Activate Savings Card | RELPAX® (eletriptan HBr)

Activate Your Card and Start Saving

 
1 Start 2 Continue 3 Complete

Activate Your RELPAX savings Card*

Activate your RELPAX Savings Card by entering the ID number found on the front. Don't have a RELPAX Savings Card?    Get one here.

X

The Card is not valid for California residents whose prescriptions are covered in whole or in part by third-party insurance, a healthcare service plan, or other health coverage where a lower cost generic is available, unless applicable step therapy or prior authorization requirements have been completed.

Please check with your healthcare professional or insurer to confirm eligibility.

Privacy is important to us. To learn more about our use of your information and your rights, please consult our Privacy Policy.

Pfizer understands your personal and health information are private. The information you provided will only be used by Pfizer and parties acting on its behalf to send you the materials you requested and other helpful information and updates on RELPAX and/or migraines, as well as related treatments, products, offers, and services.

CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
X

You Are Leaving RELPAX.com

Links to another site are provided as a convenience to the viewer.

Pfizer accepts no responsibility for the content of linked sites.