Eligible commercial patients can save on out-of-pocket costs for ELMIRON® (pentosan polysulfate sodium). Eligible patients pay an initial $5 per fill at participating retail pharmacies and receive up to $150 off their out-of-pocket prescription costs, with a maximum annual program benefit of $1,800. Not valid for patients using Medicare, Medicaid, or other government-funded programs to pay for their medications. Terms expire at the end of each calendar year and may change.