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NICOTROL INHALER COUPON TERMS AND CONDITIONS

By participating in the NICOTROL Savings Offer Program, you acknowledge that you currently meet the eligibility criteria and will comply with the terms and conditions described below:

  • This Savings Offer is not valid for prescriptions that are eligible to be reimbursed, in whole or in part, by Medicaid, Medicare, Tricare, or other federal or state healthcare programs (including any state prescription drug assistance programs) and the Government Health Insurance Plan available in Puerto Rico (formerly known as “La Reforma de Salud”)
  • You must deduct the savings received under this program from any reimbursement request submitted to your insurance plan, either directly by you or on your behalf
  • This one-time offer has a maximum benefit of $100. If a patient’s co-pay is $150 or less, the patient is responsible for paying $50. If a patient’s co-pay is $200, the patient is responsible for $100 ($200 – $100 = $100)
  • This Savings Offer is not valid when the entire cost of your prescription drug is eligible to be reimbursed by your private insurance plans or other health or pharmacy benefit programs
  • The Savings Offer is not valid for Massachusetts residents whose prescriptions are covered, in whole or in part, by third-party insurance
  • This Savings Offer is not valid where prohibited by law
  • The Savings Offer cannot be combined with any other rebate/coupon, free trial, or similar offer for the specified prescription
  • The Savings Offer may not be redeemed more than once per month per patient
  • The Savings Offer will be accepted only at participating pharmacies
  • The Savings Offer is not health insurance
  • This Savings Offer is good only in the U.S. and Puerto Rico
  • The Savings Offer is limited to 1 per person during this offering period and is not transferable
  • Pfizer reserves the right to rescind, revoke, or amend the program without notice
  • No membership fees. The Savings Offer and Program expire on 12/31/2020

For any questions, please call Customer Service at 1-877-465-6437, visit NICOTROL.com, or write: PFIZER SAVINGS CARD, PO Box 4581, Warren, NJ 07059. Be sure to include your name and mailing address.

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