HCP Resources
ZOMIG Cost-Saving Program for Patients
This cost-saving program offers
up to $35 off each of your patients’ prescriptions for ZOMIG, up to 6 times within
12 months. Click here to print the ZOMIG cost-saving coupon for your patients and ask them to read the patient eligibility restrictions and other terms and conditions.
Please remind your patients to keep the coupon for future savings.
Eligibility Restrictions
Use of the ZOMIG Cost-Saving Program is subject to the following terms and
conditions:
-
Not valid for prescriptions purchased under Medicare, Medicaid, or similar federal
or state programs (such as medical assistance programs), or if your insurance plan
is paying the entire cost of the prescriptions
-
Offer void where prohibited by law, taxed or restricted
- Patients must be 18 years of age or older to participate in this program
-
Residents of Massachusetts are not eligible to participate in this program
-
This offer is only good for the purchase of ZOMIG manufactured for AstraZeneca Pharmaceuticals
LP and lawfully purchased from an authorized retailer or distributor in the United
States
-
A redemption using the ZOMIG Cost-Saving Program may be made once every 30 days
for a maximum of 6 prescriptions until the sooner of (i) the first anniversary of
the activation date of your ZOMIG Cost-Saving Program or (ii) the expiration date
-
Each redemption using the ZOMIG Cost-Saving Program may not be combined with any
other coupon, discount, prescription savings card, free trial, or other offer
-
Each of the 6 redemptions made by use of the ZOMIG Cost-Saving Program is limited
to the lesser of (i) $35 per prescription, (ii) the amount of any copay, or (iii)
if you are paying the full cost of the prescription and it is less than $35, the
amount paid for the prescription
-
AstraZeneca reserves the right to change or discontinue this offer at any time without
notice
- Offer expires December 31, 2010
