Activate Your Savings Card

Activate Your Savings Card

Activate your VIAGRA savings offer today.

Image of Savings Offer with ID number located in lower right-hand corner
Image of Savings Offer with ID number located in lower right-hand corner

Your 11-digit ID number is located in the lower right-hand corner of your savings offer card.

Activate your VIAGRA savings offer today.

Enter your savings offer ID number
(11-digit number on the front of the card)

Required.

  • I am over the age of 18 and I agree to the Terms and Conditions.*
  • I do not purchase medications through Medicare, a Medicare Part D plan under which VIAGRA is a covered supplemental benefit, Medicaid, or any other federal or state prescription program. (NOTE: Patients who purchase medications through Medicare Part D plans under which VIAGRA is not covered are eligible to use the Card if they pay cash in accordance with the Terms and Conditions.*)

OFFER TERMS & CONDITIONS:

By participating in the VIAGRA® (sildenafil citrate) Savings Offer Program, you acknowledge that you currently meet the eligibility criteria and will comply with the terms and conditions described below:

  • This Savings Offer is not valid for prescriptions that are reimbursed, in whole or in part, by Medicaid, Medicare, TRICARE, Veterans Affairs healthcare, or any other federal or state healthcare program (including any state prescription drug assistance program), or the Government Health Insurance Plan available in Puerto Rico (formerly known as “La Reforma de Salud”)
  • The value of this Savings Offer is limited to $350 per use or the amount of your co-pay, whichever is less
  • This Savings Offer is not valid when the entire cost of your prescription drug is eligible to be reimbursed by your private insurance plans or other health or pharmacy benefit programs
  • You must deduct the value received under this program from any reimbursement request submitted to your insurance plan, either directly by you or on your behalf
  • This Savings Offer is limited to 50% savings off the amount of your co-pay or your out-of-pocket cost, whichever is less, with a maximum savings of $350 off each prescription for up to 12 prescriptions in a calendar year. Total maximum savings for this Savings Offer are $4,200
  • You must be 18 years of age or older to redeem this Savings Offer
  • Patients who are enrolled in Medicare, Medicaid, or another state or federal healthcare program may use this Savings Offer if paying for the prescription covered by this Savings Offer outside of their government insurance benefit, and no claim is submitted to Medicare, Medicaid, or any federal or state healthcare program. Such patients must not apply any out-of-pocket expenses incurred using this Savings Offer toward any government insurance benefit out-of-pocket spending calculations, such as Medicare Part D true out-of-pocket (TrOOP) costs
  • You are responsible for reporting use of this Savings Offer to any private insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using this Savings Offer, as may be required. You should not use this Savings Offer if your insurer or health plan prohibits use of manufacturer Savings Offers
  • This Savings Offer is not valid (i) for Massachusetts residents or (ii) for California residents whose prescriptions are covered, in whole or in part, by third-party insurance
  • This Savings Offer is not valid where prohibited by law
  • This Savings Offer cannot be combined with any other rebate/offer, free trial, or similar offer for the specified prescription
  • This Savings Offer will be accepted only at participating pharmacies
  • This Savings Offer is not health insurance
  • This Savings Offer is good only in the U.S. and Puerto Rico
  • This Savings Offer is limited to 1 per person during this offering period and is not transferable
  • No other purchase is necessary
  • This Savings Offer may not be redeemed more than once per 30 days per patient
  • Data related to your redemption of this Savings Offer may be collected, analyzed, and shared with Pfizer for market research and other purposes related to assessing Pfizer’s programs. Data shared with Pfizer will be aggregated and de-identified; it will be combined with data related to other Savings Offer redemptions and will not identify you
  • Pfizer reserves the right to rescind, revoke, or amend this Savings Offer without notice
  • No membership fees. The Savings Offer and Program expire on 12/31/2021
  • For further information, call 1-855-842-4722,visit VIAGRA.com, or write: Pfizer Inc., 235 E 42nd Street, New York, NY 10017

If your pharmacy does not participate, you may be able to submit a request for a rebate in connection with this Savings Offer. Pay for your VIAGRA prescription and mail copy of original pharmacy receipt (cash register receipt NOT valid) with product name, date, and amount circled to: VIAGRA Savings Offer, 2250 Perimeter Park Drive, Suite 300, Morrisville, NC 27560. Be sure to include a copy of the front of your VIAGRA Savings Card, your name, and mailing address. Please expect up to 4 to 6 weeks for reimbursement.

