Frequently Asked Questions about the Cymbalta Promise 60-Day Money-Back Offer

You may have concerns about starting your treatment. One way we can help is through the Cymbalta Promise 60-day money-back offer. Our promise to you: If you and your healthcare provider are not satisfied with your treatment with Cymbalta, you may be reimbursed up to 100% of your out-of-pocket prescription costs for the first 60 days.^*

*Restrictions apply. See below for full Terms and Conditions. The 60-day money-back offer is not a guarantee of efficacy. It provides a trial period that may help patients and doctors to assess the efficacy, safety, and tolerability of Cymbalta.

Ask your healthcare provider about Cymbalta and the Cymbalta Promise 60-day money-back offer.

If you receive a prescription:

• Enroll in the Cymbalta Promise 60-day money-back offer at cymbaltapromise.com or by calling 1-877-CYMBALTA (see more details on enrollment and reimbursement below)
• Fill your prescription as you normally would
• Save your original pharmacy receipts
• Take Cymbalta as prescribed
• If you and your healthcare provider aren’t satisfied with Cymbalta, you may be reimbursed up to 100% of your out-of-pocket prescription costs for the first 60 days^*

*Restrictions apply. See below for full Terms and Conditions. The 60-day money-back offer is not a guarantee of efficacy. It provides a trial period that may help patients and doctors to assess the efficacy, safety, and tolerability of Cymbalta.

As satisfaction with a medication can be individual in nature, it should be determined by you and your healthcare provider. You and your healthcare provider simply agree that you are not satisfied with Cymbalta. There is no need to send in an explanation for dissatisfaction. Please do not send in any unused product.

The 60-day treatment period begins with the date from the receipt of the first paid prescription. The time you spend on samples or a free trial does not impact your reimbursement. No reimbursement will be made if the reimbursement form is submitted after 6 months from the date of the first paid prescription.

You can enroll in the Cymbalta Promise 60-day money-back offer at cymbaltapromise.com.
You can also enroll by calling 1-877-CYMBALTA.
You will need to complete the enrollment questions to confirm your eligibility.

The enrollment process for the Cymbalta Promise 60-day money-back offer determines your eligibility for later reimbursement. If you are not eligible, other options for support may be offered.

You should enroll in the Cymbalta Promise 60-day money-back offer before filling your first prescription for Cymbalta. Enrollment is the only way to find out if you are eligible for the program. If you are not eligible, other options for support may be offered.

Reimbursement offered for up to 60 days of Cymbalta therapy to a maximum of $700. Prescriptions for more than two capsules per day are not eligible for reimbursement. Limit one reimbursement per person. Offer void where prohibited by law. Valid only in the United States for US residents. Offer not valid if your prescription claims for Cymbalta are reimbursed, in whole or in part, by any governmental program, including, without limitation, Medicaid, Medicare, or any other federal or state program, such as Champus, the VA, TRICARE, or a state pharmaceutical assistance program. By accepting this offer, you agree to notify your insurance carrier of reimbursement if required to do so by law or under the terms of coverage. Additional exclusions may apply and this offer may be terminated, rescinded, revoked or amended by Lilly USA, LLC, at any time without notice.

By accepting this offer, you agree to notify your insurance carrier of reimbursement if required to do so by law or under the terms of coverage.

No. You will receive reimbursement for the duration of treatment completed up to the first 60 days.

A determination that you and your healthcare provider are not satisfied should be made when clinically possible. Only the first 60 days will be reimbursed and no reimbursement will be made if the reimbursement form is submitted after 6 months from the date of the first paid prescription.

You may be eligible for the Cymbalta Promise Program 60-day money-back offer. Our promise to you: If you and your healthcare provider are not satisfied with your treatment with Cymbalta, you may be reimbursed up to 100% of your out-of-pocket prescription costs for the first 60 days.^* However, no reimbursement will be made if the reimbursement form is submitted after 6 months from the date of the first paid prescription.

*Restrictions apply. See below for full Terms and Conditions. The 60-day money-back offer is not a guarantee of
efficacy. It provides a trial period that may help patients and doctors to assess the efficacy, safety, and tolerability of Cymbalta.

*Restrictions apply. See below for full Terms and Conditions. The 60-day money-back offer is not a guarantee of efficacy. The Cymbalta 60-day money-back offer provides a trial period that may help patients and doctors to assess the efficacy, safety, and tolerability of Cymbalta.

No reimbursement will be made if the reimbursement form is submitted after 6 months from the date of the first paid prescription.

There are two ways to seek reimbursement: online at cymbaltapromise.com, or by using the toll-free number (1-877-CYMBALTA). Remember that you must first enroll in the program before you may seek reimbursement (see enrollment details above).

IF YOU ENROLLED ONLINE AND ARE SEEKING REIMBURSEMENT:

1. To access the reimbursement form, download a reimbursement form with your unique Cymbalta Promise 60-day money-back offer code when prompted. The reimbursement form will appear in a new window.
2. Follow the instructions to complete and submit the reimbursement form, remembering to include your doctor's signature, a copy of your pharmacy receipts for up to the first 60 days, and a copy of your prescription coverage card, if applicable, to the address below.
   
