Offer void where prohibited by law. Product dispensed as sample pursuant to the terms of this voucher shall not be submitted to any third-party payer, public or private (e.g., Medicaid, Medicare, Medicare Part D, Medigap, private insurance, any governmental program, and any other federal or state program such as VA, DOD, TRICARE/CHAMPUS or a state pharmaceutical assistance program) for reimbursement. Offer cannot be combined with any other free trial, coupon, rebate or similar offer. By accepting this voucher, the pharmacist certifies that (1) CIALIS has been dispensed to an eligible patient pursuant to a valid prescription for CIALIS; (2) no claim has been submitted for reimbursement to the patient or any third-party payer; and (3) participation in this program complies with all applicable laws and contractual or other obligations as a pharmacy provider. It is illegal for any person to sell, purchase, or trade; or to offer to sell, purchase, or trade; or to counterfeit this voucher. This offer available only in the US and Puerto Rico (PR) for the residents of the US and PR. Lilly USA, LLC reserves the right to rescind, revoke, or amend this program/offer without notice at any time. Use of this voucher does not create any obligation or involve any past or future notice at any time. Use of this voucher does not create any obligation or involve any past or future purchase requirement. No purchase required. You understand and agree to comply with these offer terms.
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