This program is only available to residents of the United States and US territories, where specified. Most commercially insured
and eligible uninsured patients are eligible. This offer is not valid for prescriptions that are eligible to be reimbursed, in whole
or in part, by Medicaid, Medicare, TRICARE, the Veterans Administration, the Puerto Rico Government Health Insurance Plan
or any other federal or state healthcare programs.
If your insurance changes, you may no longer be eligible to use this coupon. Coupons can only be processed exclusively at
Walgreens and other participating independent pharmacies.
To activate your coupon, please answer the following questions:
By using the Valeant Access coupon, you confirm that you understand and agree to comply with the following terms and conditions of this offer:
This offer is only valid for patients with commercial insurance and eligible uninsured patients.
This offer is not valid for any person eligible for reimbursement of prescriptions, in whole or in part, by any federal, state, or other governmental programs, including, but not
limited to, Medicare (including Medicare Advantage and Part A, B, and D plans), Medicaid, TRICARE, Veterans Administration or Department of Defense health coverage, CHAMPUS, the
Puerto Rico Government Health Insurance Plan, or any other federal or state health care programs.
You agree not to seek reimbursement for all or any part of the benefit received through this offer and are responsible for making any required reports of your use of this offer to
any insurer or other third party who pays any part of the prescription filled.
This offer is good only in the United States of America (including the District of Columbia, Puerto Rico and the U.S. Virgin Islands) at retail pharmacies owned and operated by
Walgreen Co. (or its affiliates) and other participating independent retail pharmacies. This offer is not valid in Massachusetts or Minnesota or where otherwise prohibited, taxed,
or otherwise restricted.
This offer is not valid for any person that is 65 years of age or older without commercial insurance. You must be 18 years of age or older to redeem this offer for yourself
or a minor.
You must present this coupon along with your prescription to participate in this program. You must activate this coupon before using by calling 1-855-280-0581 or visiting
This coupon is good for use only with the products identified herein. No other purchase is necessary.
This offer cannot be redeemed at government-subsidized clinics.
This coupon is good for a limited number of fills only. For a complete listing of the maximum number of fills for each product for which this offer applies, please review
the program terms and conditions, which are posted at www.valeantaccessprogram.com/addyi.
Reimbursement limitations apply. Patient is responsible for all additional costs and expenses after reimbursement limits are reached.
This coupon and offer are not health insurance.
The selling, purchasing, trading, or counterfeiting of this coupon is prohibited by law. Void if reproduced.
This offer is not valid with other offers. This coupon has no cash value. No cash back.
Valeant Pharmaceuticals reserves the right to rescind, revoke, terminate, or amend this offer at any time, without notice.