Eligibility Information

Eligibility requirements for up to $25 coupons:

Limit of $25 off each prescription of VERAMYST for up to 6 total prescriptions of VERAMYST per patient within a 12-month period.
For children between 2 years and 17 years of age, a parent must register for the allergyrewards^SM 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 (i.e., 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.

Eligibility requirements for the free product coupon:

You must be receiving your first prescription of VERAMYST. You may use this offer only for free product. That is, in order to be eligible for this offer, the coupon must be accompanied by a valid, signed prescription for VERAMYST Nasal Spray.
Further, you are NOT eligible for this offer if either (a) this prescription will be submitted for reimbursement under any federal healthcare program, including Medicaid, Medicare (Part D or otherwise), or any similar federal or state programs, including any state pharmaceutical assistance program, or under any private insurance, HMO, or other third-party payment agreement, or (b) any part of this prescription will be submitted to count toward your out-of-pocket cost under your prescription drug plan, such as the "True Out-Of-Pocket (TrOOP)" expenses under Medicare Part D.
Only an original coupon will be accepted and must be presented to your pharmacist at the time you have your prescription filled—not valid if reproduced.
GlaxoSmithKline reserves the right to rescind, revoke, or amend this offer without notice.
Offer good only in USA. Void where prohibited by law, taxed, or restricted.
No purchase required.
May not be used with any other discount, coupon, or other offer.