Are You A Healthcare Professional?
Do you certify that you are a healthcare professional licensed and practicing in the United States?
Do you certify that you are a healthcare professional licensed and practicing in the United States?
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The EDLUAR Copay Reduction Program provides savings on your EDLUAR prescriptions!
Here's how it works:
Subject to additional terms below. If you are an eligible patient age 18 or older, with commercial prescription drug coverage and a valid EDLUAR sublingual tablets prescription, you can use this card. You must deduct the value of this offer from any insurance reimbursement claim that you submit or that is submitted to you.
The card is not valid for prescriptions partly or fully reimbursable by Medicare (including Part D), Medicaid, CHAMPUS, TRICARE, DoD, VA, or other federal or state government programs (including patient assistance programs). This card is not valid for Massachusetts residents or where otherwise prohibited by law. This card is not valid for cash-paying patients or patients whose private health care or prescription plans pay the full cost of their prescriptions. This card cannot be combined with other EDLUAR coupons, rebates, free trials, or offers.
Subject to all applicable federal, state, and local laws. This card is not health insurance and is not transferable. Limit 1 card per prescription during the offer period. This form may not be reproduced. We are not responsible for lost, damaged, or misdirected mail. Offer expires October 31, 2010. This offer is the property of Meda Pharmaceuticals Inc. and OPUS Health, which reserve the right to rescind, revoke, or amend the offer program without notice. By using this card, you represent that you will comply with all terms and conditions of this program and your health insurance or prescription plan. We rely on that representation.
Please see Full Prescribing Information and Medication Guide
You are encouraged to report negative side effects of prescription drugs to the Food and Drug Administration (FDA). Please visit www.fda.gov/medwatch or call 1-800-FDA-1088.
