By redeeming this free trial voucher, you acknowledge that you currently meet the eligibility criteria and comply with the terms and conditions described below:
Offer not valid for prescriptions eligible to be reimbursed, in whole or in part, by Medicare, Medicaid, any other federal or state program (including any state prescription drug assistance programs and the Government Health Insurance Plan available in Puerto Rico [formally known as “La Reforma de Salud”]), 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 Massachusetts for residents whose prescriptions are covered in whole or in part by third party insurance or where otherwise prohibited by law. This program is not health insurance. The Card will be accepted only at participating pharmacies. You will receive $10 or the amount of the co-pay you paid, whichever is less, if your co-pay is less than $35 up to 12 times per year (up to $120 in savings). If your co-pay is $35 or greater you will receive $15 up to 12 times per year (up to $180 in savings). No membership fees. Offer good only in USA and Puerto Rico. 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 per year. Offer expires 11/30/11. Pfizer reserves the right to terminate this offer at any time without notice. You understand and agree to comply with these Offer Terms.
For reimbursement when using a non-participating pharmacy/mail order: Pay for LIPITOR prescription and mail copy of original pharmacy receipt (cash register receipt NOT valid) with product name, date and amount circled to: LIPITOR Co-Pay Card, 6501 Weston Parkway, Suite 370, Cary, NC 27513. Be sure to include a copy of the front of your Co-Pay Card, your name and mailing address.