Ask your doctor―or have your pharmacist call your doctor―for a prescription for an Accu-Chek Aviva Connect meter and Accu-Chek Aviva Plus test strips.
Take your prescription and this voucher to your pharmacy to receive your free meter.
Group #: 40026508
Identification #: XXXXXXXXX
Receive a free Accu-Chek Aviva Connect meter when you present this voucher and valid meter prescription. Offer expires 12/31/17.
For redemption in the United States only.
Attention Pharmacists: For assistance filing this claim, please call the Pharmacist Helpline at 1-800-657-7613.
1 Ask your doctor to write a prescription for an Accu-Chek Aviva Connect meter and Accu-Chek Aviva Plus test strips.
2 Take this voucher and your prescription to your pharmacy for your free meter.
3 Don't forget to pick up test strips and lancing supplies! Visit accu-chekto.com/accu-chek-essentials for accessories.
Free Meter Offer: Receive a free Accu-Chek Aviva Connect meter with this voucher and a valid prescription for an Accu-Chek Aviva Connect meter. It is not appropriate to seek reimbursement from any third-party payer—including Medicare, Medicaid, or other government healthcare programs—for free products. Limit one meter per person. Valid in the U.S. at participating pharmacies only. By using this voucher, you certify that you understand and agree to comply with all program rules, regulations, and terms and conditions. Transaction information for this voucher identification number will be shared with Roche Diabetes Care, Inc., and any companies working on its behalf. Roche Diabetes Care, Inc., has the right to rescind or amend this offer without notice. Offer expires December 31, 2017.
Pharmacists: Input voucher information for the free Accu-Chek Aviva Connect meter as primary coverage. By using this voucher, you certify that you have not submitted and will not submit a claim for reimbursement under any federal, state or other federally funded program, including but not limited to Medicare, Medicare Advantage, Medicaid, Medigap, VA, DOD or TRICARE. Pharmacist Helpline: 1-800-657-7613 (Monday‒Friday, 8:00 a.m.‒8:00 p.m. ET).