| |  | Attached, you'll find the First Prescription FREE* offer and Prescription Savings Card for NUVIGIL that you requested at NUVIGIL.com.
You can redeem the offer and activate the Prescription Savings Card by following the instructions listed below and on the attached materials. If you and your doctor decide NUVIGIL is right for you, you may be eligible to pay as little as $5 per refill on future prescriptions.
If you are a healthcare professional, please print the attached item to give to your patients. | |  | | | | | *Limitations apply. | | | | | FOR PATIENTS | | | | | FIRST PRESCRIPTION FREE*
If you and your doctor decide NUVIGIL is right for you, present this offer, including the NUVIGIL Prescription Savings Card, and your first prescription for NUVIGIL to any participating retail pharmacy and receive your first prescription FREE (up to 30 tablets).
Refills as low as $5*
Present the NUVIGIL Prescription Savings Card to your pharmacist and pay as little as $5 per refill on future prescriptions (maximum savings of up to $50 per prescription). Patients without insurance coverage will receive only $50 off the pharmacy price of future prescriptions.
IMPORTANT: Please be sure to bring this entire offer and NUVIGIL Prescription Savings Card to your pharmacist when you fill your first prescription. It contains important instructions that the pharmacist needs in order to ensure you receive your first 30 NUVIGIL tablets at no cost.
Please note that this offer cannot be redeemed by patients eligible for Medicare (including Medicare Advantage or Part D prescription drug plans), Medicaid, or other public payment programs.
Be sure to follow all dosing instructions provided by your doctor.
Ask your doctor or pharmacist if you have questions regarding your prescription.
*Limitations apply.
By redeeming this offer, you certify that you are eligible for this offer in accordance with the Terms and Limitations below.
If you have any questions about the NUVIGIL Prescription Savings Card Program or your eligibility to participate, please call the AlphaScrip Patient Information Hotline at 1-800-284-2966.
Terms and Limitations:
Offer expires 12/31/2015. Valid only in the United States at participating retail pharmacies and cannot be redeemed at government-subsidized clinics. Offer must be accompanied by a valid prescription for NUVIGIL. Void in Massachusetts and where prohibited by law. No substitutions permitted. Offer not valid for patients eligible for coverage for NUVIGIL under Medicare (including Medicare Advantage or Part D Prescription Drug Plans), Medicaid or other public payment programs (e.g., TRICARE, or any state program). Depending upon the nature and terms of your relationship with insurance carriers, you will report offer redemption to the insurance carrier if required. Offer not valid for prescriptions reimbursed in full (including co-pay) by any third party payor. Offer cannot be combined with any other voucher, certificate, coupon, rebate, or similar offer. It is illegal for any person to sell, purchase, or trade; or to offer to sell, purchase, or trade or to counterfeit this offer. This is not an insurance program. Cephalon reserves the right to rescind, revoke, or amend this offer without notice. Offer not extended on prescriptions for: | • | Patients using mail-order or institution-based pharmacies to fill their prescriptions, or who are federal or state government employees | | • | Patients who are filling their prescriptions at nonparticipating pharmacies | | • | Patients over age 65 (due to Medicare eligibility) or under age 17* | | | Additional Terms and Limitations: | • | Minimum supply of 14 tablets per fill | | • | Maximum number of card uses per month of three | | • | One card per patient | | | Cash value of this coupon is 1/100 of a cent.
| | | * | If patient is a minor, then this offer may only be redeemed by the parent or legal guardian of the minor patient. | | | | | By redeeming this offer, patients (or the parent or legal guardian of a minor patient) and pharmacists understand and agree to comply with these Terms and Limitations.
For questions regarding processing, please call the AlphaScrip Pharmacy Help Desk at 1-877-274-3244. | | | | |  | | | | | You have received this email by registering at NUVIGIL.com or related Web sites. If you do not wish to receive future NUVIGIL communications, please click here to unsubscribe.
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Teva Pharmaceuticals
41 Moores Road
PO Box 4011
Frazer, PA 19355 | | | | |  | | © 2014 Cephalon, Inc., a wholly-owned subsidiary of Teva Pharmaceutical Industries Ltd.
All rights reserved. NUV-40504 Aug 2014 | | | | |
