How the savings card works
• The card can be used up to 12 times before the expiration date and eligible patients may save on their copay or out-of-pocket cost over $25 up to a maximum of $75, per prescription (regardless of the number of inhalers supplied on the prescription) for DULERA. Savings are limited to the amount of your copay or out-of-pocket cost over $25, up to a maximum of $75. The card can be used for up to 12 qualifying prescriptions prior to the expiration date.
• To receive up to $75 in savings on your copay or out-of-pocket cost over $25 for DULERA, follow the activation instructions then present the card and your insurance card (if any) with a valid signed prescription at any participating eligible retail or mail order pharmacy (certain restrictions apply).
• To activate the card, go to www.activatethecard.com/6150 or call 866-747-9722.
• If you are unable to redeem the card at your retail or mail order pharmacy, please keep your receipt and call McKessen Corp., at 866-747-9722 within 30 days of purchase to request a Direct Member Reimbursement (DMR) form.
• If you lose your card, you can call 866-747-9722 to request a replacement card or visit www.activatethecard.com/6150 to print a new card. Regardless of the number of replacement cards received or printed, the card offer is limited to 12 prescriptions of DULERA per patient prior to the expiration date of this program.
• No other purchase is necessary. Restrictions apply. Please see Terms and Conditions.

Prescriber

To initiate a card for an appropriate patient to use up to 12 times, you should:
• Read the accompanying Prescribing Information before prescribing DULERA.
• Write a prescription for DULERA. No substitutions are permitted.
• Give the signed prescription and the card to the patient along with the Medication Guide for DULERA.
• Eligible patients can take the card and the signed prescription to any participating eligible retail or mail order pharmacy to receive savings on their copay or
  out-of-pocket cost (savings will vary depending on their copay or out-of-pocket cost).
• For additional copies of the Prescribing Information, call 800-672-6372, visit dulera.com, or contact your Merck representative.
• Not all patients are eligible to use the card. Please see Terms and Conditions.

Please note: If you have previously activated a multi-use savings card for DULERA, you are not eligible to activate this card. If you previously activated a multi-use savings card and lost it, please call 866-747-9722 to get a replacement card. Please see Terms and Conditions for more important eligibility restrictions.

• The card is valid for up to $75 off each of 12 qualifying prescriptions for DULERA. Patient or guardian is responsible for the first $25 of the patient's copay or out-of-pocket cost.
• Card valid for use up to 12 times only. Patients must have a copayment or make full cash payment for the prescription. Savings are limited to amount of copay or cash payment over $25, up to a maximum of $75 per prescription for up to 12 qualifying prescriptions.
• No other purchase is necessary.
• The card is not transferable. No substitutions are permitted. Cannot be combined with any other card, free trial, discount, prescription savings card, or other offer.
• The card is not insurance.
• The card is valid for patients with private insurance or cash-paying patients. Not valid for patients covered under Medicaid, Medicare, a Medicare Part D or Medicare Advantage plan (regardless of whether a specific prescription is covered), TRICARE, CHAMPUS, or any other state or federal medical or pharmaceutical benefit program or pharmaceutical assistance program.
• The special multi-use coupon is void for Massachusetts residents if a third-party payer reimburses or pays any amount of the prescription price or otherwise provides coverage for DULERA.

• You must be 18 years or older to redeem the card for yourself or a minor. Patient, guardian, pharmacist, and prescriber agree not to seek reimbursement for all or any part of the benefit received by the recipient through the offer. Patient or guardian is responsible for reporting receipt of card benefit to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the card, as may be required.
• The card can be used only by eligible US residents at participating eligible retail or mail order pharmacies in the United States. Product must originate in the United States.
• The card is the property of Schering Corp. and must be turned in on request.
• It is illegal to sell, purchase, trade, or counterfeit, or offer to sell, purchase, trade, or counterfeit the card. Void if reproduced. Void where prohibited by law, taxed, or restricted.
• Schering Corp. reserves the right to rescind, revoke, or amend the offer at any time without notice.
• Please read the accompanying Medication Guide and discuss it with your doctor. Also accompanying is the Physician Prescribing Information.
• Expiration Date: 12/31/2012.