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This offer is not conditioned on any past, present, or future purchase, including refills. Duplicates of this uniquely coded offer are invalid and not redeemable at the pharmacy. This offer may not be sold, purchased, traded, or counterfeited. GSK or McKesson (on GSK?s behalf) reserves the right to rescind, revoke, or amend this offer at any time without notice. You agree to report your use of this coupon to your health insurer if required. Your acceptance of this offer must be consistent with the terms of any drug benefit plan provided to you by your health insurer. Offer must be presented along with a valid prescription for BREO at the time of purchase. Patients, pharmacists, and prescribers cannot seek reimbursement from health insurance or any third party for any part of the amount received by the patient through this offer. This offer is limited to 1 per person and is nontransferable and cannot be combined with any other coupon, free trial, or similar offer. Patient is responsible for applicable taxes, if any. This offer is valid for up to 12 uses per product, and each 30-day supply per product counts as 1 use. If you pay cash for your prescription, or are insured and your insurance does not cover or has a managed care restriction (e.g., step-edit, prior authorization, or NDC block), and are not a government beneficiary or Medicare eligible, you will receive up to $100 in savings on your out-of-pocket costs for each 30-day supply for each product. TERMS OF USE: Eligible commercially insured/covered patients with no restrictions (e.g., step-edit, prior authorization, or NDC block) and patients with a valid prescription for BREO ELLIPTA (fluticasone furoate and vilanterol inhalation powder) who present this savings card at participating pharmacies will pay the first $10, and receive up to $100 off each 30-day prescription or refill of BREO applied to their out-of-pocket cost. Not valid in Massachusetts or California if an AB-rated generic drug is available for the product. Void where prohibited by law, taxed, or restricted. This offer is not health insurance and is restricted to residents of the United States, Puerto Rico, and US territories. If patients are government beneficiaries or Medicare eligible, they may not use this savings offer even if they elect to be processed as an uninsured (cash-paying) patient. For coupon eligibility purposes, all those 65 or older will be considered Medicare eligible. Further, patients CANNOT use this coupon if they are Medicare eligible. Government beneficiaries patients who are enrolled in any federal healthcare program, including patients enrolled in Medicare (Part D or otherwise), Medicaid, Medigap, Veterans Affairs (VA) or Department of Defense (DOD) programs, or TRICARE patients who are Medicare eligible and enrolled in an employer-sponsored group waiver health plan or government prescription drug benefit program for retirees or patients enrolled in any similar federal or state programs, including state pharmaceutical assistance programs, are NOT eligible for this offer.
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ELIGIBILITY: Patients may be eligible for this offer if they have commercial insurance and insurance does not cover the full cost of the prescription or if they are not insured and are responsible for the cost of their prescriptions.