Copay Card Front Side

BIN# 004682

PCN# CN

GRP

ID

Copay Card Front Side
Step 1

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Step 1

If you haven't already, talk to your doctor or health care professional about your Diovan or Diovan HCT prescription.

Step 1

Bring this co-pay card to your pharmacist. Remember to tell them that you would like to remain on your branded medication and to note it in their system for future refills.

*Reimbursement limited to $75 maximum for a 30-tablet prescription. Additional limitations apply.
Please see Co-pay Card Terms & Conditions.

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.

For more information, visit Diovan.com or call 1-877-699-9975.

Please see Patient Information for DIOVAN and DIOVAN HCT.

Please see full Prescribing Information, including IMPORTANT WARNING, for DIOVAN and DIOVAN HCT.

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Novartis Pharmaceuticals Corporation
East Hanover, New Jersey 07936 © 2013 Novartis5/13DIO-1264410