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Patient Vouchers and Coupons

3 simple steps are all it takes

1. Print coupons and vouchers by clicking the buttons below.
2. Give patient the printout along with a prescription for ACIPHEX.
3. Remind patient to present coupon or voucher to the pharmacist when filling the prescription.

Free Trial Offer*

Developed for patients who want to try treatment with prescription ACIPHEX, this 14-day Free Trial Voucher provides them with 14 free tablets to see if ACIPHEX can help relieve their symptoms—at no cost to them. Please see Free Trial Voucher for complete details.

*Please see voucher for details. Restrictions apply.

Print Free Trial Voucher


$55 Instant Savings Coupon*

Developed for patients currently taking ACIPHEX, this Instant Savings Coupon allows eligible patients with prescription coverage and a co-pay of more than $20 to receive up to $55 off their prescription (after a $20 out-of-pocket expense). Those without coverage may receive up to $55 off their prescription. Instant savings offers can be redeemed once every 30 days with a valid prescription. Please see Instant Savings Coupon for complete details.

*Please see coupon for details. Restrictions apply.

Print Instant Savings Coupon


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