Your OneTouch® meter voucher

Bring your voucher along with your prescription for either the
OneTouch Verio Reflect® meter or the OneTouch Verio Flex®
meter and OneTouch Verio® test strips to your pharmacy.

ATTENTION, PHARMACIST

Submit this claim to Opus Health for

reimbursement plus a dispensing fee.

Questions? Call 1-800-364-4767.

To redeem for a OneTouch Verio Reflect® meter or

®
a OneTouch Verio Flex meter:
Bin 601341
RxPCN OHS
GroupID OH6503531
ID# D59114309436

Requires a valid prescription. Offer valid for one meter per patient every 12 months. Offer good while supplies last. Void where prohibited by
law. This offer from LifeScan, Inc. can only be redeemed where OneTouch® products are sold and prescriptions can be processed.
Qualifying conditions may apply.

By participating in this program or by otherwise processing a program voucher, you warrant that you will not submit a claim for
reimbursement of any meter covered by this arrangement with any commercial payor, state or federal government funded program
(including but not limited to Medicare, Medicare Advantage, Medicaid, Medigap, VA, DOD, or TriCare®).

Please remove identifications number from patient profile after claim has been processed.

OFFER EXPIRES 3/31/21

OneTouch Verio Reflect® meter OneTouch Verio ® test strips

Upgrade to the OneTouch Verio Reflect® Don’t forget your OneTouch Verio® test
meter to help manage highs and lows strips!
between doctor visits. The only meter with We’ve got you covered with the lowest
Blood Sugar Mentor™ messages that provide co-pay on the most health plans.*
personalized guidance.
Medicare Part B patients pay $0 with most
supplemental insurance.**

Note: Test strips are sold separately and are not part of this offer.

* Some health plans may have more than one test strip covered at the lowest co-
pay.
**Not a guarantee of coverage and payment. Coverage and payment may be
subject to coinsurance, deductible, and patient eligibility requirements.
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