Special savings offer on an eligible prescription for SINGULAIR

To find out if you may qualify for the coupon, please answer the following questions:

1. What state do you live in?

Due to state restrictions, this coupon for SINGULAIR cannot be used by residents of Colorado or Massachusetts. [ Back ]

2. How do you currently pay for your prescriptions?: I have private insurance.; I have government insurance (Medicaid, Medicare Part D, Medicare
Advantage plan, TRICARE, CHAMPUS, Government Health Insurance Plan [“Healthcare Reform”]), or another state or federal medical or pharmaceutical benefit program or pharmaceutical assistance program.; I do not have prescription insurance. I pay cash for my medications.

Only privately insured and cash-paying patients are eligible to use the coupon for SINGULAIR. [ Back ]

3. How do you typically fill your prescriptions?: I take my prescriptions to my local pharmacy.; I order my prescriptions through a mail-order pharmacy.

The coupon for SINGULAIR will not work with mail-order pharmacies at this time. You can take the coupon to any participating eligible retail pharmacy for possible savings on eligible prescriptions for SINGULAIR. [ Back ]

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.

TERMS and CONDITIONS

The coupon is not insurance.
Coupon is valid for up to $20 off 1 prescription for SINGULAIR.
Limit 1 coupon per patient for the duration of the program. Valid for 1-time use only. Patient must have a copayment or make full cash payment for the prescription. Savings are limited to amount of copay or cash payment up to a maximum of $20.
The coupon is nontransferable. No substitutions are permitted. Cannot be combined with any other free trial, coupon, discount, prescription savings card, or other offer.
No other purchase is required.
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, Government Health Insurance Plan (“Healthcare Reform”), or any other state or federal medical or pharmaceutical benefit program or pharmaceutical assistance program.
Not valid for residents of Colorado or Massachusetts.
Patient, guardian, and prescriber agree not to seek reimbursement for all or any part of the benefit received by the patient through this offer. Patient (or guardian) 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 the coupon.
For patients younger than 18 years who are prescribed SINGULAIR, the coupon can be used by the parent or guardian for the child.
Coupon can be used only by eligible US residents at participating eligible retail pharmacies in the United States or the Commonwealth of Puerto Rico. Product must originate in the United States or the Commonwealth of Puerto Rico.
The coupon is the property of Merck & Co., Inc., and must be turned in on request.
Merck & Co., Inc., reserves the right to rescind, revoke, or amend this offer at any time without notice. Void if reproduced. Void where prohibited by law, taxed, or restricted.
It is illegal to sell, purchase, trade, or counterfeit the coupon.
Expiration Date: 12/31/2010.

SINGULAIR is a registered trademark of Merck & Co., Inc.

20951735(2)-10/09-SNG