If you’re away from your computer, simply provide your email address below and we’ll send you a link to the registration form—so you can sign up later. To learn more about eligibility and program details, see full Terms and Conditions.
If you’re eligible, you can use your card to pay $10 on each of your next 24 monthly prescriptions of AGGRENOX (maximum savings of $100 per month) through December 31, 2014. See full Terms and Conditions. You’ll also be enrolled in Taking Smart Steps™, a free support program.
TERMS AND CONDITIONS
If you’re a commercially insured or cash-paying patient, pay no more than $10 with a maximum savings of $100 per monthly prescription over 24 months.
To qualify for this offer, your out-of-pocket expense must be greater than $10 per prescription. If your out-of-pocket expenses for a 1-month supply are $110 or less, you will pay $10 for a 1-month supply.
You are not eligible if prescriptions are paid by any state or federally funded programs, including, but not limited to, Medicare or Medicaid, Medigap, VA or DOD, or TriCare.
The card is not valid for Massachusetts residents or where otherwise prohibited by law.
The card cannot be combined with any other rebate or coupon, free trial, or similar offer for the specified prescription.
The card will be accepted only at participating pharmacies. The card is not health insurance.
This offer is valid only in the United States and Puerto Rico.
The card must be activated by December 31, 2012. Offer valid for 24 redemptions, to be filled by December 31, 2014. Limit 1 card per patient.
You must present this card to your pharmacist along with your prescription to participate in the program. If you have any questions regarding your eligibility or benefits, or if you wish to discontinue your participation, call the AGGRENOX Co-pay Card program at 1-855-277-2335 (8:00 AM-8:00 PM ET, Monday-Friday). Boehringer Ingelheim Pharmaceuticals, Inc. reserves the right to rescind, revoke, or amend this offer at any time without notice.