Sign up for the CRINONE^® 8% Savings Program

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agree to this certification and accept the Program Terms, Conditions, and Eligibility Criteria to proceed. Go back to the form

1. This offer is good for use only with a valid prescription for CRINONE^® 8% (progesterone gel) at the time the prescription is filled by the pharmacist and dispensed to the patient.
2. Maximum savings limit applies. Depending on insurance coverage, eligible patients pay the first $35 then save up to $150 per 30-day supply, up to $300 per 60-day supply, or up to $450 per 90-day supply of CRINONE 8%, plus any remaining balance after the maximum per-fill savings limit is reached. Check with your pharmacist for your discount. Patient out-of-pocket expense may vary.
3. This offer is not valid for use by patients enrolled in Medicare, Medicaid, or other federal or state programs (including any state pharmaceutical assistance programs), or private indemnity or HMO insurance plans that reimburse you for the entire cost of your prescription drugs. Patients may not use this offer if they are Medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. This offer is not valid for cash-paying patients.
4. This card is valid for up to six (6) prescription fills for a 30-day supply, up to three (3) prescription fills for a 60-day supply, or for up to two (2) prescription fills for a 90-day supply. All prescriptions must be filled before the program expires on 12/31/20.
5. Allergan reserves the right to rescind, revoke, or amend this offer without notice.
6. Offer good only in the USA, including Puerto Rico, at participating retail pharmacies.
7. Void where prohibited by law, taxed, or restricted.
8. This card is not transferable. The selling, purchasing, trading, or counterfeiting of this card is prohibited by law.
9. This card has no cash value and may not be used in combination with any other discount, coupon, rebate, free trial, or similar offer for the specified prescription.
10. This offer is not health insurance.
11. This card expires December 31, 2020.
12. By redeeming this card, you acknowledge that you are an eligible patient and that you understand and agree to comply with the terms and conditions of this offer.

For patient questions about this program, please call 1.844.415.0680.