Your no charge voucher for a OneTouch® meter

*Test strips are sold separately and are not part of this voucher.

†Some health plans may have more than one test strip covered at the lowest co-pay.

This offer from LifeScan, Inc. can only be redeemed where OneTouch® products are sold and prescriptions can be processed.

OneTouch® test strips are offered at the lowest co-pay on the most health plans.†

Choose from one of our OneTouch Verio® family of meters

Choose

Your OneTouch® meter above

Check Do

Latest

OneTouch Verio Flex® meter

For patients looking to take the guesswork out of their numbers—connects wirelessly to the OneTouch Reveal®

mobile app.

OneTouch Verio® meter

For patients who want helpful information at a glance

OneTouch Verio®IQ meter

For patients looking to understand how insulin, meal intake, and lifestyle affect

blood glucose

Be sure to have your prescription for the OneTouch Verio® family of meters and

test strips*

Take this voucher and prescription to

your pharmacist

For the PharmacistPlease ensure you complete and submit

this voucher to Patient Choice®

Reimbursement

The Bluetooth® word mark and logos are registered trademarks owned by Bluetooth SIG. Inc., and any use of such marks by LifeScan Scotland Ltd. is under license.

© 2016 LifeScan, Inc. NACO/OTB/1116/0526 CIGNA11/16 EOS 063251-161114

• Submit this claim to Patient Choice® for reimbursement plus a dispensing fee.

• Questions? Call 1-800-422-5604.

• Requires a valid prescription. Offer valid for one meter per patient every 12 months.

• Offer good while supplies last. Void where prohibited by law.

• This offer from LifeScan, Inc. can only be redeemed where OneTouch® products are sold and prescriptions can be processed.

• By participating in this program or by otherwise processing a program voucher, you warrant that you will not submit a claim for reimbursement of any meter covered by this agreement with any commercial payor or state or federal government funded program (including but not limited to Medicare, Medicare Advantage, Medicaid, Medigap, VA, DOD, or TriCare®).

OFFER EXPIRES 12/31/2017

OneTouch Verio®IQ meter

OneTouch Verio® meter

OneTouch Verio Flex® meter

Bin:004682

RxPCN:CN

GroupID:LVPUM523

ID#:NOCHARGEMETR

Bin:004682

RxPCN:CN

GroupID:LVUUC524

ID#:NOCHARGEMETR

OneTouch UltraMini® meterOneTouch Ultra®2 meter