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PostHeaderIcon $25 Rebate On ProCentra For Children Ages 3 And Up

$25 rebate for any co-pay or cash expense with your prescription of ProCentra™(dextroamphetamine sulfate) Oral Solution (minimum quantity dispensed of 6 oz).

Just follow these steps:

1. Fill out the entire form and sign it.
2. Include a copy of your pharmacy informaon sheet listing your name, name of product, date, and amount paid.
3. Include a copy of your cash register receipt.
4. Mail this form, along with your pharmacy information sheet and cash register receipt to the address provided.

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