Sanofi Logo
Text Size – + |   FAQs  |  Sleep Glossary  |   Site Map  |  Contact Us  |   Health Care Professionals
For U.S. Residents Only
Save up to $100 Try our 4 free night trial
Skip Navigation LinksSave on AMBIEN CRSave on AmbienCR

Save on AmbienCR

Email Send to a Friend   Print Print Page
Bring this 4-night FREE‡ Trial Offer to your healthcare professional.
1. Ask your healthcare professional if AMBIEN CR is right for you. If it is, ask for a 4-night prescription to receive your free‡ trial.
2. Present this certificate and your 4-night prescription for AMBIEN CR to your local pharmacy to receive 4 nights of AMBIEN CR, FREE‡.

Good for 4 tablets of only AMBIEN CR 6.25-mg or 12.5-mg.
Group Number
H1600018
ID Number
W46200848
BIN Number
610500
Expiration date
2/3/2010

Print Certificate Now
‡ See terms and conditions on offer material

For the Physician:

In order to use this certificate, your patients will require one prescription for four (4) tablets of Ambien CR® 6.25-mg or 12.5-mg.
If you wish your patient to continue on AMBIEN CR beyond the free‡ trial period, you must also provide a separate prescription based on your recommended therapy.
Refills will not be authorized with this certificate.

For the Pharmacist:

Please dispense this sanofi-aventis medication to the patient without a copayment. No purchase required.
Redeem one time for product only when attached to a valid, signed prescription for Ambien CR® (zolpidem tartrate extended release) 6.25-mg or 12.5-mg tablets. No substitutions permitted.
Limit four (4) tablets of Ambien CR® 6.25-mg or 12.5-mg per prescription.
This certificate is good for one fill only. Please process any additional fills for AMBIEN CR under the patient’s primary insurance as a new prescription with a new Rx number.
Limit one free trial certificate redemption per person for the duration of the program.
This offer is not valid for patients who have previously redeemed a 7 Night Invite free trial offer.

Pharmacist Should Follow These Steps:

Transmit the claim to McKesson Specialty, Arizona using BIN #610500.
Remove the Identification # and Group # from the patient profi le after the claim has been adjudicated. Patient confidentiality is maintained.
McKesson retains the rights to review all records and documentation relating to the illing/dispensing of product.
For assistance with this claim or rules and restrictions governing the sanofi-aventis Free Trial Program, please call the McKesson Specialty Arizona Help Desk at 1-800-750-9835.

‡ Terms and conditions:
CERTIFICATE GOOD ONLY ON AMBIEN CR PRESCRIPTION. This certificate is valid only for the patient whose name appears on the prescription for AMBIEN CR, and is limited to one free trial certificate redemption per person for the duration of the program. This offer is not valid for patients who have previously redeemed a 7 Night Invite free trial offer. This certificate 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 prescriptions reimbursed under Medicare, Medicaid or any federal or state healthcare programs, including any state, medical or pharmaceutical assistance programs, if insurer or other third-party payer reimburses or pays for any part of the prescription price. Void where prohibited by law, taxed or restricted. Sanofi-aventis reserves the right to rescind, revoke or amend this offer without notice.

*McKesson Specialty Arizona Inc Scottsdale AZ 85251 Patent Pending.

‡ See terms and conditions on offer material.

pagedivide

* Proven effective for up to 7 hours in clinical studies.
† 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.

Sleep Aids Sleep Tips Sleep Medication Facts Sleep Deprivation Trouble Sleeping AMBIEN CR Side Effects