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Eligible privately insured patients may pay as little as $5 per
prescription on each of up to 12 qualifying prescriptions.
Maximum savings is $150 per prescription.
Please read the accompanying Medication Guide for JANUMET XR and JANUMET, including the information about
lactic acidosis, and discuss it with your doctor. The physician
Prescribing Information for JANUMET XR and JANUMET also is available.
If your doctor prescribed JANUVIA, JANUMET XR, or
JANUMET and you are eligible, follow these simple steps to start
STEP 2: Review and accept the Terms
and Conditions of the coupon:
The coupon is valid for up to $150 off your out-of-pocket
cost, on each of up to 12 qualifying prescriptions for JANUVIA,
JANUMET XR, or JANUMET (regardless of the quantity supplied
on the prescription). Patient is responsible for the first $5 of
their out-of-pocket cost.
Coupon is valid for use 12 times only. Patient must have
a co-payment (or, if privately insured without coverage for
JANUVIA, JANUMET XR, or JANUMET make full cash payment) for
the prescription. Savings are limited to amount of your
out-of-pocket cost over $5, up to a maximum of $150 per
prescription for up to 12 qualifying prescriptions.
No other purchase is necessary.
The coupon is not transferable. No substitutions are
permitted. The offer cannot be combined with any other coupon,
free trial, discount, prescription savings card, or other offer.
The coupon is not insurance.
Patient must have private insurance. Not valid for
uninsured patients or patients covered under Medicaid, Medicare,
a Medicare Part D or Medicare Advantage plan (regardless of
whether a specific prescription is covered), TRICARE, CHAMPUS,
Puerto Rico Government Health Insurance Plan ("Healthcare
Reform"), or any other state or federal medical or
pharmaceutical benefit program or pharmaceutical assistance
program (collectively, "Government Programs").
The coupon is not valid for patients covered under
any qualified health plan purchased through a health insurance
exchange (marketplace) established by a state government or the
federal government (“Exchange Plan”).
Absent a change in Massachusetts law, effective
July 1, 2017, the coupon will no longer be valid for residents
You must be 18 years of age or older to redeem the
coupon. Patient, pharmacist, and prescriber agree not to seek
reimbursement for all or any part of the benefit received by the
patient through the offer. Patient is responsible for reporting
receipt of coupon benefit to any insurer, health plan, or other
third party who pays for or reimburses any part of the
prescription filled using the coupon, as may be required.
The coupon can be used only by eligible residents of the
United States or the Commonwealth of Puerto Rico at participating
eligible retail or mail-order 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 and must be turned in
It is illegal to sell, purchase, trade, or
counterfeit, or offer to sell, purchase, trade, or counterfeit
the coupon. Void if reproduced. Void where prohibited by law,
taxed, or restricted.
Merck reserves the right to rescind, revoke, or amend the
offer at any time without notice.
Data related to your redemption of the coupon may be
collected, analyzed, and shared with Merck, for market research
and other purposes related to assessing coupon programs. Data
shared with Merck will be aggregated and de-identified, meaning
it will be combined with data related to other coupon redemptions
and will not identify you.
Expiration Date: 12/31/2017.
STEP 3: Answer the activation
questions regarding eligibility. Not all patients are eligible.
Please see the Terms and Conditions above.
STEP 4: The activated coupon will be
ready to use at an eligible pharmacy.
You must confirm that you
have read and agree to the Terms and Conditions of the coupon.
You must select an option
in Step 1 to proceed.
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