Eligible patients may receive a free trial of MAXALT or MAXALT-MLT.

This voucher is not insurance.

MAXALT is a prescription medicine. Only your health care provider can decide if MAXALT is right for you.

The voucher can be used 1 time before the expiration date. To receive your free trial of MAXALT, click on the PRINT VOUCHER FOR A FREE TRIAL button at the bottom of this page and print the voucher. Take the voucher with your valid signed prescription to any participating eligible retail pharmacy (certain restrictions apply). There is no requirement to purchase any product or service to receive your free trial of MAXALT. Restrictions apply. Please see Terms and Conditions below.

TERMS & CONDITIONS

• The voucher is valid for one free trial of MAXALT or MAXALT-MLT.
• Limit 1 voucher per patient for the duration of the program.
• Valid for 1-time use only. Free trial offer valid only for up to 3 tablets of MAXALT or 3 orally disintegrating tablets of MAXALT-MLT. No purchase is necessary. Refills are not required.
• The voucher is not transferable. No substitutions are permitted. Cannot be combined with any other free trial, coupon, discount, prescription savings card, or other offer.
• The voucher is not insurance.
• You must be 18 years of age or older to redeem the voucher. Patient and prescriber agree not to seek reimbursement for all or any part of the benefit received through this offer. The free trial of MAXALT cannot be used toward any out-of-pocket costs under any plan (such as true out-of-pocket expense [TrOOP]).
• The voucher can be used only by eligible US residents at participating eligible retail pharmacies in the United States. Product must originate in the United States.
• The voucher is property of Merck and must be turned in on request.
• Merck reserves the right to rescind, revoke, or amend this offer at any time without notice.
• It is illegal to sell, purchase, trade, or counterfeit this voucher. Void if reproduced. Void where prohibited by law, taxed, or restricted.
• Please read the accompanying Patient Product Information and discuss it with your doctor. Also accompanying is the physician Prescribing Information.
• Expiration Date: 06/30/2011.

Important Information About MAXALT

MAXALT is a prescription medicine for the treatment of migraine attacks in adults. Only your healthcare professional can determine if MAXALT is right for you. You should not take MAXALT if you have uncontrolled high blood pressure, heart disease or history of heart disease, or if you are taking or have taken MAO inhibitors within the last two weeks, or are taking certain other medications. Tell your doctor about all medications you are taking. Talk to your doctor about any history of chest pain, shortness of breath, or stroke. If you have risk factors for heart disease, such as high blood pressure, diabetes, high cholesterol, obesity, smoking, are postmenopausal, or are a male over 40, you should be evaluated by your doctor before taking MAXALT. Do not take MAXALT if you are pregnant or nursing. As with other drugs in this class, there have been very rare reports of heart attack and stroke generally occurring in patients with risk factors for heart and blood vessel disease.

All prescription drugs can cause side effects. In clinical studies with MAXALT, the most common side effects reported were dizziness, sleepiness, tiredness, fatigue, and pain or pressure sensation (eg, in the chest or throat). Ask your doctor to discuss with you the more complete list of side effects reported with MAXALT.

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.

Please read the Patient Product Information and discuss it with your doctor.
The physician Prescribing Information is also available.

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