To successfully submit your Cialis rebate claim, ensure you include the following: A completed rebate form, accurately reflecting all required patient and prescription information. This includes the patient’s name, date of birth, and prescription number. In addition, provide the NDC number clearly. Incomplete forms will delay processing.
Prescription Details
Submit a clear copy of the original prescription. The prescription must show the date, the quantity of Cialis dispensed, and the physician’s signature. Faxed or photographed prescriptions are acceptable, provided they are legible. Blurry or unreadable images will result in claim rejection.
Proof of Purchase
Attach a copy of your invoice or purchase receipt. This document should clearly indicate the date of purchase, the quantity of Cialis purchased, and the total amount paid. Ensure the retailer’s name and address are visible. If purchasing through a mail-order pharmacy, include the pharmacy’s confirmation number and shipping details.
Additional Information
Depending on the specific rebate program, additional documentation may be required. Check the terms and conditions of your rebate program carefully. You might need to provide patient medical information or insurance details. Adhering to these guidelines ensures timely processing of your claim.
