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Request a 30-day FREE trial of LIPITOR.

LIPITOR Money-Saving Offers and Information

If you and your doctor decide that LIPITOR is right for you, ask for a 30-day prescription, in addition to your usual monthly prescription, to receive your FREE trial. Take your prescription for LIPITOR—and the 30-Day Trial Card—to your local pharmacy to receive a FREE 30-day supply of LIPITOR.

Please answer the following questions to request a 30-Day Free Trial of LIPITOR.

*Required information

*First Name:
     
*Last Name:
     
*Address Line 1:
     
Address Line 2:
     
*City:
     
*State:
     
*Zip Code:
     
E-mail:
     
*When is your date of birth?
     /    (mm/yyyy)  

*Do you purchase your prescription medication through Medicare, Medicaid, or a similar federal or state prescription drug program?

Yes No

*If you live in Massachusetts, do you have any insurance coverage for your prescription medication?



  Yes, I live in Massachusetts and have insurance coverage for
my prescription

  No, I do not live in Massachusetts—or do not have insurance
coverage in Massachusetts



Are you currently taking a prescription medication for high cholesterol?

Have you taken a prescription medication for high cholesterol in the past year?

Which prescription medication are you currently taking?

How long have you been taking LIPITOR®?

Would you like extra help achieving your cholesterol goals?

Join LIPITOR's My HeartWise™ patient support program. Get information to help you meet your short-term and long-term cholesterol management goals. My HeartWise™ also offers useful tips and tools for developing good habits around total heart health.

Check this box to join the My HeartWiseTM patient support program, and get tips, tools, and valuable offers for LIPITOR.
Along with the material you asked us to send, Pfizer may want to contact you from time to time about special offers and updates on LIPITOR and related health issues. Check here if you would like this information.
Check here if you also agree that Pfizer and companies working with Pfizer may use your information to help develop Pfizer products, services, and programs, provide you with materials you may find useful, and contact you about health-related topics.

30-Day Trial Terms and Conditions

How to receive your FREE 30-day supply of LIPITOR (atorvastatin calcium) Tablets.
  • 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.
  • 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 Massachusetts 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.
  • Only accepted at participating pharmacies.
  • Prescriber ID # required on prescription. TrialCard U.S. Patents 5,832,449 and 6,055,507.
  • Offer expires 12/31/08