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Terms and Conditions

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Terms and Conditions

By using this coupon card, I am confirming that I have met the eligibility criteria and agree to the terms and conditions of this program.

1.	This coupon is not valid for prescriptions that are eligible to be reimbursed, in whole or in part, by Medicaid, Medicare or other federal or state healthcare programs (including any state prescription drug assistance programs and the Government Health Insurance Plan available in Puerto Rico, formerly known as "La Reforma de Salud").
2.	Coupon is limited to up to $20 after the minimum $15 co-pay.
3.	You must deduct the value of this coupon from any reimbursement request submitted to your insurance plan, either directly by you or on your behalf.
4.	This coupon is not valid for Massachusetts residents whose prescriptions are covered in whole or in part by third party insurance, or where otherwise prohibited by law.
5.	Coupon cannot be combined with any other rebate/coupon, free trial or similar offer for the specified prescription.
6.	Coupon will be accepted only at participating pharmacies.
7.	This coupon is not health insurance.
8.	Offer good only in the U.S. and Puerto Rico.
9.	Coupon is limited to 1 per person during this offering period and is not transferable.
10.	Pfizer reserves the right to rescind, revoke or amend the program without notice.
11.	Coupon expires 07/31/2011.

INDICATION

depo-subQ provera 104^® (medroxyprogesterone acetate injectable suspension 104 mg/0.65 mL) is a drug for birth control. It also helps relieve pain related to endometriosis.

IMPORTANT SAFETY INFORMATION

Using depo-subQ provera 104 may cause you to lose calcium stored in your bones.
The longer you use depo-subQ provera 104, the more calcium you are likely to lose. The lost calcium may not return completely once you stop using depo-subQ provera 104.
Loss of calcium may cause weak, porous bones (osteoporosis) that could increase the risk that your bones might break, especially after menopause. It is not known whether your risk of developing osteoporosis may be greater if you are a teenager when you start to use depo-subQ provera 104.
You should use depo-subQ provera 104 long-term (for example, more than 2 years) only if other methods of birth control are not right for you.
depo-subQ provera 104 does not protect you from HIV (AIDS) and other diseases spread through sex (STDs).

Do not take depo-subQ provera 104 if you are pregnant or might be pregnant, if you have any unexplained vaginal bleeding, have ever had breast cancer, have ever had serious blood clots, such as blood clots in your legs, lungs, heart, or head, have liver disease, or are allergic to anything in depo-subQ provera 104.

In addition to loss of calcium from your bones, other serious risks include abnormal or very heavy bleeding, liver problems, and allergic reactions such as hives, problems breathing, or not feeling right after the shot. If you have sharp chest pain, cough blood, suddenly have trouble breathing, have a sudden severe headache with vomiting, blindness, trouble talking, weakness, numbness in an arm or leg, get dizzy or faint, or have swelling or severe pain in your leg, you may have a serious blood clot and should call your healthcare provider immediately.

The most common side effects with depo-subQ provera 104 are changes in your monthly period, weight gain of an average of 3 to 4 pounds during the first year, a skin reaction where you got the shot, and headache.

Depo-Provera Contraceptive Injection 150

Indication

Depo-Provera Contraceptive Injection 150 (medroxyprogesterone acetate injectable suspension 150 mg) is indicated only for the prevention of pregnancy.

Important Safety Information

Use of Depo-Provera Contraceptive Injection may cause you to lose calcium stored in your bones. The longer you use Depo-Provera Contraceptive Injection the more calcium you are likely to lose. The calcium may not return completely once you stop using Depo-Provera Contraceptive Injection.
Loss of calcium may cause weak, porous bones (osteoporosis) that could increase the risk that your bones might break, especially after menopause. It is not known whether your risk of developing osteoporosis may be greater if you are a teenager when you start to use Depo-Provera Contraceptive Injection.
You should use Depo-Provera Contraceptive Injection long term (for example, more than two years) only if other methods of birth control are not right for you.

This product is intended to prevent pregnancy. It does not protect against HIV infection (AIDS) and other sexually transmitted diseases.

Certain women should not use Depo-Provera Contraceptive Injection. You should not use Depo-Provera Contraceptive Injection if you have any of the following conditions: If you think you might be pregnant, if you have any vaginal bleeding without a known reason, if you have had cancer of the breast, if you have had a stroke, if you have or have had blood clots (phlebitis) in your legs, if you have problems with your liver or liver disease, if you are allergic to Depo-Provera Contraceptive Injection (medroxyprogesterone acetate) or any of its other ingredients.

Before being prescribed Depo-Provera, tell your doctor or healthcare provider if you have any of the following: a family history of cancer of the breast, an abnormal mammogram (breast X-ray), fibrocystic breast disease, breast nodules or lumps, or bleeding from your nipples, kidney disease, irregular or scanty menstrual periods, high blood pressure, migraine headaches, asthma, epilepsy (convulsions or seizures), diabetes or a family history of diabetes, a history of depression, if you are taking any prescription or over-the-counter medications.

If any of these problems occur following an injection of Depo-Provera Contraceptive Injection, call your healthcare provider immediately: sharp chest pain, coughing up of blood, or sudden shortness of breath (indicating a possible clot in the lung), sudden severe headache or vomiting, dizziness or fainting, problems with your eyesight or speech, weakness, or numbness in an arm or leg (indicating a possible stroke), severe pain or swelling in the calf (indicating a possible clot in the leg), unusually heavy vaginal bleeding, severe pain or tenderness in the lower abdominal area, persistent pain, pus, or bleeding at the injection site.

The following adverse reactions were reported by more than 5% of women who used Depo-Provera in a large clinical study for up to 7 years: menstrual irregularities (bleeding or amenorrhea, or both), abdominal pain or discomfort, weight changes, dizziness, headache, weakness or fatigue, and nervousness.

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 Patient Information for depo-subQ provera 104, click here.
For Full Prescribing Information for depo-subQ provera 104, click here.

This coupon will only be accepted at participating pharmacies. These savings are good when presented with a valid, signed prescription for depo-subQ provera 104. Coupon is limited to up to $20. The coupon is not health insurance. No membership fees. Limit 1 Savings Coupon per customer. Offer valid through 07/31/2012. For any questions, please call Customer Service at 1-888-296-1807. Pfizer Inc 235 East 42nd Street, New York, NY 10017 www.pfizer.com