Enroll Now to Save on QVAR RediHaler

Eligible insured patients may pay as little as $15 per month on their QVAR RediHaler prescriptions^†

You may be eligible to get a printable QVAR RediHaler Savings Card that can be used in pharmacies. Fill in the short form below.

†For commercially insured patients with coverage for QVAR RediHaler, you may pay as little as $15 out-of-pocket on each of your next 12 fills of QVAR RediHaler through December 31, 2021. Teva will pay up to the next $25 of your co-payment or cost-sharing obligation per fill. To the extent a commercially insured patient’s cost-sharing obligation on QVAR RediHaler exceeds $40 per fill, the patient is responsible for the remaining balance. Maximum reimbursement limits apply and patient out-of-pocket expenses may vary. Patients are not eligible for this offer if they are eligible to have prescriptions paid for in part or full by any state or federally funded programs, including but not limited to Medicare, Medicaid, Medigap, VA, DOD, TRICARE, or by private health benefit programs which reimburse you for the entire cost of your prescription drugs.

Not actual card

First Name

Last Name

Email Address

Not actual card.

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*I have read, understand and accept the Terms and Conditions of the coupon. I certify that I am not eligible for coverage from Medicare, Medicaid or any other government healthcare program.

*I am 18 years of age or older.

*I have read and accept the Legal Notice and Privacy Notice.

I authorize Teva Pharmaceuticals USA, Inc. ("Teva"), its affiliates and companies working with Teva to contact me by direct mail, email, telephone, and electronic message (including autodialed and prerecorded calls and messages) for marketing purposes, such as to provide me with information, offers and promotions regarding asthma, Teva products, and programs, to conduct market research or surveys, and to use my information to develop future products, services and programs.

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