MOBILE TERMS & CONDITIONS:

  1. By opting in to the Pfizer VSAVINGS Mobile program (“Program”), in which you can receive your Co-Pay Savings Card via text, you consent to receive approximately 5 text messages and/or push notifications per month from Pfizer Inc. Consent is not a condition of purchase or use of any Pfizer product or service. Such messages may be marketing or non-marketing messages and may include, for example, refill reminders, fill confirmation, website information, etc. T-Mobile is NOT liable for delayed or undelivered messages.
  2. To stop receiving text messages, text STOP to 37500. DOING SO WILL ONLY OPT YOU OUT OF THE VSAVINGS MOBILE PROGRAM; you will remain opted in to any other Pfizer Inc. text message program(s) to which you separately opted in. You may unsubscribe from the digital wallet message Program at any time by disabling push notifications or removing the digital wallet pass from your device for digital wallet programs.
  3. To request more information or to obtain help, text HELP to 37500. You can also call customer service at 1-877-822-7971.
  4. You represent that you are the account holder for the mobile telephone number(s) that you provide to opt in to the texting Program. You are responsible for notifying Pfizer Inc. immediately if you change your mobile telephone number. You may notify Pfizer Inc. of a number change by re-enrolling in the Program.
  5. Message and data rates may apply to each text message sent or received in connection with the texting Program, as provided in your mobile telephone service rate plan, in addition to any applicable roaming charges. Charges are both billed and payable to your mobile service provider or deducted from your prepaid account. Pfizer Inc. does not impose a separate fee for sending text messages.
  6. Data obtained from you in connection with this Short Message Service (SMS) texting program may include your telephone number; your carrier’s name; and the date, time, and content of your messages. Pfizer Inc. may use this information to contact you and to provide the services you request from us.
  7. You understand that data obtained from you in connection with your registration for, and use of, the Program may include, for example, your phone number, related carrier information, device information, and elements of pharmacy claim information. This data may be used to administer this Program and to provide Program benefits such as savings offers, information about your prescription, refill reminders, as well as Program updates and alerts sent directly to your device. Please read our full corporate Privacy Policy, which is incorporated by reference into these Terms.
  8. In addition to the data use practices described in the Privacy Policy, we may send you offer-related push notifications when your device is in the physical proximity of your pharmacy or healthcare provider. This is done through geofencing technology, which is built in to your device. Your device’s location will not be known or tracked by Pfizer Inc. or its service providers. Nonetheless, you may opt out of geofencing and receiving these notifications at any time by (1) disabling location services for your digital wallet app in your device’s settings, (2) disabling notifications (i.e., automatic updates) within the digital wallet app, or (3) removing the eCard from your digital wallet by selecting “Remove Pass” within the digital wallet app.
  9. Pfizer Inc. will not be liable for any delays in the receipt of any SMS messages, as delivery is subject to effective transmission from your network operator.
  10. The service is available only on these US participating mobile carriers: Verizon Wireless, Sprint, Nextel, Boost Mobile, T-Mobile, AT&T, Alltel, ACS Wireless, Bluegrass Cellular, Carolina West Wireless, Cellcom, Cellular One of East Central Illinois (ECIT), Cincinnati Bell, Cricket Wireless, C Spire Wireless, Duet IP (AKA Max/Benton/Albany), Element Mobile, Epic Touch, GCI Communication, Golden State Cellular, Hawkeye (Chat Mobility), Hawkeye (NW Missouri Cellular), Illinois Valley Cellular (IVC), Inland Cellular, iWireless, Keystone Wireless (Immix/PC Management), MetroPCS, Mobi PCS, Mosaic Telecom, MTPCS/Cellular One (Cellone Nation), Nex-Tech Wireless, nTelos, Panhandle Telecommunications, Pioneer, Plateau, Revol Wireless, Rina-Custer, Rina-All West, Rina-Cambridge Telecom Coop, Rina-Eagle Valley Comm, Rina-Farmers Mutual Telephone Co, Rina-Nucla Nutria Telephone Co, Rina-Silver Star, Rina-South Central Comm, Rina-Syringa, Rina-UBET, Rina-Manti, Simmetry Wireless, South Canaan (Cellular One of NEPA), Thumb Cellular, Union Wireless, United Wireless, U.S. Cellular, Viaero Wireless, Virgin Mobile, and West Central Wireless (includes Five Star Wireless).
  11. You agree to indemnify Pfizer Inc. and parties texting on its behalf in full for all claims, expenses, and damages related to or caused in whole or in part by your failure to notify us if you change your telephone number, including but not limited to all claims, expenses, and damages related to or arising under the Telephone Consumer Protection Act.
  12. Pfizer Inc. may suspend or terminate your receipt of text messages if it believes you are in breach of these SMS Terms and Conditions. Your receipt of text messages is also subject to termination in the event that your mobile telephone service terminates or lapses. Pfizer Inc. reserves the right to modify or discontinue, temporarily or permanently, all or any part of the text messaging services you receive, with or without notice.
  13. Pfizer Inc. may revise, modify, or amend these SMS Terms and Conditions at any time. Any such revision, modification, or amendment shall take effect when it is posted to Pfizer Inc.’s website. You agree to review these SMS Terms and Conditions periodically to ensure that you are aware of any changes. Your continued consent to receive text messages will indicate your acceptance of those changes.

