TOVIAZ® (fesoterodine fumarate) Coupon Terms and Conditions By

TOVIAZ® (fesoterodine fumarate) Coupon Terms and Conditions By using the TOVIAZ $10 Coupon, you attest that you meet the eligibility criteria and will comply with the terms and conditions described below: •
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This coupon can only be used with a valid prescription for TOVIAZ You will receive $10 off your next TOVIAZ prescription This coupon is not valid for prescriptions that are eligible to be reimbursed, in whole or in part, by Medicaid, Medicare (including Medicare Part D), 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”] Offer is only valid for Commercially-­‐insured patients and not valid for cash paying patients This coupon is not valid for prescriptions that are eligible to be reimbursed by private indemnity or HMO insurance plans or other health or pharmacy benefit programs which reimburse you for the entire cost of your prescription drugs Only 1 coupon per person may be redeemed under this program This coupon is not transferable No claim for reimbursement for product dispensed pursuant to this coupon may be submitted to any third-­‐party payor This coupon cannot be combined with any other rebate/coupon, free trial, or similar offer for the specified prescription The coupon will be accepted only at participating pharmacies This coupon is not health insurance Offer good only in U.S. and Puerto Rico A patient must be 18 or older to participate in this Program No membership fees Pfizer reserves the right to rescind, revoke, or amend this free trial coupon without notice This coupon expires 8/15/2014 For help with the TOVIAZ $10 Coupon, call 1-­‐855-­‐298-­‐6947, or write: TOVIAZ $10 Coupon, 14001 Weston Parkway, Suite 103, Cary, NC 27513. www.pfizer.com