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GET PRESCRIPTION NEXIUM FOR $15 A MONTH OR $30 FOR A 90-DAY SUPPLY*

Use your savings card and pay just $15 a month or $30 for a 90-day supply.*

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NEXIUM Coupon

*See savings and eligibility details below.

 

What if I’m a mail-order customer?

To start saving on your mail-order prescriptions, simply download and complete this form and mail with proof of purchase for a refund. If your co-pay is over $15, we will mail you a refund of up to $125. Processing time may take up to 6-8 weeks.

 

*ELIGIBILITY: You may be eligible for this offer if you are insured by commercial insurance and your insurance does not cover the full cost of your prescription or you are not insured and are responsible for the cost of your prescriptions.

Patients who are enrolled in a state or federally funded prescription insurance program are not eligible for this offer. This includes patients enrolled in Medicare Part D, Medicaid, Medigap, Veterans Affairs (VA), Department of Defense (DOD) programs or TriCare, and patients who are Medicare eligible and enrolled in an employer-sponsored group waiver health plan or government-subsidized prescription drug benefit program for retirees.

If you are enrolled in a state or federally funded prescription insurance program, you may not use this savings card even if you elect to be processed as an uninsured (cash-paying) patient.

This offer is not insurance and is restricted to residents of the United States and Puerto Rico or for patients younger than one month of age. This offer is valid for retail prescriptions only.

TERMS OF USE: Eligible commercially insured patients with a valid prescription for NEXIUM (esomeprazole magnesium) who present this savings card at participating pharmacies will pay $15 for a 30-day supply or $30 for a 60-day supply or 90-day supply, subject to a maximum savings of $175 per 30-day supply. Cash-paying patients will receive up to $125 in savings on out-of-pocket costs per 30-day supply. This offer is good for 30-day supply, 60-day supply or 90-day supply. Other restrictions may apply. Patient is responsible for applicable taxes, if any. If you have any questions regarding this offer, please call 1-877-703-7283.

This offer will expire on 12/31/2018.

Non-transferable, limited to one per person, cannot be combined with any other offer. Void where prohibited by law, taxed or restricted. Patients, pharmacists, and prescribers cannot seek reimbursement from health insurance or any third party for any part of the benefit received by the patient through this offer. AstraZeneca reserves the right to rescind, revoke, or amend this offer, eligibility and terms of use at any time without notice. This offer is not conditioned on any past, present or future purchase, including refills. Offer must be presented along with a valid prescription for NEXIUM at the time of purchase.

BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE.

Program managed by PSKW, LLC, on behalf of AstraZeneca.

Important Safety Information About NEXIUM

  • Symptom relief does not rule out the presence of other serious conditions. Talk with your doctor
  • Talk to your doctor about serious side effects, including:

    • Kidney problems (acute interstitial nephritis) may happen at any time during treatment with NEXIUM. Call your doctor if you have a decrease in the amount that you urinate or if you have blood in your urine
    • NEXIUM may increase your risk of getting severe diarrhea. Call your doctor right away if you have watery stool, stomach pain and fever that does not go away
    • Bone fractures if you take multiple daily doses of NEXIUM for a year or longer
    • Some people who take PPIs, including NEXIUM, develop certain types of lupus or have worsening of the lupus they already have. Call your doctor right away if you have joint pain or rash on your cheeks or arms that gets worse in the sun
    • Low vitamin B12 if you have been on NEXIUM for a long time (more than 3 years)
    • Low magnesium levels if you take NEXIUM (for 3 months or more)
  • Tell your doctor about all of the medicines you take, prescription and nonprescription drugs, including clopidogrel, vitamins and herbal supplements. NEXIUM may affect how other medicines work and other medicines may affect how NEXIUM works
  • Do not take NEXIUM if you are allergic to esomeprazole magnesium or any of the ingredients in NEXIUM or are allergic to any other PPI
  • Side effects with NEXIUM may include headache, diarrhea, and abdominal pain

Approved Uses for NEXIUM

NEXIUM is prescribed to treat the symptoms of acid reflux disease, which typically include persistent heartburn on 2 or more days per week, despite treatment and change of diet.

For many people, NEXIUM is also prescribed to heal damage to the esophagus called erosive esophagitis. This damage may be caused over time from stomach acid wearing away the lining of the esophagus. Only a doctor can diagnose this condition. With NEXIUM, most erosions heal in 4 to 8 weeks. Your results with NEXIUM may vary.

Please see full Prescribing Information.PDF Icon
Please see Medication Guide.PDF Icon

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.FDA.gov/medwatch or call 1-800-FDA-1088.

The information on this Web site should not take the place of talking with your doctor or health care professional. If you have any questions about your condition, or if you would like more information about NEXIUM, talk to your doctor or pharmacist. Only you and your health care professional can decide if NEXIUM is right for you.

If you have any questions or would like additional information, please contact AstraZeneca at 1-800-236-9933, Monday through Friday, 8 AM to 6 PM ET, excluding holidays.