Activate Your Savings Today and Get FREE

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8/1/2017

Copay Card Handout

Activate Your Savings Today and Get FREE Personalized Support RxBIN: 610524   RxGRP: 50776682 RxPCN: Loyalty   Issuer: (80840) ID #: 840843435 CARD MUST BE ACTIVATED PRIOR TO PHARMACIST SUBMITTING CLAIM. 2 EASY STEPS TO SAVE: 1 Activate your Instant Savings Card by going to [enrolltoday.cornerstones4care.com] or by calling [1-855-292-5966].

2 Join our personalized support program when you activate your savings and you may be eligible for a free box of needles.a See more details on next page.

    To the Patient: You must present this card to the pharmacist along with your prescription to participate in this program. You are not eligible for these savings offers if prescriptions are paid by any state or federally funded programs, including but not limited to Medicare, Medicaid, Medigap, VA, DOD, or TriCare, or where prohibited by law. The federal employee health benefits program is not a federal or state government health care program for purposes of this savings program. Each time that you use this card, you are certifying that you understand the program rules, terms, and conditions and that you will comply with them. If you have any questions regarding your eligibility or benefits, or if you wish to discontinue your participation, call the Novo Nordisk Instant Savings Card program at 1-855-292-5966 (8:00 AM-8:00 PM ET, Monday-Friday). [Offer excludes full cash-paying customers. Patients must be enrolled in a commercial insurance plan.] To the Pharmacist: When you use this card, you are certifying that you have not submitted and will not submit a claim for reimbursement under any federal, state, or other governmental programs for this prescription. Patient is not eligible if prescriptions are paid in part or full by any state or federally funded programs, including but not limited to Medicare, Medicaid, Medigap, VA, DOD, or TriCare and where prohibited by law. The federal employee health benefits program is not a federal or state government health care program for purposes of this savings program. Submit transaction to McKesson Corporation using BIN #610524 If primary coverage exists, input card information as secondary coverage and transmit using the COB segment of the NCPDP transaction. Applicable discounts will be displayed in the transaction response Acceptance of this card and your submission of claims for the Novo Nordisk Instant Savings Card Program are subject to the LoyaltyScript® program Terms and Conditions posted at www.mckesson.com/mprstnc For questions regarding setup, claim transmission, patient eligibility, or other issues, call the LoyaltyScript® for Novo Nordisk Instant Savings Card Program at 1-855-292-5966 (8:00 AM-8:00 PM ET, Monday-Friday)

https://mprsetrial.mckesson.com/loyaltyretail/voucher.html?ccode=NOVOLOG7030#

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8/1/2017

Copay Card Handout

Get free, personalized support from Cornerstones4Care® Helpful tools and resources that fit you, wherever you are in your journey. Meal Planning Tools   Plan, track your meals, and create a menu of tasty dishes.

E-books

  Free, downloadable publications to help you learn more about important topics.

Digital Coaching Program   A program that provides a customized learning and action plan based on your personal health assessment.   Get access to online coaching sessions and videos on topics that matter to you—from How to Read Food Labels to Basic Carb Counting.   Support at every step of the way with tips, reminders, and motivation.

Interactive Trackers

  Tracking tools you can use to share your progress with your care team.

Personalized Communications

  Inspirational newsletters sent to your email with updates and tips.

By going to [enrolltoday.cornerstones4care.com]   or   Call [1-855-292-5966]

Cornerstones4Care® is a registered trademark of Novo Nordisk A/S. Novo Nordisk is a registered trademark of Novo Nordisk A/S. All other trademarks, registered or unregistered, are the property of their respective owners. © 2016 Novo Nordisk          All rights reserved.          USA16PCT00617          March 2016

https://mprsetrial.mckesson.com/loyaltyretail/voucher.html?ccode=NOVOLOG7030#

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