Eligibility Information
Eligibility requirements for up to $25 off coupons:
- Limit of $25 off each prescription of VERAMYST for up to 6 total prescriptions of VERAMYST per patient within a calendar year.
- For children between 2 years and 17 years of age, a parent must register on their behalf. Children under 2 years of age are not eligible to participate.
- To be eligible for the offer, you certify that: (i) you have read the enclosed program rules and regulations, terms and conditions, (ii) you have not submitted and will not submit a claim for reimbursement under any federal, state or other governmental programs for this prescription, (iii) if you are Medicare eligible, you are not enrolled in an employer-sponsored health plan for retirees or a Medicare Part D Plan, and (iv) you will otherwise comply with the terms on the coupon.
- The coupon is the property of GlaxoSmithKline and must be returned upon request.
- GSK retains the right to rescind, revoke or amend the offer without notice.
- Not valid for patients under Medicaid, Medicare, or similar state or federal programs.
- Not valid for residents of Massachusetts unless paying the full cost of the prescription.
- Not valid for residents of Puerto Rico.
- The offer may not be combined with any other free product trial, discount check, discount or prescription savings card.
- Offer good only in USA.