hope some can use this.
pt
http://www.actos.com/promo/landing.asp
Terms & Conditions: This offer is invalid for patients whose prescription claims are reimbursed by (1) any governmental program, including, without limitation, Medicaid, Medicare, or any other federal or state program such as CHAMPUS, the VA, or a state pharmaceutical assistance program, or (2) any third-party payer in the states of Massachusetts, Michigan, Minnesota, Missouri, Rhode Island, or Texas. This offer is also invalid where prohibited by law, and is not available to clubs and groups or organizations. This offer expires December 31, 2003. To receive the rebate, submit this certificate (no reproduction) with the original pharmacy receipt with the amount paid circled. Offer invalid for submissions postmarked later than 8 weeks from the dispense date on the original receipt. Receipts will not be returned. Please allow 4–6 weeks for delivery of the rebate. Rebate is limited to $50 or the amount paid, whichever is less. Coupon not valid with any other program, discount or incentive involving ACTOS. Offer good for U.S. residents only.
Eligibility Certification & Privacy Disclosure: By signing the coupon, you certify that you meet the coupon's eligibility criteria, your acceptance is consistent with the terms of any drug benefit provided by your health insurer or other private third-party payer, and you will report receipt of this rebate to your health insurer, health plan, or other third-party payer, as may be required.
If you choose to request additional information (through the coupon), you understand that the information you are providing may be used by Takeda Pharmaceuticals America, Inc., Eli Lilly and Company and their affiliates and business partners to provide you with information about diabetes and other conditions and products. By checking the box on the coupon, you are consenting to these uses. You may withdraw your consent for future uses of this information by writing to the following address: Takeda Pharmaceuticals America, Inc. • Mailing Department • P.O. Box 59387 • Schaumburg, IL 60159-0387
ACTOS Rebate Coupon 
