How this coupon works:
•This coupon can be used 1 time before the expiration date and provides a maximum benefit of up to $15 or the amount of your co-pay, whichever is less.
•To receive up to $15 in savings on your out-of-pocket cost for PROVENTIL HFA, present this coupon and your insurance card (if any) with a valid signed prescription at any participating eligible retail pharmacy (certain restrictions apply).
•No other purchase is necessary. Restrictions apply