We are currently updating this offer.
Here’s how MaxGuarantee works:
- Before taking MAXALT or MAXALT-MLT, read the accompanying additional important product information (this information also can be found with your prescription).
- Take MAXALT as prescribed by your doctor for at least 2 attacks and complete the migraine diary each time.
- If, after treating at least 2 attacks with MAXALT, you are not satisfied with the treatment, you may be eligible to receive your money back.
Refunds are for the price you paid for MAXALT (1 prescription of 12 tablets). If you have any questions about this program, call us toll-free at 1-888-MAX-6468.
Here’s what you need to do to be eligible for MaxGuarantee:
- Print the reimbursement form and save your original pharmacy receipt for MAXALT. Be sure your receipt shows the dosage strength and the price you paid for MAXALT.
- On your next visit to your doctor, bring your migraine diary, filled out for the treatment of at least 2 migraine headaches treated with MAXALT.
- Provide your doctor’s name and have your doctor sign the reimbursement form stating that you were not satisfied with your treatment.
- Sign and clearly print your name and mailing address.
- If you have prescription drug coverage, provide the name and address of your health insurer and prescription drug provider (if different from your insurer)—they also will be reimbursed for any amount they paid.
- Mail the original pharmacy receipt and the completed reimbursement form to:
MaxGuarantee
PO Box 1985
Horsham, PA 19044-6985
If you are eligible, you should receive your check in 4 to 6 weeks.
Please note that each patient is eligible for only 1 refund with MaxGuarantee.
The MaxGuarantee program is effective January 1, 2000, and all reimbursement requests must be postmarked by December 31, 2008. Merck & Co., Inc., reserves the right to modify or discontinue this program at any time.
Important Information About MAXALT
MAXALT is a prescription medicine for the treatment of migraine attacks in adults. Only your health care 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 accompanying Patient Product Information and discuss it with your doctor. Also accompanying is the physician Prescribing Information.
PRIVACY POLICY