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Start today and receive up to $80 in benefits and support! Benefits include instant and long-term savings, diabetes management tips & recipes, nutrition guidance, and special surprises.

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Month of Birth*

Year of Birth*

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How many packs of Glucerna products have you or someone in your household purchased or consumed in the past six months?*

Yes, I want to receive marketing materials for Ensure^® and other Abbott brands.

Yes, I want to receive marketing materials for ZonePerfect^® and other Abbott brands.

*Required Information

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Providing your personal information through this form will be treated the same as if you provided a physical signature. Your privacy is important to us. Please read our Privacy Policy for more details.

I understand and agree that the information I’ve provided will be used by Abbott and its contracted third parties to provide me with helpful information about Glucerna and to send me marketing materials and promotional offers via email about Abbott’s products and services. Abbott will not sell or transfer my personal information to any other party for their marketing activities. To be removed from the Glucerna mailing list, unsubscribe or contact 1‑800‑227‑5767.

*Offers may vary. Valuation based on maximum collective savings of offers throughout duration of program.

The FreeStyle Libre 2 app is only compatible with certain mobile devices and operating systems. Please check our website for more information about device compatibility before using the app. Use of the FreeStyle Libre 2 app requires registration with LibreView.
* Designed to help minimize blood sugar spikes in people with diabetes compared to high-glycemic carbohydrates.
† Vitamins C and E.
‡ Offers may vary. Valuation based on maximum collective savings of offers throughout duration of program.
§ Data from this study was collected with the outside US version of the FreeStyle Libre 14 day system. FreeStyle Libre 2 system has the same features as FreeStyle Libre 14 day system with optional real-time glucose alarms. Therefore, the study data is applicable to both products.
¶ For FreeStyle Libre 2 system: Fingersticks are required if your glucose alarms and readings do not match symptoms or when you see Check Blood Glucose symbol during the first 12 hours.
# Eligible patients will receive one (1) FreeStyle Libre 2 sensor for users with a compatible mobile phone operating system at $0 copay. The expiration date of the voucher is 60 days from the issue date. This program is available for patients with Type 1 and Type 2 diabetes; It is not available for patients with gestational diabetes. Only patients ages 18 and older are eligible to sign up and receive an offer for the FreeStyle Libre 2 sensor and patients ages 4-17 are eligible to receive an offer for the FreeStyle Libre 2 sensor through their parent or guardian. This offer is void where prohibited by law. Abbott may modify or rescind this offer at any time without notice. The discounts are not available to beneficiaries of Medicare, Medicaid, or other federal or state healthcare programs or residents of Massachusetts, Puerto Rico and other US territories. The free FreeStyle Libre 2 sensor is provided as a sample and is limited to one NDC per eligible person. The FreeStyle Libre 2 sensor cannot be re-sold, traded nor submitted to any third-party payer for reimbursement and is not provided as any inducement for future purchases. The free sample card is not health insurance.
Medicare coverage is available for the FreeStyle Libre 2 system if the FreeStyle Libre 2 reader is used to review glucose data on some days every month. Medicare and other third party payor criteria apply.
Abbott provides this information as a courtesy, it is subject to change and interpretation. The customer is ultimately responsible for determining the appropriate codes, coverage, and payment policies for individual patients. Abbott does not guarantee third party coverage or payment for our products or reimburse customers for claims that are denied by third party payors.
Glucerna is the #1 brand recommended by doctors for people with diabetes.
Use Glucerna under medical supervision as part of your diabetes management plan.
References: 1. Haak T, et al. Diabetes Ther. 2017;8(1):55-73. https://doi.org/10.1007/s13300-016-0223-6 2. Campbell FM, et al. Pediatr Diabetes. 2018;19(7):1294-1301. https://doi.org/10.1111/pedi.12735 3. Al Hayek AA, et al. Clin Med Insights Endocrinol Diabetes. 2020;13:1-7. https://doi.org/10.1177/1179551420910122 4. FreeStyle Libre 2 User’s Manual.

Important Safety Information
FreeStyle Libre 2 system: Failure to use FreeStyle Libre 2 system as instructed in labeling may result in missing a severe low or high glucose event and/or making a treatment decision, resulting in injury. If glucose alarms and readings do not match symptoms or expectations, use a fingerstick value from a blood glucose meter for treatment decisions. Seek medical attention when appropriate or contact Abbott at 855-632-8658 or FreeStyleLibre.us for safety info.
ADC-39854 v2.0 06/22 *Designed to help minimize blood sugar spikes in people with diabetes compared to high-glycemic carbohydrates.
† In the diabetes nutritional products category. ‡ NHANES data on file. 2017. Nutrition information sourced from the USDA National Nutrient Database. https://ndb.nal.usda.gov † Vitamins C and E. ‡ Offers may vary. Valuation based on maximum collective savings of offers throughout duration of program. Glucerna is the #1 brand recommended by doctors for people with diabetes.
Use Glucerna under medical supervision as part of your diabetes management plan.

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