1 Program may be changed or discontinued at any time
2 THIS 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. Some insurers may offer a lower cost option. Accu-Chek Guide test strip And FastClix or Softclix Lancet offers: Discount varies based on quantity of test strips and lancets purchased. Prescriptions for a 30- or 90-day supply of Accu-Chek Guide test strips and FastClix or Softclix lancets are required. Limit 12 vials per refill on test strips; no limit on lancets. Refills cannot be dispensed before 75% of previous days’ supply has elapsed. Accu-Chek Guide Me & Guide discounted meter offer: Accu-Chek Guide Me or Guide meter prescription required to receive one discounted meter every 24 months. Transaction information related to the Accu-Chek Prescription Discount Program coupon will be shared with Roche Diabetes Care, Inc., and any companies working on its behalf. By using this program 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 without notice. Only valid in the U.S. at participating pharmacies. Void where prohibited by law. Pharmacist: Input Accu-Chek Prescription Discount Program as primary coverage only. • Submit this claim to DST using BIN 019158. A valid Other Coverage Code (e.g. 1) is required. • For assistance with processing, contact the DST Pharmacist Helpline at 1-844-373-0987.
Important information on