Pharmacists: Please see below for processing instructions.

Non-Transferable. Patient must submit a valid prescription.

RxBIN #	Identification #	Group	PCN#	Expires
		ZLP01	3333

TO PHARMACIST: This coupon is part of a Valeant Pharmaceuticals North America program for ZELAPAR. This coupon is valid for reimbursement at retail pharmacies only. This coupon must be accompanied by a prescription. This coupon is valid for ZELAPAR only. This coupon is valid for up to $40* off ZELAPAR. Submit your claim to RxSolutions using BIN # 610494 and COB field with code type 08. For pharmacy processing questions, please call the Help Desk at 1-800-510-4836. No substitutions permitted. Program may be cancelled at any time without notice. Patient to pay first $20 of their co-pay or retail cost of the prescription before the $40 benefit is applied.

TO PATIENT: If your pharmacist is unable to provide this Instant Savings, you can still take advantage of this offer: a. Make a copy of this voucher for your records. b. Circle the product name, the date, and amount you paid on the original pharmacy receipt (valid receipt will include: your name, name of medication purchased, date, and amount paid). c. Mail-in this entire web offer, along with your pharmacy receipt to: ZELAPAR Web Rebate Program PO Box 42638, Cincinnati, OH 45242-0638 In 6 to 8 weeks you will receive your rebate.

* Patient to pay first $20 of their co-pay or retail cost of the prescription before the $40 benefit is applied.

Eligibility and Restrictions: Offer limited to one per patient for the duration of the program. Offer good only in the USA and void where prohibited or otherwise restricted by law, or subject to state sales tax. Coupon not valid for prescriptions that may be reimbursed under a federal or state healthcare program, including Medicare, Medicaid, or any other similar federal or state healthcare program, including any state medical pharmaceutical assistance program. Coupon void in Massachusetts, except for cash-paying patients. This offer may be rescinded, revoked, or amended without notice. Patient is responsible for notifying any third party payor about any rebate or discount they receive on their prescription purchase. Offer expires April 30, 2011.