![]() If a mail-order pharmacy is used, please check with the pharmacy to determine if they accept coupons. The coupon should be presented when the prescription is dropped off at the pharmacy. Nontransferable and only an original coupon can be used.Patients with insurance can receive up to the amount for which they are responsible for the prescription, less any amounts specified on the coupon. Eligible patients without insurance can receive the dollars off amount specified on the coupon. This is part of an ongoing effort to ensure proper use of coupons in accordance with GSK policies as well as federal laws and guidances. Patients are required to complete an activation process prior to use to determine eligibility. Can be used by cash paying or commercially insured patients as well as those enrolled in insurance plans purchased from State or Federal Health Insurance Marketplaces or Exchanges. ![]() For coupon eligibility purposes, all those 65 or older will be considered Medicare eligible. Not valid for patients enrolled in Medicare (including Part D), Medicaid, or any similar state or federal program, or for Medicare-eligible patients.Designed for patients with or without insurance coverage with a valid signed prescription.It cannot be used with a previous prescription purchase. Note: The coupon can only be used if you activated it prior to filling your prescription. To use this coupon, please show it, including the Pharmacist Instructions and Terms and Conditions, to the pharmacist with your valid prescription at pickup. Need help? Call 87 Thank you! We’ve texted your coupon to. Data shared with Merck will be aggregated and de-identified, meaning it will be combined with data related to other coupon redemptions and will not identify you. Data related to your redemption of the coupon may be collected, analyzed, and shared with Merck, for market research and other purposes related to assessing coupon programs.Merck reserves the right to rescind, revoke, or amend the offer at any time without notice.Void where prohibited by law, taxed, or restricted. It is illegal to sell, purchase, trade, or counterfeit, or offer to sell, purchase, trade, or counterfeit the coupon.The coupon is the property of Merck and must be turned in on request.Product must originate in the United States or the Commonwealth of Puerto Rico. The coupon can be used only by eligible residents of the United States or the Commonwealth of Puerto Rico at participating eligible retail or mail-order pharmacies in the United States or the Commonwealth of Puerto Rico.Patient is responsible for reporting receipt of coupon benefit to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the coupon, as may be required. Patient, pharmacist, and prescriber agree not to seek reimbursement for all or any part of the benefit received by the patient through the offer. You must be 18 years of age or older to redeem the coupon.Subject to changes in state law, the coupon may become invalid for residents of Massachusetts prior to its expiration date.Not valid for uninsured patients or patients covered under Medicaid (including Medicaid patients enrolled in a qualified health plan purchased through a health insurance exchange established by a state government or the federal government), Medicare, a Medicare Part D or Medicare Advantage plan (regardless of whether a specific prescription is covered), TRICARE, CHAMPUS, Puerto Rico Government Health Insurance Plan (“Healthcare Reform”), or any other state or federal medical or pharmaceutical benefit program or pharmaceutical assistance program (collectively, “Government Programs”). The offer cannot be combined with any other coupon, free trial, discount, prescription savings card, or other offer. The coupon may be redeemed only once every 30 days. ![]() Savings are limited to amount of your out-of-pocket cost over $5, up to a maximum of $150 per qualifying prescription. Patient must have a co-payment (or, if privately insured without coverage for JANUVIA, make full cash payment) for the prescription. ![]()
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