Program Rules and Instructions
Patients: Redeem this trial voucher ONLY when accompanied by a valid prescription for FETZIMA® (levomilnacipran extended-release capsules) 20 mg, 40 mg, 80 mg and/or
120 mg capsules. This voucher will only be accepted at participating pharmacies. A valid prescriber ID# is required on the prescription. Offer is valid toward the purchase of one Titration Pack
or up to a 30-capsule trial supply of FETZIMA. This trial voucher is not transferable and the original trial voucher card must be presented to pharmacies – reproductions are not permitted.
Patients with questions should call 1-855-439-2801.