8/17/2019 Thank You _ ACCU-CHEK Nano Meter

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9/13/2015 Thank you | ACCU-CHEK Nano meter  

https://www.accu-chek.com/microsites/nano/offer.html 1/1

*Free Meter Offer:  Receive a free Accu-Chek Nano meter with this voucher and a valid prescription for an Accu-Chek Nano meter. It is

not appropriate to seek payment from Medicare, Medicare Advantage, Medicaid, Medigap, VA, DOD, TriCare or any other government

healthcare program or private payers for free products. Limit one meter per person. Valid at participating pharmacies in the U.S. only. By

using this voucher, you certify that you understand and agree to comply with all program rules, regulations, and terms and conditions.

Roche has the right to rescind or amend this offer without notice. Offer expires December 31, 2015.Pharmacists:  By using this voucher, you certify that you have not submitted and will not submit a claim for reimbursement under any

federal, state or other federally funded program, including but not limited to Medicare, Medicare Advantage, Medicaid, Medigap, VA, DOD or

TriCare. Pharmacist Helpline:  1-800-657-7613 (8:00 am-8:00 pm EST, Monday-Friday).

A FREE Accu-Chek®  Nano SmartView system  is

reserved for nsadiq.*

Present this voucher to your pharmacist along with a prescription forthe Accu-Chek Nano SmartView system by December 31, 2015.

BIN: 610524RxPCN: 1016

Issuer: (80840)

RxGrp: 40026508

Identification #: 266707948

Pharmacist:  Input voucher information for the free Accu-Chek Nano meter as primary coverage.

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