Take this coupon to a participating pharmacy today! Get your FREE †* CONTOUR ® NEXT ONE Meter e h t h t i w * purchase of minimum 50ct CONTOUR ® NEXT test strips. Limitations and restrictions apply. Valid for eligible privately insured patients only. Give your pharmacist these codes to receive your free meter: RxBin # RxPCN # RxGroup # Group ID # Exp Date 015251 PRX2000 NTX70 NXT79892116 12/31/2020 Your diabetes. Illuminated. For more information, visit ContourNextOne.com or call 1 - 800 - 348 - 8100 † Limitations & Restrictions apply. This offer must be accompanied by a prescription for To the Pharmacist: • The identification number above can be used for all patients. i L • mit 1 meter per patient, per 12 month period for purchase of product indicated. o n n a c r e f f o s i h T • t be redeemed for cash, or combined with any other offer, coupon, or discount. • Ascensia reserves the right to terminate the program without notice. s n a r T • mit claim on-line to OPTUMRx. For assistance in filing this claim contact the Help Desk at 1-800-510-4836. e f f o s i h T • r must be accompanied by a prescription for a CONTOUR ® NEXT unbranded meter. Contact physician if no prescription on file. o s s e c o r P • r requires valid Prescriber ID#, Patient’s Name, and DOB for claim adjudication. r p e s e h T • oducts are provided for evaluation purposes only and may not be charged to any patient and the provider may not submit a claim for reimbursement to Medicare, Medicaid, or other public or private insurer for the sample product. • Offer void where prohibited by law. CONTOUR®NEXT, CONTOUR® or generic meter. Offer is not available to government beneficiaries, unless they are on a managed care plan and free meters are provided under the agreement. Patients should check with their managed care plan for more information and restrictions. Contact the patient’s physician if no prescription is on file. Ascensia reserves the right to terminate the program without notice. These products are provided for evaluation purposes only and may not be charged to any patient and the provider may not submit a claim for reimbursement to Medicare, Medicaid, or other public or private insurer for the sample product. Void where prohibited by law. Offer not valid for prescriptions reimbursed under Medicaid, Medicare drug benet plan, Tricare or other federal or state health programs (i .e. medical assistance programs. ©2020 Ascensia Diabetes Care. All rights reserved. Ascensia, the Ascensia Diabetes Care logo are trademarks and/or registered trademarks of Ascensia Diabetes

Get your FREE to receive your free meter: CONTOUR NEXT ONE … · 2020-01-28 · CONTOUR®NEXT ONE Meter *with the purchase of minimum 50ct CONTOUR®NEXT test strips. Limitations

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Take this coupon to a participating pharmacy today!

Get your FREE†*

CONTOUR®NEXT ONE Meter eht htiw * purchase of minimum 50ct CONTOUR®NEXT test

strips. Limitations and restrictions apply. Valid for eligible privately insured patients only.

Give your pharmacist these codes to receive your free meter:

RxBin # RxPCN # RxGroup # Group ID # Exp Date

015251 PRX2000 NTX70 NXT79892116 12/31/2020

Your diabetes. Illuminated.

For more information, visit ContourNextOne.com or call 1-800-348-8100

† Limitations & Restrictions apply. This offer must be accompanied by a prescription for

To the Pharmacist:• The identification number above can be used for all patients.

iL • mit 1 meter per patient, per 12 month period for purchase of product indicated.onnac reffo sihT • t be redeemed for cash, or combined with any other offer, coupon,

or discount. • Ascensia reserves the right to terminate the program without notice.

snarT • mit claim on-line to OPTUMRx. For assistance in filing this claim contact the Help Desk at 1-800-510-4836.

effo sihT • r must be accompanied by a prescription for a CONTOUR®NEXT unbranded meter. Contact physician if no prescription on file.

ossecorP • r requires valid Prescriber ID#, Patient’s Name, and DOB for claim adjudication. rp esehT • oducts are provided for evaluation purposes only and may not be charged to any patient

and the provider may not submit a claim for reimbursement to Medicare, Medicaid, or other public or private insurer for the sample product.

• Offer void where prohibited by law.

CONTOUR®NEXT, CONTOUR® or generic meter. Offer is not available to government beneficiaries,unless they are on a managed care plan and free meters are provided under the agreement. Patients should check with their managed care plan for more information and restrictions. Contact the patient’s physician if no prescription is on file. Ascensia reserves the right to terminate the program without notice. These products are provided for evaluation purposes only and may not be charged to any patient and the provider may not submit a claim for reimbursement to Medicare, Medicaid, or other public or private insurer for the sample product. Void where prohibited by law. Offer not valid for prescriptions reimbursed under Medicaid, Medicare drug benet plan, Tricare or other federal or state health programs (i .e. medical assistance programs.