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 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.
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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.
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Offer expires 12/31/08
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 Massachusetts 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.