Save up to $20 on each of your next 5 AMBIEN CR prescriptions.
Present this certificate and your AMBIEN CR prescription to your pharmacist. You'll automatically save up to $20, and will continue to do so on your next 4 prescriptions. Keep this certificate for future savings.
For mail-order prescriptions, just photocopy this page and send it along with your prescription to your mail-order provider.
RxBIN
610524
ISSUER
(80840)
RxPCN
loyalty
ID Number
362997599
RxGRP
50775173

Maximum benefit is $20 off, on up to 5 prescriptions, depending on your out-of-pocket costs. Not valid for patients participating in Medicare, Medicaid, government (public insurance) programs, or any private payor in the state of Massachusetts and where prohibited by law.

Patient:
You must present this card to the pharmacist along with your prescription to participate in this program. If you have any questions regarding your eligibility or benefits or if you wish to discontinue your participation, call the Ambien CR® (zolpidem tartrate extended release) 6.25-mg or 12.5-mg Offer Card program at 1-866-717-5819 (8:00 AM - 8:00PM EST, Monday-Friday). Retain this card for future reference.

Pharmacist:

Submit transaction to McKesson Corporation using BIN #610524.
If primary coverage exists, input card information as secondary coverage and transmit using the COB segment of the NCPDP transaction. Applicable discounts will be displayed in the transaction response.
Acceptance of this card and your submission of claims for the AMBIEN CR Offer Card program are subject to the LoyaltyScript® program Terms and Conditions established by McKesson Corporation. By accepting this card, you agree to the LoyaltyScript® program Terms and Conditions posted at www.mckesson.com/mprs.
Maximum benefit is up to $20 off per prescription depending on your out-of-pocket costs. This offer is not valid for Medicare or Medicaid recipients or any government (public insurance) programs, any private payor in the state of Massachusetts and where prohibited by law. LoyaltyScript® is not an insurance card.
For questions regarding setup, claim transmission, patient eligibility or other issues, call the AMBIEN CR Offer Card program at 1-866-717-5819 (8:00 AM-8:00 PM EST, Monday-Friday).

Terms and conditions:
OFFER GOOD ONLY ON AMBIEN CR PRESCRIPTION. This offer is valid only for the patient whose name appears on the prescription for AMBIEN CR, and is limited to five redemptions per person at $20 each for the duration of the program. This offer may not be sold, purchased or traded, or offered for sale, purchase or trade, or counterfeited. Duplicate requests and requests from clubs, groups or organizations will not be honored, acknowledged or returned. Restrictions apply. Not valid for patients participating in Medicare, Medicaid, government (public insurance) programs, or any private payor in the state of Massachusetts and where prohibited by law. Sanofi-aventis reserves the right to rescind, revoke or amend this offer without notice.

©2007-2008 sanofi-aventis U.S. LLC. All rights reserved. US.ACR.08.10.055

McKesson Specialty Arizona Inc. – Scottsdale AZ 85251 – Patent Pending AMBIEN CR Offer Card is a LoyaltyScript® program

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Maximum benefit is $20 off, on up to 5 prescriptions, depending on your out-of-pocket costs. Not valid for patients participating in Medicare, Medicaid, government (public insurance) programs, or any private payor in the state of Massachusetts and where prohibited by law.
See terms and conditions on offer material.

AMBIEN CR is indicated to help you fall asleep and/or stay asleep.

AMBIEN is indicated for short-term treatment to help you fall asleep.

IMPORTANT SAFETY INFORMATION

AMBIEN and AMBIEN CR are treatment options you and your doctor can consider along with lifestyle changes. When taking either of them, don’t drive or operate machinery. Plan to devote 7 to 8 hours to sleep before being active. Sleepwalking, and eating or driving while not fully awake, with memory loss for the event, as well as abnormal behaviors such as being more outgoing or aggressive than normal, confusion, agitation, and hallucinations may occur. Don’t take it with alcohol as it may increase these behaviors. In patients with depression, worsening of depression, including risk of suicide may occur. If you experience any of these behaviors contact your doctor immediately. Allergic reactions such as shortness of breath, swelling of your tongue or throat, may occur and in rare cases may be fatal. If you have an allergic reaction while using AMBIEN or AMBIEN CR, contact your doctor immediately. Side effects of AMBIEN CR may include next-day drowsiness, dizziness and headache. There is a low occurrence of side effects associated with the short-term use of AMBIEN. The most commonly observed side effects in controlled clinical trials were drowsiness, dizziness, and diarrhea. AMBIEN is taken for 7 to 10 days –or longer as advised by your provider. AMBIEN CR can be taken as long as your doctor recommends. AMBIEN and AMBIEN CR have some risk of dependency. They are non-narcotic.

Please refer to the AMBIEN CR full prescribing information and medication guide.
Please refer to the AMBIEN full prescribing information and medication guide.

Click here for information on drug anti-counterfeiting.