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AstraZeneca respects your personal health information. The information you provide may be used to send you health-related materials and to develop products, services, and programs. We may also contact you to participate in market research. AstraZeneca, or third parties working on our behalf, will not sell or rent personal health information. In the future, if you no longer want to receive health-related materials or wish to be contacted, call 1-800-236-99331-800-236-9933. Please visit www.azprivacynotice.com to review our Privacy Notice.

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By providing your date of birth, you verify that you are at least 18 years of age.

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Note: For example, if you started in January, 2012, you would enter 012012.
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For commercially insured patients

If you are a commercially insured patient, you may get ONGLYZA or KOMBIGLYZE XR for as low as $0 per month* for as long as your doctor prescribes any available dose.

*Subject to eligibility. Restrictions apply.
Not available for government-insured patients.