To find out if you may qualify for this coupon, please answer the following questions:
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Please read the Patient Information and discuss it with your doctor. The physician Prescribing Information also is available.
- Save up to $20 on your qualifying prescription for SINGULAIR
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- This coupon is not insurance.
- To receive up to $20 on your out-of-pocket cost for SINGULAIR, present this coupon and your insurance card (if any) with a valid signed prescription at a participating retail pharmacy.
- No other purchase is required.
- Patient must have a copayment or make a full cash payment for the prescription. Savings are limited to amount of copay or cash payment up to a maximum of $20.
- Coupon is valid for those with private insurance or cash-paying patients. Not valid for patients covered under Medicaid, a Medicare Part D or Medicare Advantage plan (regardless of whether a specific prescription is covered), TRICARE, CHAMPUS, or any other state or federal medical or pharmaceutical benefit program.
- Not valid for residents of Colorado, Maine, or Massachusetts.
- Limit 1 coupon per patient for the duration of the program. Valid for 1-time use only. This coupon is nontransferable. No substitutions are permitted. May not be combined with any other free trial, coupon, discount, prescription savings card, or other offer.
- Void if reproduced. Void where prohibited by law, taxed, or restricted.
- It is illegal for any person to sell, purchase, trade, or counterfeit this coupon.
- Merck & Co., Inc., reserves the right to rescind, cancel, or amend this offer at any time without notice.
- Limitations apply. Please see additional Terms and Conditions below and printed with this coupon.
Coupon expires 12/31/2009
Additional Terms and Conditions:
Coupon is valid for up to $20 off 1 prescription for SINGULAIR. One-time use only. Savings are limited to amount of copay or cash payment, up to a maximum of $20. For patients younger than 18 years who are prescribed SINGULAIR, this coupon can be used by parent or guardian for the child. Coupon can be used only by US residents at participating eligible retail pharmacies in the United States. Product must originate in the United States. Mail-order pharmacies are not eligible. Patient agrees not to seek reimbursement for all or any part of the benefit received through this offer. Patient is responsible for reporting receipt of coupon benefit to any insurer or other third party who pays for or reimburses any part of the prescription filled using this coupon. This coupon is the property of Merck & Co., Inc., and must be turned in on request.
Questions about this offer? Call toll-free 877-441-4247.