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 for the allergyrewardsTM program on their behalf. Children under 2 years of age are not eligible to participate in the program.
- In order to be eligible for this offer: (a) where third-party reimbursement covers a portion of your prescription, this coupon is valid only for the amount of your actual out-of-pocket expenses up to a maximum of $25, (b) your prescription MUST NOT be covered and/or reimbursed by a federal healthcare program, including Medicare or Medicaid, or by any similar federal or state program, including a state pharmaceutical assistance program, and (c) you MUST NOT be Medicare eligible and enrolled in an employer-sponsored health plan/prescription drug benefit program for retirees (i.e., you are eligible for Medicare Part D but receive a prescription drug benefit through a former employer).
- Further, if you are a resident of Massachusetts, this offer is valid only if you are paying entire cost of the prescription yourself (i.e., your insurance does not cover any of the cost of the prescription).
- Your acceptance of this offer must be consistent with the terms of any drug benefit provided by your health insurer, health plan, or private third-party payor, and you agree to report acceptance of this offer to your health insurer, health plan, or third-party payor as may be required.
- This offer may not be used with any other discount, coupon, or offer.
- Only an original coupon will be accepted and must be presented to your pharmacist at the time you have the prescription filled—not valid if reproduced.
- GlaxoSmithKline reserves the right to rescind, revoke, or amend this coupon without notice.
- Offer good only in USA. Not transferable. Void where prohibited by law, taxed or restricted.
- Limit 1 per purchase.
