Ready to Save?

Register for your Savings Card here.

Did you know? Eligible patients may pay as little as $10 for their AirDuo RespiClick or Authorized Generic prescriptions. Fill in the short form below. You may be eligible to get a printable savings card.

†Certain limits and restrictions apply. Please see Terms and Conditions.

*Required Fields

*Are your prescriptions paid for in part or in full by any state or federally funded programs, including but not limited to Medicare or Medicaid, Medigap, VA, DOD, TRICARE, or if prescription is reimbursed in full (including co-pay) by any third-party payer?

We’re sorry— based on the information you provided, you are not eligible.

Please select an answer.

*If you begin receiving prescription benefits from such state, federal or government funded program at any time, you will no longer be eligible to participate in this program. Do you acknowledge your agreement with this statement?

We’re sorry—you are not eligible unless you agree to this statement.

Please select an answer.

*Are you a resident of the United States or the Commonwealth of Puerto Rico?

We’re sorry—the Savings Card is only available to the residents of the United States or the Commonwealth of Puerto Rico.

Please select an answer.

Please enter your first name.

Please enter your last name.

Please enter your email address.


Are you registering for yourself or as a caregiver?

Please enter your Zip with a 5-digit Zip code.

*I have read, understand and accept the Terms and Conditions of the coupon. I certify that I am not eligible for coverage from Medicare, Medicaid or any other government health program.

You must agree with this statement to receive a savings card.



*I am 18 years of age or older.

You must agree with this statement to receive a savings card.



*I have read and accept the Legal Notice and Privacy Notice.

You must agree with this statement to receive a savings card.



I authorize Teva Pharmaceuticals USA, Inc. (“Teva”), its affiliates and companies working with Teva to contact me by direct mail, email, telephone, and electronic message (including autodialed and prerecorded calls and messages) for marketing purposes such as to provide me with information, offers and promotions regarding asthma, Teva products, and programs, to conduct market research or surveys, and to use my information to develop future products, services and programs.

I understand that I may choose to no longer receive further communications from Teva by following the unsubscribe instructions on the communication.



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