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CELEBREX SAVINGS CARD TERMS AND CONDITIONS

By participating in the CELEBREX Savings Offer Program, you acknowledge that you currently meet the eligibility criteria and will comply with the terms and conditions described below:

  • This Savings Offer is not valid for prescriptions that are eligible to be reimbursed, in whole or in part, by Medicaid, Medicare, Tricare or other federal or state healthcare programs (including any state prescription drug assistance programs) and the Government Health Insurance Plan available in Puerto Rico (formerly known as “La Reforma de Salud”)
  • The Savings Offer is not valid for prescriptions that are eligible to be reimbursed by private insurance plans or other health or pharmacy benefit programs which reimburse you for the entire cost of your prescription drugs
  • You must deduct the savings received under this program from any reimbursement request submitted to your insurance plan, either directly by you or on your behalf
  • Eligible patients will pay a minimum of $4 per prescription fill. By using the Card, eligible patients will receive a savings of up to $125 per fill off their co-pay or out-of-pocket costs. The Card is good for a maximum savings of $1,750 per year ($125 per month x 14 months). The Card limits your prescription cost to $4, subject to a maximum $125 monthly benefit. Thus, if your co-pay or out-of-pocket cost is more than $129, you will save $125 off of your co-pay or total out-of-pocket costs. [Example: If your co-pay or out-of-pocket costs are $150, you will pay $25 ($150–$125=$25)]. If your co-pay or out-of-pocket costs are no more than $129, you pay $4. For a mail-order 3-month prescription, your total maximum savings will be $375 ($125x3)
  • This coupon is not valid when the entire cost of your prescription drug is eligible to be reimbursed by your private insurance plans or other health or pharmacy benefit programs
  • The Savings Offer is not valid for Massachusetts residents whose prescriptions are covered, in whole or in part, by third-party insurance
  • This coupon is not valid where prohibited by law
  • The Savings Offer cannot be combined with any other rebate/coupon, free trial, or similar offer for the specified prescription
  • A coupon may not be redeemed more than once per month per patient
  • The Savings Offer will be accepted only at participating pharmacies
  • The Savings Offer is not health insurance
  • This offer is good only in the U.S. and Puerto Rico
  • The Savings Offer is limited to 1 per person during this offering period and is not transferable
  • Pfizer reserves the right to rescind, revoke, or amend the program without notice
  • No membership fees. The Savings Offer and Program expire on 12/31/19

Visit www.Celebrex.com for more information about CELEBREX. For help with the CELEBREX Savings Card, call 1-855-612-1956, or write: CELEBREX Savings Card, 2250 Perimeter Park Drive, Suite 300, Morrisville, NC 27560. Be sure to include your name and mailing address.

For reimbursement when using a nonparticipating pharmacy/mail order: Pay for CELEBREX prescription and mail copy of original pharmacy receipt (cash register receipt NOT valid) with product name, date, and amount circled to: CELEBREX Savings Card, 2250 Perimeter Park Drive, Suite 300, Morrisville, NC 27560.

Be sure to include a copy of the front of your Savings Card, your name, and mailing address.

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