By continuing, you confirm that you are a resident of the United States or a United States Territory (Puerto Rico, Guam, U.S. Virgin Island, Northern Mariana Islands, American Samoa) who is 18 years of age or older.

You confirm that you are NOT enrolled in insurance from any government, state, or federally funded medical or prescription benefit programs (Examples include Medicare, Medigap, VA, DOD, TRICARE, Medicaid, or any other state or federal medical/pharmaceutical benefit or assistance). Individuals with both commercial and government funded plans ARE considered a patient with government insurance. If you should begin to receive prescription benefits under any government insurance plan, you understand that you can no longer participate in this program.

Further, you agree that by redeeming this coupon, you (and anyone else acting on your behalf) agree not to seek reimbursement from any insurance plan for out-of-pocket costs for prescriptions purchased with this coupon. You also agree not to count the cost of prescriptions toward your deductible or true out-of-pocket costs.