Terms and Conditions
By using the XANAX Savings Card (the “Card”), you attest that you meet the eligibility criteria and will comply with the Terms and Conditions described below:
You will pay $4 for a 30-day supply (30 tablets) if: you use commercial/private insurance and your out-of-pocket expense for a 30-day supply of brand-name XANAX is $129 or less.
The Card is good for a maximum savings of $1,500 per year. After a maximum of $1,500, patient will pay monthly out-of-pocket costs.
The Card may be used once per month for the life of the program.
This offer is not valid for prescriptions that are eligible to be reimbursed, in whole or in part, by Medicaid, Medicare or other federal or state healthcare programs (including any state prescription drug assistance programs and the Government Health Insurance Plan available in Puerto Rico [formerly known as “La Reforma de Salud”]).
This Card cannot be combined with any other rebate/coupon, free trial, discount, prescription savings card, or similar offer for the specified prescription.
The Card will be accepted only at participating pharmacies.
This Card is not health insurance.
Offer valid only in the U.S. and Puerto Rico, but not for Massachusetts residents or where otherwise prohibited by law.
This Card is limited to 1 use per person per month during this offering period and is not transferable. It is illegal to sell, purchase, trade, or counterfeit, or offer to sell, purchase, trade, or counterfeit this Card.
Pfizer reserves the right to rescind, revoke, or amend the Card Program without notice at any time.
You must be 18 or older to participate in this Program.
Card Program membership expires December 31, 2018.
No membership fees.
For questions about this Card, please call 1-855-854-4535, visit Xanax.com, or write to the address below.
For reimbursement when using a mail-order pharmacy, please submit the following via mail:
Mail all of the information to:XANAX Claims Processing Department
- A copy of your XANAX Savings Card
- Your original proof of purchase (original pharmacy receipt, cash register receipt NOT valid), with the pharmacy name, product name, prescription numbers, NDC number, date filled, quantity, and price circled
- A photocopy of the front and back of your insurance card
- Your date of birth, name and mailing address
P.O. Box 1785
New York, NY 10156Please allow 6-8 weeks to receive your reimbursement. Reimbursement requests must be postmarked within 4 weeks of fill date.
Patients should always ask their doctors for medical advice about adverse events.