E-MAIL TERMS & CONDITIONS:

  • By agreeing to the terms of VSAVINGS e-mail ("Program"), you consent to receive e-mail messages from and on behalf of Pfizer Inc. and its service providers. Consent is not a condition of purchase or use of any Pfizer product.
  • Data obtained from you in connection with your registration for, and use of, this service may include your e-mail address, name, date of birth, and elements of pharmacy claim information, including pharmacy, prescribing physician, and prescription information. With your consent, this data may be used to administer this program and to provide program benefits such as co-pay and other savings offers, information about your prescription, refill reminders, new prescription requests, as well as program updates and alerts sent directly to your e-mail address.
  • You may unsubscribe from the Program at any time by clicking on the unsubscribe link at the bottom of any Program e-mail. Please do not reply to Program e-mail as it is an unattended e-mail box. A link to contact Pfizer is at the bottom of every Program e-mail. Pfizer reserves the right to rescind, revoke, or amend the Program without notice.

Pfizer, VIAGRA
PO Box 29387
Mission, KS 66201

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Important Safety Information and Indication

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IMPORTANT SAFETY INFORMATION

Do not take VIAGRA (sildenafil citrate) if you:

  • take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas (riociguat) for pulmonary hypertension. Your blood pressure could drop to an unsafe level
  • are allergic to sildenafil, as contained in VIAGRA and REVATIO, or any of the ingredients in VIAGRA

Discuss your health with your doctor to ensure that you are healthy enough for sex. If you experience chest pain, dizziness, or
nausea during sex, seek immediate medical help.

VIAGRA can cause serious side effects. Rarely reported side effects include:

  • an erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, get medical help right away.
    If it is not treated right away, priapism can permanently damage your penis
  • sudden vision loss in one or both eyes. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called
    non-arteritic anterior ischemic optic neuropathy (NAION). Stop taking VIAGRA and call your healthcare provider right away if you
    have any sudden vision loss
  • sudden hearing decrease or hearing loss. Some people may also have ringing in their ears (tinnitus) or dizziness. If you have
    these symptoms, stop taking VIAGRA and contact a doctor right away

Before you take VIAGRA, tell your healthcare provider if you:

