SAVE ON LYRICA
ACTIVATE YOUR CO-­PAY SAVINGS CARD

Activating your LYRICA Co-Pay Card can be done in a few quick steps. Start by following the steps below to activate your LYRICA Co-Pay Savings Card. If you do not currently have a LYRICA Co-Pay Savings Card, talk to your doctor or get a card here.

STEP 1

 Activate your card by filling out the form below.

STEP 2

 Bring your LYRICA (pregabalin) prescription and card to your pharmacy.

STEP 3

 Keep your card in your wallet and use it for up to 12 months.

1
2
3
(11-­digit number on the front of the card)

*Eligible patients save up to $140 a month for 12 months. (Maximum annual savings of $1680.) The Co-Pay Savings Card is available only at participating pharmacies. A rebate form is available for nonparticipating pharmacies. The savings card is not health insurance. No membership fees. See terms and conditions.