of their out-of-pocket expense. Maximum benefit paid by Eisai Inc. will be $50 per month. You could have additional financial responsibility depending on your insurance plan. Cash patients pay the first $25 and Eisai Inc. will pay up to $60 per month. For questions, please call 1-855-EISAI-4-U (1-855-347-2448).

ELIGIBILITY CRITERIA: Good toward the purchase of BANZEL prescriptions. No substitutions permitted. Save this card to reuse with each prescription. Not available to patients enrolled in federal or state healthcare programs, including Medicare, Medicaid, Medigap, VA, DoD, or TRICARE. Offer available to MA residents through June 30, 2017. May not be combined with any other coupon, discount, prescription savings card, free trial or other offer. Federal law prohibits the selling, purchasing, trading, or counterfeiting of this card. Such activities may result in imprisonment of 10 years, fines up to $25,000, or both. Void outside the USA and where prohibited by law. Eisai Inc. reserves the right to rescind, revoke, or amend this offer at any time without notice. Patients and pharmacies are responsible for disclosing to insurance carriers the redemption and value of the card and complying with any other conditions imposed by insurance carriers on third-party payers. The value of this card is not contingent on any prior or future purchases. The card is solely intended to provide savings on any purchase of BANZEL. Use of the card for any one purchase does not obligate the patient to make future purchases of BANZEL or any other product. This offer will expire July 31, 2019.


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