Eliquis rebate form

eliquis rebate form

Coumadin is a registered trademark of Bristol-Myers Squibb Pharma Company.
This offer is non-transferable, no substitutions are permissible, and offer cannot be combined with any other rebate/coupon, free trial, or similar offer for the specified prescription.
Fda.gov/medwatch, or call 1-800-FDA-1088.You are encouraged to report negative side effects of prescription drugs to the FDA.Please complete all of the indicated mandatory fields to continue.Card expires 24 months from activation.Last Modified 09/24/2018 16:50:36, contents zazzle wedding gifts may not be reproduced in any form except for personal use and may not be used on any other website without permission.Box 2914, phoenix, AZ, bY using this card, YOU AND your pharmacist understand AND agree TO comply with these eligibility requirements AND terms OF USE.10 Co-pay Eligibility and Terms of Use.You'll want to carefully review the program details and eligibility requirements.
You should not do both.
The Co-pay Card may not be sold, purchased, traded, or counterfeited.
We aim to make this process as simple as possible.This independent, non-profit organization provides assistance to qualifying patients with financial hardship who generally have no prescription insurance.No substitutions are permitted.Terms OF USE: Eligible patients who present a Free 30-Day Trial card together with a valid 30-day prescription for eliquis at participating pharmacies can receive a free 30-day supply (up to 74 tablets) of eliquis.You and your doctor should decide if you will take eliquis or breastfeed.Eliquis 30-Day free Trial Eligibility and Terms of Use.