SYMBICORT for Asthma
For patients 12 years and older whose asthma is not well controlled on a long-term asthma medicine, or when
disease severity warrants

Your First SYMBICORT Prescription May be Free*

Register now to receive a free prescription offer*

Once you register, you'll receive an e-mail within 4 days. Upon completion of the registration process, you will also have the opportunity to print your SYMBICORT free prescription offer* immediately. As part of this registration, you may also receive future communications from SYMBICORT.

SAVINGS OFFER ELIGIBILITY:
This offer is good for the purchase of one (1) SYMBICORT® (budesonide/formoterol fumarate dihydrate) inhaler and may be used by eligible patients 12 years of age and older who have commercial insurance. This offer may not be used for any other product and may not be combined with any other free trial, coupon, discount, prescription savings card, or other offer. Offer void in Massachusetts and where prohibited by law, taxed, or restricted. Not valid for mail orders, prescriptions purchased under Medicare, Medicaid, TRICARE, or similar federal or state programs, or if your insurance plan is paying the entire cost of the prescription. This offer is not health insurance. Not valid on refills. It is illegal for any person to sell, purchase, or trade this offer. This offer is valid only for product manufactured for AstraZeneca Pharmaceuticals LP and lawfully purchased from an authorized retailer or distributor in the United States or Puerto Rico.

Offer must be presented with a valid prescription for SYMBICORT at the time of purchase, is limited to one (1) offer per person, and is not transferable. If you have insurance coverage, you will receive 100% off your copay for one (1) prescription of a SYMBICORT inhaler. Offer expires in 3 months. If you have any questions regarding this offer, please call 1-877-916-4312. This offer may be changed or discontinued at any time without notice.

ELIGIBILITY FOR MEDICARE, MEDICAID AND MASSACHUSETTS PATIENTS:
This offer is good for one (1) SYMBICORT® (budesonide/formoterol fumarate dihydrate) inhaler and may be used by eligible patients 12 years of age and older who pay cash or participate in government programs (eg, Medicare, Medicaid, TRICARE, or other federal or state government programs). This offer may also be used by eligible patients 12 years of age and older who reside in Massachusetts. This offer may not be used for any other product and may not be combined with any other free trial, coupon, discount, prescription savings card, or other offer. Offer void where prohibited by law, taxed, or restricted. Valid only at retail pharmacies; no mail order. Not valid on refills. It is illegal for any person to sell, purchase, or trade this offer. This offer is valid only for product manufactured for AstraZeneca Pharmaceuticals LP and lawfully purchased from an authorized retailer or distributor in the United States or Puerto Rico.

Offer must be presented with a valid prescription for SYMBICORT, is limited to one (1) 30-day supply (1 inhaler) per person, and is not transferable. Offer expires in 3 months. If you have any questions regarding this offer, please call 1-877-916-4312. This offer may be changed or discontinued at any time without notice.