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Please enter the information below to replace your Momentum Savings Card.
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TO THE PATIENT:
Patients paying cash are not eligible to receive the first prescription at no cost. This offer is not valid for patients whose prescription claims are reimbursed, in whole or in part, by any state or federal government program, including, but not limited to, Medicaid, Medicare, Medigap, Department of Defense (DoD), Veterans Affairs (VA), TRICARE, CHAMPUS, Puerto Rico Government Health Insurance, or any State Patient or Pharmaceutical Assistance Program. This offer is void where prohibited by law. Certain rules and restrictions apply. This program is not insurance.
If you are not eligible for the Momentum Savings Card, you may still enroll in the program to receive tips, suggestions, helpful advice, recipes and other useful information.
If you need assistance with the Momentum Program, please call 1-855-326-1404. An agent is available to assist you from