  • have or have had heart problems such as a heart attack,
    irregular heartbeat, angina, chest pain, narrowing of the aortic valve, or heart failure
  • have had heart surgery within the last 6 months
  • have pulmonary hypertension
  • have had a stroke
  • have low blood pressure, or high blood pressure that
    is not controlled
  • have a deformed penis shape
  • have had an erection that lasted for more than 4 hours
  • have problems with your blood cells such as sickle cell
    anemia, multiple myeloma, or leukemia
  • have retinitis pigmentosa, a rare genetic (runs in families)
    eye disease
  • have ever had severe vision loss, including an eye problem
    called NAION
  • have bleeding problems
  • have or have had stomach ulcers
  • have liver problems
  • have kidney problems or are having kidney dialysis
  • have any other medical conditions

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins,
and herbal supplements.

VIAGRA may affect the way other medicines work, and other medicines may affect the way VIAGRA works, causing side effects.
Especially tell your healthcare provider if you take any of the following:

  • medicines called nitrates
  • medicines called guanylate cyclase stimulators such as Adempas (riociguat)
  • medicines called alpha-blockers, such as Hytrin (terazosin
    HCl), Flomax (tamsulosin HCl), Cardura (doxazosin
    mesylate), Minipress (prazosin HCl), Uroxatral (alfuzosin HCl),
    Jalyn (dutasteride and tamsulosin HCl), or Rapaflo (silodosin).
    Alpha-blockers are sometimes prescribed for prostate
    problems or high blood pressure. In some patients, the use
    of VIAGRA with alpha-blockers can lead to a drop in blood pressure or to fainting
  • medicines called HIV protease inhibitors, such as ritonavir (Norvir), indinavir sulfate (Crixivan), saquinavir (Fortovase or Invirase), or atazanavir sulfate (Reyataz)
  • some types of oral antifungal medicines, such as
    ketoconazole (Nizoral) and itraconazole (Sporanox)
  • some types of antibiotics, such as clarithromycin (Biaxin),
    telithromycin (Ketek), or erythromycin
  • other medicines that treat high blood pressure
  • other medicines or treatments for ED
  • VIAGRA contains sildenafil, which is the same medicine found
    in another drug called REVATIO. REVATIO is used to treat a
    rare disease called pulmonary arterial hypertension (PAH).
    VIAGRA should not be used with REVATIO or with other PAH
    treatments containing sildenafil or any other PDE5 inhibitors
    (such as Adcirca [tadalafil])

VIAGRA does not protect against sexually transmitted diseases, including HIV.

The most common side effects of VIAGRA: headache; flushing; upset stomach; abnormal vision, such as changes in color vision
(such as having a blue color tinge) and blurred vision; stuffy or runny nose; back pain; muscle pain; nausea; dizziness; rash.

INDICATION

VIAGRA is prescription medicine used to treat erectile dysfunction (ED).

VIAGRA is not for women or children.

Please see full Prescribing Information for VIAGRA (25 mg, 50 mg, 100 mg) tablets.

VIAGRA is available by prescription only.

Patients should always ask their doctors for medical advice about adverse events.

You are encouraged to report adverse events related to Pfizer products by calling 1-800-438-1985 (U.S. only). If you prefer, you may contact the U.S. Food and Drug Administration (FDA) directly. Visit http://www.fda.gov/MedWatch or call 1-800-FDA-1088.

*Eligibility required. Terms and conditions apply. Full terms and conditions can be found at VIAGRA.com/savings-offer.
This Savings Offer will be accepted only at participating pharmacies. This Savings Offer is not health insurance. No membership fees. Maximum savings per year is $4,200. This Savings Offer is not valid for prescriptions that are eligible to be reimbursed, in whole or in part, by Medicaid, Medicare, or other federal or state healthcare programs. This Savings Offer is not valid for prescriptions that are eligible to be reimbursed in whole by private insurance plans or other health or pharmacy benefit programs. Pfizer reserves the right to revoke, rescind, or amend this offer without notice. For further information, call 1-855-842-4722, visit VIAGRA.com, or write: Pfizer Inc., 235 E 42nd Street, New York, NY 10017.