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Eligibility Restrictions, Terms and Conditions:
Eligible participants in the Copay Card Program ("Program") may receive savings of up to $200 each month for each individual prescription strength of Astagraf XL® or Prograf. Patient is responsible for any differential over $200 for each individual prescription strength. 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. Savings on Prograf not valid for those patients who reside in the state of Massachusetts. The Copay Card is valid for twelve (12) months from date of enrollment. Annual reenrollment in the Program is required and subject to eligibility.
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.