Terms and Conditions
30-Day Trial
How to receive your FREE 30-day supply of LIPITOR (atorvastatin calcium)
Tablets.
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This LIPITOR TrialCard Program is brought to you as a service by your
doctor and Pfizer. Your doctor should affix this voucher to a
completed, signed prescription form. Take the prescription to your
local participating pharmacy to receive your 30-pill trial (as
directed by your doctor) at no charge. Be sure to follow all dosing
instructions provided by your doctor. If you have any questions about
this program, please ask your pharmacist.
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Void where prohibited by law. Product dispensed pursuant to terms of
voucher shall not be submitted to any third-party payor, whether
public (e.g., Medicare, Medicare Part D, Medicaid, or a
Medicare-endorsed drug discount card) or private for reimbursement.
Offer is valid one time only per person and must be submitted
pursuant to an original card. Not valid if reproduced or submitted to
another payor. It is illegal for any person to sell, purchase or
trade; or offer to sell, purchase, or trade; or counterfeit, this
card. This offer cannot be combined with any other FREE trial,
coupon/rebate or similar offer. Offer good only in the United States.
Offer void in MA for residents whose prescriptions are covered in
whole or in part by third party insurance or where otherwise
prohibited by law. Pfizer reserves the right to rescind, revoke, or
amend this offer without notice.
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Only accepted at participating pharmacies.
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Prescriber ID # required on prescription. TrialCard U.S. Patents
5,832,449 and 6,055,507.
Co-Pay Card
Offer not valid for prescriptions eligible to be reimbursed, in whole or
in part, by Medicare, Medicaid, any other federal or state program
(including SPAPs) or by private plans or other health or pharmacy benefit
programs which reimburse you for the entire cost of your prescription
drugs. You must deduct the value of this offer from any reimbursement
requests submitted to your insurance plan either by you or on your
behalf. Offer void in MA for residents whose prescriptions are covered in
whole or in part by third party insurance or where otherwise prohibited
by law.
This card is not health
insurance. Depending on co-pay, reimbursement will be either up to
$10 or $15 with each refill. Offer good only in USA. Co-pay card limited
to one per person during offering period and is not transferable. Offer
limited to one use per month up to 12 times per patient year. Offer
expires 12/31/08. Pfizer reserves the right to terminate this offer at
any time without notice. You understand and agree to comply with these
Offer Terms.
