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  • The coupon is valid for up to $15 off on each of up to 6 qualifying prescriptions for PROVENTIL HFA (regardless of the quantity supplied on the prescription).
  • Coupon is valid for use 6 times only. Patient must have a copayment or make full cash payment for the prescription. Savings are limited to amount of your out-of-pocket cost, up to a maximum of $15 per prescription for up to 6 qualifying prescriptions.

The coupon 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, Puerto Rico Government Health Insurance Plan ("Healthcare Reform"), any qualified health plan purchased through a health insurance exchange established by a state government or the federal government, or any other state or federal medical or pharmaceutical benefit program or pharmaceutical assistance program (collectively, "Government Programs").

See the site for Full *& Complete details and to print the coupon