Relpax

Coupon For Relpax®; $10 Coupon; Save Up To $120 Per Year; Certain Restrictions Apply

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Name of Offer: Relpax Challenge
Description: Doctor Provided Sign-Up Form

You can only get access to this program through your doctor. He will give you a brochure or a card with a registration number on it.

He gets these cards and brochures from his Pfizer representative.

If your doctor does not have a supply of these coupons, he must contact his Pfizer representative who is responsible for Relpax®.

If he does not know who his Pfizer representative is for Relpax, he should call Pfizer at 1-212-733-2323. Pfizer will dispatch a representative to meet with your doctor, drop off the coupons and explain how the program works.

Only doctors who normally prescribe products for migraine are appropriate to participate in this program.

This program is generally not appropriate for doctors who do not routinely prescribe migraine products for such as retired doctors, surgeons, eye doctors, dentists, etc.

Once you have your card or brochure, log onto the above site and register using the unique identification number on the card or brochure your doctor gave you.

After you are registered, you will qualify to receive $10 coupons you can apply to the cost of your Relpax.

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