Prescription Savings Program for POGO Automatic
Offer valid through June 30, 2022
Terms and exclusions apply
Test Cartridges and Monitor:
ELIGIBLE PRIVATELY INSURED PATIENTS receive a monitor at no cost with a prescription from a licensed healthcare provider. In addition, you will pay no more than $59 for up to 150 tests per prescription for your POGO Automatic Test Cartridges. PATIENTS WITHOUT INSURANCE will pay no more than $96 for up to 150 tests per prescription but are not eligible to receive a no-cost monitor. All patients are responsible for any remaining balance after discounts are applied, plus any additional taxes and fees. Some insurers may offer a lower-cost option.
Additional Monitor Information:
Limit of 1 no-cost monitor prescribed by a licensed healthcare provider per person per 12-month period. Patients without insurance are not eligible for the no-cost monitor offer.
This offer cannot be combined with any other discounts. Intuity Medical, Inc. reserves the right to cancel or change this offer at any time without notice.
RESTRICTIONS APPLY: Offer not valid for prescriptions reimbursed under Medicare, Medicaid, Medicare Advantage, Medigap, VA, DOD Tricare, or any other government-run or government-sponsored healthcare program with insurance coverage. Offer void in states where prohibited.
BY USING THIS CARD, YOU CERTIFY THAT YOU:
? HAVE A VALID PRESCRIPTION;
? ARE AGE 13 OR OLDER;
? RESIDE IN THE UNITED STATES, PUERTO RICO, OR GUAM;
? ARE NOT ENROLLED IN MEDICARE, MEDICAID, MEDICARE ADVANTAGE, MEDIGAP, VA, DOD
TRICARE, OR ANY OTHER GOVERNMENT-RUN OR GOVERNMENT-SPONSORED HEALTHCARE
PROGRAM WITH INSURANCE COVERAGE; AND
? WILL COMPLY WITH ANY REQUIREMENT THAT YOUR MEDICAL INSURER BE NOTIFIED OF THE
EXISTENCE AND VALUE OF THIS OFFER.
YOU FURTHER UNDERSTAND that you are responsible for any costs that exceed the discount
offered by the POGO Automatic Prescription Savings Program, plus taxes and fees.