   Cymbalta Promise Program
   P.O. Box 42184
   Cincinnati, OH 45242-0184
   
3. You should expect to receive reimbursement within 6 to 8 weeks. Inaccurate or incomplete submissions could result in the cancellation of your reimbursement request.

IF YOU ENROLLED BY CALLING THE TOLL-FREE NUMBER:

1. Your reimbursement form and unique Cymbalta Promise 60-day money-back offer code will be included in your enrollment mailing.
2. Follow the instructions to complete and submit the reimbursement form, remembering to include your doctor's signature, a copy of your pharmacy receipts for up to the first 60 days, and a copy of your prescription coverage card, if applicable, to the address below.
   
   Cymbalta Promise Program
   P.O. Box 42184
   Cincinnati, OH 45242-0184
   
3. You should expect to receive reimbursement within 6 to 8 weeks. Inaccurate or incomplete submissions could result in the cancellation of your reimbursement request.

1. You need to keep a copy of your Cymbalta Promise enrollment code.
2. Your pharmacy receipts must clearly identify Cymbalta as the product purchased, and indicate your name, the number of capsules dispensed, and the out-of-pocket amount paid. Receipts must be submitted within 6 months of the transaction date.
   
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3. If any portion of your prescription costs are paid or reimbursed by a third-party payer (i.e., insurance company), a copy of your prescription coverage card, clearly identifying your name and group number, must be submitted with your reimbursement form.
   
   
   

You should go to your pharmacy and ask for pharmacy receipts for up to the first 60 days of treatment.

No. This offer may be redeemed only once per person.

You should receive your reimbursement within 6 to 8 weeks of submitting all appropriate information. If you don't receive your reimbursement within this period, please call 1-877-CYMBALTA.

Reimbursement will be sent to you by check.

If you enroll online, you will receive a unique Cymbalta Promise 60-day money-back offer code when your enrollment in the Cymbalta Promise 60-day money-back offer is confirmed. You will need this code to verify that you are eligible and that you have enrolled for the Cymbalta Promise 60-day money-back offer.

If you called 1-877-CYMBALTA to enroll in the Cymbalta Promise 60-day money-back offer, you will receive your unique Cymbalta Promise 60-day money-back offer code in the mail. It will be printed on your welcome letter.

If you enrolled online, you can re-enroll at cymbaltapromise.com to receive another code for reimbursement.

If you lost your reimbursement form, you can call 1-877-CYMBALTA to re-enroll.

Yes. You will still need to send a copy of the receipt. If you receive more than 60 days worth of Cymbalta, you may receive only partial reimbursement.

Some insurance companies may require you to contact them if you are being reimbursed for a portion or all of your prescription costs outside of the plan.

CYMBALTA PROMISE 60-DAY MONEY-BACK OFFER Terms and Conditions: Reimbursement offered for up to 60 days of Cymbalta therapy to a maximum of $700.

Prescriptions for more than two capsules per day are not eligible for reimbursement. Limit one reimbursement per person. Offer void where prohibited by law. Valid only in the United States for US residents. Offer not valid if your prescription claims for Cymbalta are reimbursed, in whole or in part, by any governmental program, including, without limitation, Medicaid, Medicare, or any other federal or state program, such as Champus, the VA, TRICARE, or a state pharmaceutical assistance program. By accepting this offer, you agree to notify your insurance carrier of reimbursement if required to do so by law or under the terms of coverage. Additional exclusions may apply and this offer may be terminated, rescinded, revoked or amended by Lilly USA, LLC, at any time without notice. Cymbalta^® and the Cymbalta logo are trademarks of Eli Lilly and Company.

One of the purposes of the Cymbalta Promise 60-day money-back offer is to encourage ongoing communication between individuals and their doctors throughout the treatment process. You and your healthcare provider need to determine together whether or not you are satisfied with Cymbalta.

We realize it may be difficult to start a new treatment. The Cymbalta Promise Program, along with your healthcare provider, can give you the support to take that first step. In addition, you may be eligible for the Cymbalta Promise 60-day money-back offer. Our promise to you: If you and your healthcare provider are not satisfied with your treatment with Cymbalta, you may be reimbursed up to 100% of your out-of-pocket prescription costs for the first 60 days.^*

*Restrictions apply. See below for full Terms and Conditions.

Follow the standard instructions for enrollment and reimbursement in the Cymbalta Promise 60-day money-back offer. However, since FSA or HSA accounts utilize tax advantage funds, there may be tax implications to receiving reimbursement of those funds. You should save all of your paperwork for tax purposes and/or follow up with your FSA or HSA administrator or tax advisor for more information.

Reimbursement offered for up to 60 days of Cymbalta therapy to a maximum of $700. Prescriptions for more than two capsules per day are not eligible for reimbursement.