Terms and Conditions
This Co-pay Card may be used to reduce the amount of out-of-pocket expenses (i) up to $65 savings per month for vitaMedMD brand prenatal vitamins (ii) up to $50 maximum savings per month on all Prena1 generic prenatal vitamins. Limit 12 uses per prescription.
This Co-pay Card may be redeemed only by patients or patient guardians who are 18 years of age or older who are residents of the United States. Not valid for patients who are covered by any state or federally funded healthcare program, including but not limited to Medicare, Medicaid, or TriCare. Void outside the United States and its territories or where prohibited by law, taxed, or restricted. It is a violation of law to buy, sell, or counterfeit this card.
This Co-pay Card is not health insurance, is not redeemable for cash, and is not transferable. Not valid with any other offer. TherapeuticsMD, vitaMedMD, and BocaGreenMD (collectively, the Companies) reserve the right to amend or end this program at any time without notice. Data related to the patient’s redemption with this Co-pay Card may be collected, analyzed, and shared with the Companies for market research and other purposes related to assessing coupon and rebate programs. Any data will be aggregated and de-identified.
Patient Instructions: By using this Co-pay Card, you acknowledge that you meet eligibility criteria and that you understand and have not submitted and will not submit a claim for reimbursement under any federal, state, or other governmental programs for this prescription. Your acceptance of this offer must be consistent with the terms of any prescription benefit provided by your health insurer, if applicable. You agree to report this use of this card to your insurer if required.
Authorization to Contact
I understand and consent to TherapeuticsMD contacting me using the information provided in this form to enroll me in, operate, and administer TherapeuticsMD's patient support services and/or programs as described, including promotional communications by telephone or SMS/text. I understand that the operation and administration of certain of these services and/or programs may require TherapeuticsMD to contact me by telephone or SMS/text, or other communication vehicles and standard charges may apply.
TherapeuticsMD's Privacy Pledge to Patients
TherapeuticsMD respects our customers and takes the protection of their privacy very seriously. TherapeuticsMD pledges the following:
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