1 Program may be changed or discontinued at any time
2 THIS CARD IS NOT INSURANCE; IT IS A CASH DISCOUNT PROGRAM AND CANNOT BE COMBINED WITH ANY FORM OF HEALTH INSURANCE.
Those insured by any government healthcare program, such as Medicare or Medicaid, are NOT eligible for this offer. Your insurer may offer a lower cost option.
Accu-Chek Guide test strip offer: Discount varies based on quantity of test strips purchased. Prescription for Accu-Chek Guide meter and 30- or 90-day supply of Accu-Chek Guide test strips is required. Limit 12 vials per refill. Refills cannot be dispensed before 75% of previous days’ supply has elapsed.
Accu-Chek Guide Me and Accu-Chek Guide free meter offer: Accu-Chek Guide Me or Accu-Chek Guide meter prescription required to receive one free meter every 24 months.
Transaction information related to the Accu-Chek Guide SimplePay program card and free meter voucher will be shared with Roche Diabetes Care, Inc., and any companies working on its behalf. By using this card you certify that you will not seek reimbursement from any government healthcare program or private insurance for these offers, and understand and agree to comply with all program terms and conditions. Program may be changed or discontinued at any time. Only valid in the U.S. at participating pharmacies.
Pharmacist: Input Accu-Chek Guide SimplePay program as primary coverage only.
- Submit this claim to Argus using BIN 019158. A valid Other Coverage Code (e.g. 1) is required.
- For assistance with processing, contact the Argus Pharmacist Helpline at 1-844-373-0987.
3 Accu-Chek test strips are covered when medically necessary for the patient and prescribed by a physician.
4 After patient meets $183 Part B deductible. $0 co-pay may occur when patient has a supplemental health plan. Coverage and payment subject to co-insurance, deductible, and patient eligibility requirements. Roche Diabetes Care Inc. does not guarantee coverage or payment.