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Androderm full Prescribing Information

Welcome to the Androderm® Savings Program

Eligible patients may pay as little as $30* for a 30-day supply for each of up to twelve (12) prescription fills OR for a 90-day supply for each of up to four (4) prescription fills.

Please see full Prescribing Information, which includes the Patient Information.

*Maximum savings limit applies; patient out-of-pocket expense may vary. Offer not valid for patients enrolled in Medicare, Medicaid, or other federal or state healthcare programs. Program expires 12/31/17. Please click here for Program Terms, Conditions, and Eligibility Criteria.

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Please tell us about yourself:

You certify that the information provided above is true and correct. In addition, by providing your email address, you agree that you would like to receive information from Allergan related to Androderm® and the Androderm® Savings Program, including site updates, education, and other Allergan products and services. The information pertaining to you that we collect will be used in accordance with our Privacy Statement.

By activating your card, you certify that the information provided above is true and correct and that you are not enrolled in a federal- or state-funded prescription drug benefit program, such as Medicare or Medicaid, or any private indemnity or HMO insurance plan that reimburses you for the entire cost of your prescription drugs. You also certify that you are not Medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. You further certify that should you begin receiving prescription benefits from one of these types of programs at any time, you will no longer participate in this savings program.