Allegra (fexofenadine HCL) 60mg capsules

We'd like to offer you a check for $5.00 off your next prescription for Allegra^® or Allegra-D^® (fexofenadine HCl 60 mg / pseudoephedrine HCl 120 mg) extended-release tablets. Consider it our way of saying thanks for being an Allegra^® patient. All you need to be eligible for this great offer is a valid prescription and a few extra minutes to fill out the brief online registration form.

LIMITATIONS: Allegra and Allegra-D are prescription products; therefore, a prescription must be filled in order to use this check. The check amount is considered a discount on the purchase price of the product and is to be used only if out-of-pocket costs for prescription products are $5.00 or greater. The check is good only to offset the costs of a prescription for Allegra or Allegra-D. Not valid for prescriptions covered by Medicare, Medicaid, or similar federal or state health care programs. Amount of check shall not be submitted to any third-party payer, public (e.g., Medicaid) or private for reimbursement. Void where prohibited by law. Void outside the USA or if taxed, restricted, prohibited, assigned, reproduced or transferred. It is illegal for any person to sell, purchase or trade or offer to sell, purchase or trade or to counterfeit the check. Limit one check per household per 12 months. Void after March 31, 2000.

Title
First Name
Middle Initial
Last Name
Address
City
State
ZIP Code
ZIP +4
e-mail address:

Sex. Check one:

1. Male

2. Female

Age. Check one:

1. 18-24
2. 25-34
3. 35-44

4. 45-54
5. 55-64
6. 65 and over

Which ALLEGRA^® product did you purchase with this offer? Check one:

1. Allegra^® 60 mg Capsules

2. Allegra-D^®

Please indicate the number of times you have filled an ALLEGRA^® prescription in the last 12 months. Check only one.

1. 0	3. 4-7
2. 1-3	4. 8 or more

Check the seasons during which you suffer from seasonal allergies. Check all that apply:

1. Summer

2. Spring

3. Fall

4. Winter

How many days, per year, do you, yourself, medicate/take medicine (prescription or over-the-counter), to relieve allergy symptoms? Check only one:

1. 1 - 30 days

days

4. 121 days or more

Which of the following are you allergic to? Check all that apply:

1. Grass
3. Weeds

2. Trees

What allergy medication(s) have you taken in the past year? Check all that apply:

1. Allegra^®
2. Allegra-D^®
3. Benadryl^®
4. Chlor-Trimeton^®
5. Claritin^®
6. Claritin-D^®
7. Flonase^® 8. Hismanal^®
9. Tylenol^® Allergy/Sinus
10. Vancenase^®
11. Zyrtec^®
12. Other
13. None

Would you like to receive an e-mail message from us when we have special offers or news about Allegra?

Yes No

If Yes, please check your audience type. (Please be sure your e-mail address is filled in near the top of this form.)

consumer

media professional

health care professional

Would you like to have the AllerDays^® newsletter mailed to your home through postal mail?

Yes No

Would you like to have the AllerDays^® newsletter e-mailed to you?

Yes No

If yes, please be sure your e-mail address is filled in near the top of this form.

Allegra Product Information | Allegra-D Product Information

Benadryl is a registered trademark of Warner-Lambert Compnay. Chlor-Trimeton, Claritin, Claritin-D and Vancenase are registered trademarks of Schering Corporation. Flonase is a registered trademark of Glaxo Group Limited. Hismanal is a registered trademark of Janssen Pharmaceutica, N.V. Tylenol is a registered trademark of Johnson & Johnson. Zyrtec is a registered trademark of UCB, Societe Anonyme.

The Allegra^� Pollen Forecasts provide daily projected pollen levels for 100 U.S. cities year round, so you can be better prepared to manage your symptoms throughout each pollen season, wherever you are � in your hometown or traveling to another city.

POLLEN FORECAST FOR 100 CITIES

Albuquerque, NM Albany, NY Atlanta, GA Austin, TX Baltimore, MD Bangor, ME Billings, MT Binghamton, NY Birmingham, AL Boise, ID Boston, MA Burlington, VT Casper, WY Charleston, SC Charleston, WV Charlotte, NC Chicago, IL Cincinnati, OH Cleveland, OH Colorado Springs, CO Columbus, OH Concord, NH Dallas, TX Dayton, OH Denver, CO Des Moines, IA Detroit, MI El Paso, TX Erie, PA Eugene, OR Fargo, ND Fresno, CA Grand Rapids, MI Grand Junction, CO	Green Bay, WI Greensboro, NC Greenville, SC Harrisburg, PA Hartford, CT Houston, TX Indianapolis, IN Jackson, MS Jacksonville, FL Kansas City, MO Knoxville, TN Lansing, MI Las Vegas, NV Lexington, KY Little Rock, AR Los Angeles, CA Louisville, KY Lubbock, TX Madison, WI Memphis, TN Miami, FL Milwaukee, WI Minneapolis, MN Montgomery, AL Nashville, TN New Orleans, LA New York, NY Norfolk, VA Oklahoma City, OK Omaha, NE Orlando, FL Peoria, IL Philadelphia, PA	Phoenix, AZ Pierre, SD Pittsburgh, PA Portland, OR Providence, RI Raleigh-Durham, NC Reno, NV Roanoke, VA Rochester, NY Sacramento, CA Salt Lake City, UT San Antonio, TX San Diego, CA San Francisco, CA Savannah, GA Scottsbluff, NE Seattle, WA Shreveport, LA Sioux Falls, SD South Bend, IN Spokane, WA Springfield, IL Springfield, MO St. Louis, MO Syracuse, NY Tallahassee, FL Tampa, FL Toledo, OH Tucson, AZ Tulsa, OK Sacramento, CA Washington, DC Wichita, KS Wilmington, DE

Allegra Product Information Claritin is a registered trademark of Schering Corporation. Zyrtec is a registered trademark of UCB, Societe Anonyme.

Allegra Home � Site Map Aventis Pharmaceuticals U.S. Home � 2000, Aventis Pharmaceuticals Inc. 0232A0

Allegra (fexofenadine HCl) 60mg capsules - for nondrowsy relief of Seasonal Allergic Rhinitis Articles catalogue

1997 1998

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