Nasacort® AQ (triamcinolone acetonide) Mobile Program Terms and Conditions

Eligibility Requirements:

Duplicates of this offer are invalid and not redeemable.

Qualifying customers receive up to $20 off of their out-of-pocket expenses when purchasing Nasacort AQ. The savings apply to the first 5 prescriptions for a maximum rebate of $100. Limit of 5 rebates before December 31, 2010. Other terms and conditions may apply.

Offer not valid for prescriptions reimbursed or paid under Medicare, Medicaid, or any government (public insurance) programs, or in the state of Massachusetts. Other restrictions may apply. This offer may not be reproduced and must accompany your request. Offer good only for Nasacort AQ and only in the USA. Sanofi-aventis U.S. LLC reserves the right to rescind, revoke, or amend this offer without notice. Patients are responsible for reporting receipt of a rebate to any private insurers that pays for or reimburses you for any part of the prescription filled. One rebate offer per patient. Cannot be combined with any other offers.

To Patient:

If this prescription is covered by insurance, you may be required to notify the insurance carrier of redemption of this rebate. If pharmacist is unable to provide this rebate, go to www.nasacortaq.com to take advantage of other offers. By using this rebate, you are certifying that you are at least 18 years of age and understand, accept, and are complying with all the requirements and restrictions listed on this offer. This also certifies that redeeming this offer is consistent with the requirements of your health plan. Sanofi-aventis U.S. LLC respect your interest in keeping your personal health information private. We will not sell or rent your information to any third parties or outside mailing lists. By activating this offer, you agree to receive rebates and reminders via text messages at standard rates. Sanofi-aventis U.S. may collect personally identifiable information only when you provide permission or opt in to use our services. Sanofi-aventis U.S. may also use elements of pharmacy claim information to provide automatic discounts and begin prior authorization requests made with your consent. You may also be selected for market research via your mobile phone. For more information, visit the Nasacort AQ website and read the Privacy Policy.