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TO ANY THIRD PARTY PAYER, PUBLIC OR PRIVATE, (EG, MEDICAID, MEDICARE, PRIVATE INSURANCE, ANY GOVERNMENTAL PROGRAM, ANY OTHER
FEDERAL OR STATE PROGRAM SUCH AS CHAMPUS, THE VA, TRICARE, OR A STATE PHARMACEUTICAL ASSISTANCE PROGRAM) FOR REIMBURSEMENT. OFFER VALID IN THE US ONLY.
THIS OFFER IS NOT VALID WITH ANY OTHER PROGRAM, DISCOUNT, OR INCENTIVE INVOLVING HUMALOG KWIKPEN, HUMALOG KWIKPEN 75/25, OR
HUMALOG KWIKPEN 50/50. IT IS ILLEGAL FOR ANY PERSON TO SELL, PURCHASE, OR TRADE; OR TO OFFER TO SELL, PURCHASE, OR TRADE; OR TO
COUNTERFEIT THIS COUPON. NO PURCHASE REQUIRED.
PRINTED IN USA © 2009, LILLY USA, LLC. HUMALOG KWIKPEN, HUMALOG KWIKPEN 75/25, AND HUMALOG KWIKPEN 50/50 ARE TRADEMARKS OF ELI LILLY
AND COMPANY. YOU UNDERSTAND AND AGREE TO COMPLY WITH THESE OFFER TERMS.
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