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Important Safety Information About PRISTIQ

*Terms and Conditions

By using the PRISTIQ Savings Card, you acknowledge that you currently meet the eligibility criteria and will comply with the terms and conditions described below:

  • The Card is not valid for prescriptions that are eligible to be reimbursed, in whole or in part, by Medicaid, Medicare, or other federal or state health care 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”).
  • The Card is not valid for prescriptions that are eligible to be reimbursed by private insurance plans or other health or pharmacy benefit programs which reimburse you for the entire cost of your prescription drugs.
  • You will save either $15 or the amount of your co-pay/out-of-pocket cost, whichever is less. Card can only be used for up to 12 prescriptions per year.
  • You must deduct the value received under this program from any reimbursement request submitted to your insurance plan, either directly by you or on your behalf.
  • Cannot be combined with any other rebate/coupon, free trial, or similar offer for the specified prescription.
  • The Card will be accepted only at participating pharmacies.
  • This Card is not health insurance.
  • Offer good only in the U.S. and Puerto Rico.
  • The Card is limited to one 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.
  • Card and program expire 6/30/2014.
  • If your pharmacy does not accept this savings card or if you use a mail-order service:
    • Pay for your PRISTIQ prescription as you normally would
    • Send a copy of the original pharmacy receipt (cash-register receipt not valid) with product name, date, and amount you paid circled. Include it with a copy of the front of your PRISTIQ Savings Card, and mail it with your name and address information to:

      PRISTIQ Savings Card
      6501 Weston Parkway, Suite 370
      Cary, NC 27513

    • A check will be mailed to you within 3 weeks
Program expiration dates are sometimes extended. Confirm dates with your pharmacist.


For more information about the savings card call 1-800-842-6031 or write to:

PRISTIQ Savings Card,
6501 Weston Parkway, Suite 370,
Cary, NC 27513

The health information contained herein is provided for educational purposes only and is not intended to replace discussions with a health care provider. All decisions regarding patient care must be made with a health care provider, considering the unique characteristics of the patient.

The product information provided in this site is intended for residents of the United States. The products discussed herein may have different product labeling in different countries.

 
 
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