Internet Drug Coupons.com Database of money saving coupons, rebates and vouchers for prescription and over-the-counter medicines arranged alphabetically by brand name; free service; nothing to buy, no membership fees.
Fill out the required fields and click "submit." Then the rebate form will appear.
Print out the rebate form.
Pick up your prescription from your pharmacist. Pay your applicable out of pocket costs and keep your receipt.
Fill out the form.
Mail the original form, your original, dated cash register reciept (proof of purchase) and the empty PATANOL® solution 5 mL carton, postmarked by 5/15/08 to:
$10 PATANOL® Solution Internet Rebate Offer Department 206-102 PO Box 440154 El Paso, TX 88544-0154
Disclaimer: In most cases, you can use the coupon to pay for your co-pay. Prescription drug coupons and/or rebates are prohibited in certain states such as Massachusetts. Check with your local pharmacy to make sure that this offer is valid in your state.
Drug coupons are not valid for prescriptions for which payment may be made in full or in part under a federal or state healthcare program such as Medicaid, Medical or Medicare.
The amount of the rebate or prescription can not exceed the patient's actual out-of-pocket expenses.
