Plus! Get a free, colorful meter skin—offer details are in the box.
Complete the information to print your certificate for a free blood glucose monitoring system.
All fields required
Fill in all fields!
A FREE ACCU-CHEK® Nano SmartView system is reserved for Your Name Here.*
Present this voucher to your pharmacist along with a prescription for the ACCU-CHEK Nano SmartView system by December 31, 2013.
*Free Meter Offer: Receive a free ACCU-CHEK Nano meter with this voucher and a valid prescription for an ACCU-CHEK Nano meter. It is not appropriate to seek payment from Medicare, Medicare Advantage, Medicaid, Medigap, VA, DOD, TriCare or any other government healthcare program or private payers for free products. Limit one meter per person. Valid at participating pharmacies in the U.S. only. By using this voucher, you certify that you understand and agree to comply with all program rules, regulations, and terms and conditions. Roche has the right to rescind or amend this offer without notice. Offer expires December 31, 2013.
Pharmacists: By using this voucher, you certify that you have not submitted and will not submit a claim for reimbursement under any federal, state or other federally funded program, including but not limited to Medicare, Medicare Advantage, Medicaid, Medigap, VA, DOD or TriCare. Pharmacist Helpline: 1-800-657-7613 (8:00 am-8:00 pm EST, Monday-Friday).