According to the information provided by the sources, the Vascepa discount can be combined with insurance coverage. The Vascepa Savings Card [3] can be used by eligible patients with commercial insurance to reduce their out-of-pocket costs for Vascepa. Patients can save up to $75 on each prescription refill, with a maximum annual savings of $1,080. However, the card cannot be used by patients who are enrolled in any state or federally funded programs, including Medicare, Medicaid, VA, DoD, or TRICARE. Patients who are uninsured or underinsured may also be eligible for assistance through the Vascepa Patient Assistance Program [2], which provides free medication to eligible patients who meet certain income and other criteria.

It is important to note that the specific details of insurance coverage and discounts may vary depending on the patient's insurance plan and other factors. Patients should consult with their healthcare provider and insurance company to determine their individual coverage options and potential cost savings.

Sources:
[2] Vascepa. (n.d.). Vascepa Savings. Retrieved from https://www.vascepa.com/getting-started/vascepa-savings/
[3] Vascepa. (n.d.). Vascepa Copay Savings Program. Retrieved from https://vascepa.copaysavingsprogram.com/
[1] Drug Patent Watch. (n.d.). Vascepa. Retrieved from https://www.drugpatentwatch.com/p/tradename/VASCEPA