Uloric (febuxostat)

*Eligibility Requirements:

This offer cannot be used if any part of your prescription is covered by: (i) any federal or state healthcare program (Medicare, Medicaid, VA, TriCARE, etc.), including a state medical or pharmaceutical assistance program, (ii) the Medicare Prescription Drug Program (Part D), or if you are currently in the coverage gap, (iii) insurance that is paying the entire cost of the prescription, or (iv) an insurer or other Third Party Payor in Massachusetts.

You must meet Eligibility Requirements. You agree to report your use of this card to any Third Party that reimburses you or pays for any part of the prescription price. You additionally agree that you will not submit the cost of any portion of the product dispensed pursuant to this card to a federal or state healthcare program for purposes of counting it toward your out-of-pocket expenses (such as TrOOP under Medicare Part D). This offer covers out-of-pocket expenses greater than $35, up to $100 benefit per prescription. This card is not valid with any other program, discount, or incentive involving ULORIC. Offer Expires 3/31/2013. This offer may be rescinded, revoked, or amended without notice. No reproductions. This card is void where prohibited by law, taxed, or restricted. Limit one card per purchase. Cash value of 1/100 of 1¢. For questions about this card, call The Customer Service Center at 1-877-747-5972.