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By using this coupon, you acknowledge that you currently meet the eligibility criteria and will comply with the Terms and Conditions described below:
This coupon is not valid for prescriptions that are eligible to be reimbursed, in whole or in part, by Medicaid,
Medicare 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"). This coupon 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 will receive $25 or the amount
of the co-pay. If your co-pay is less than $25, that amount will be applied to your co-pay. You must deduct the value of
this coupon from any reimbursement request submitted to your insurance plan, either directly by you or on your behalf.
Coupon cannot be combined with any other rebate/coupon, free trial or similar offer for the specified prescription.
Coupon will be accepted only at participating pharmacies.No membership fees are associated with this coupon. This coupon is not health insurance. Offer good only in the U.S. and Puerto Rico. Coupon is limited to 1 person during this offering period and is not transferable. Pfizer reserves the right to rescind, revoke or amend this offer without notice. Offer expires 12/31/15.
For patients with PREMARIN coverage: Use your customers prescription insurance for the primary claim. Process a Coordination of Benefits claim to PDM under BIN#: 610020 as the secondary claim. For patients without PREMARIN coverage: Process a primary claim to PDM under BIN#: 610020.
Using estrogen-alone may increase your chance of getting cancer of the uterus (womb). Report any unusual vaginal bleeding right away while you are using PREMARIN® (conjugated estrogens tablets, USP). Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb). Your healthcare provider should check any unusual vaginal bleeding to find out the cause.
Do not use estrogens with or without progestins to prevent heart disease, heart attacks, strokes or dementia (decline in brain function).
Using estrogen-alone may increase your chances of getting strokes or blood clots. Using estrogens with progestins may increase your chances of getting heart attacks, strokes, breast cancer, or blood clots.
Using estrogens, with or without progestins, may increase your chance of getting dementia, based on a study of women 65 years of age or older.
You and your healthcare provider should talk regularly about whether you still need treatment.