The BP Goal Money-Back Guarantee

Patients can receive from Novartis reimbursement for up to four months of out-of-pocket drug costs if, after taking the maximum dose of either DIOVAN HCT® (valsartan/hydrochlorothiazide 320/25 mg) tablets, EXFORGE® (amlodipine and valsartan 10/320mg) tablets or TEKTURNA® (aliskiren 300 mg) tablets for at least 30 days, their blood pressure is not controlled to the goal determined by their healthcare professional.*

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To be eligible for the guarantee, patients must have joined the BP Success Zone Program by activating their membership card. Patients must produce copies of the original receipts for up to 4 months of treatment on DIOVAN, DIOVAN HCT, EXFORGE or TEKTURNA. The patient must also provide a Guarantee Affirmation Form, signed by his or her healthcare professional, stating that the patient was not able to reach the blood pressure goal set by his or her healthcare professional.

Click here for a Guarantee Affirmation Form. Or to request an Affirmation Form by mail, call 1-866-968-7270.

Have your healthcare professional complete and sign the Guarantee Affirmation Form.

Mail the Guarantee Affirmation Form, as well as your original prescription receipts showing the prescription drug name and out-of-pocket costs for your DIOVAN, DIOVAN HCT, EXFORGE or TEKTURNA prescription as proof of purchase to:

BP Goal Money-Back Guarantee
P.O. Box 811869
Boca Raton, FL 33481-9949

Do this no later than 30 days from date of completion of the Guarantee Affirmation Form. No photocopies are accepted. Please retain a copy for your records.

You will receive a complete refund for up to 4 months of your out-of-pocket prescription costs (costs that are not reimbursed by insurance) for DIOVAN® (valsartan) tablets, DIOVAN HCT® (valsartan/hydrochlorothiazide) tablets, EXFORGE® (amlodipine and valsartan) tablets and TEKTURNA® (aliskiren) tablets. Please allow 6-8 weeks for delivery.

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Make an appointment to meet with your healthcare professional. Your healthcare professional can help you determine a blood pressure goal that is right for you. Then you can work together to make a plan for how you can help reach and maintain it.

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You don't need to send your blood pressure numbers for the Money-Back Guarantee. Your healthcare professional determines your target blood pressure goal before the treatment. If you have not reached that goal after being on the highest dose of DIOVAN HCT® (valsartan/hydrochlorothiazide 320/25 mg) tablets, EXFORGE® (amlodipine and valsartan 10/320mg) tablets or TEKTURNA® (aliskiren 300 mg) tablets for at least 30 days, follow these steps.

	Click here for a Guarantee Affirmation Form. Or to request an Affirmation Form by mail, call 1-866-968-7270.
	Have your healthcare professional complete and sign the Guarantee Affirmation Form and mail it back to receive your money back.

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See How does the BP Goal Money-Back Guarantee work? Earlier in this FAQ section.

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		Please allow up to 8 weeks for your Money-Back Guarantee rebate check to be delivered in the mail.
		If you have already waited 8 weeks or more and you do not get reimbursed for any portion of your prescription drug costs as part of any government assistance or medical insurance and you do not live in a country outside the U.S., please phone 1-866-968-7270.
		If you are reimbursed for a portion of your prescription drug costs as part of any Federal Government Related Healthcare Programs, including Medicare, Transitional Assistance, Medicaid, TRICARE, VA (Veterans Administration), State Maternal, Child Health Block Grants, you are not eligible for this offer due to state and federal regulations.
		We're sorry, but the Program is only available to U.S. and Puerto Rico residents.

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If you have not done so already, you may use your $10 savings membership card if you are still taking DIOVAN® (valsartan) tablets, DIOVAN HCT® (valsartan/hydrochlorothiazide) tablets, EXFORGE® (amlodipine and valsartan) tablets or TEKTURNA® (aliskiren) tablets. If you discontinue taking DIOVAN, DIOVAN HCT, EXFORGE or TEKTURNA, you will not be able to use the membership card on another medication.

In Minnesota and Massachusetts, the Program offers are slightly different. Please click here for details.

This Program is only available in the U.S. and Puerto Rico.

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Click here for a Guarantee Affirmation Form. Or to request an Affirmation Form by mail, call 1-866-968-7270.

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Yes. In order to prevent fraud, we need a process in place and the DEA# is one measurement that protects against fraud.

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If you have not done so already, you may submit your rebate for your Omron® Blood Pressure Monitor.** Be sure to save a copy of your DIOVAN® (valsartan) tablets, DIOVAN HCT® (valsartan/hydrochlorothiazide) tablets, EXFORGE® (amlodipine and valsartan) tablets or TEKTURNA® (aliskiren) tablets receipt, as it is needed for your rebate. You should still hold onto your membership number, as it will let you take advantage of other benefits of the BP Success Zone Program.

This Program is only available to residents of the U.S. and Puerto Rico.

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If they have not done so already, they may use the membership card if they are still taking DIOVAN® (valsartan), DIOVAN HCT® (valsartan/hydrochlorothiazide), EXFORGE® (amlodipine and valsartan) or TEKTURNA® (aliskiren). If they discontinue taking DIOVAN, DIOVAN HCT, EXFORGE® or TEKTURNA, they will not be able to use the membership card on another medication. Patients should hold onto their membership number, as it will let them take advantage of other benefits of the BP Success Zone Program.

This Program is only available in the U.S. and Puerto Rico.

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We're sorry, but there is a limit of one offer per person on the Money-Back Guarantee. Users who submitted claims for the now-expired Take Action for Healthy BP Program's Money-back Guarantee cannot submit a claim for the Money-Back Guarantee in the BP Success Zone Program, as well.

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