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CONTACT INFORMATION

Why?

Month of Birth*

Year of Birth*

Why?

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

I have read and understand the Abbott Nutrition Privacy Policy and the Notice of Financial Incentives.

By clicking "SUBMIT", I agree to join the Glucerna Path to Progress Program, and I understand and agree that the information I have provided will be used by Abbott and its service providers to contact me by mail and/or email with helpful information and offers about Glucerna and other Abbott products.

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

NOTICE OF FINANCIAL INCENTIVES

Abbott Nutrition offers the Glucerna Path to Progress Program. Generally speaking, Program participants will be eligible to receive coupons, promotions, offers and/or other benefits (including, but not limited to, benefits associated with the accumulation of points for engagement activities identified by us) that we extend to Program customers (collectively, the "Program Benefits"). In exchange for receiving Program Benefits, Abbott Nutrition uses the following types of personal information for eligible coupons, promotions, offers, and communications:

First Name
Last Name
Email Address
Mailing Address
Birth Month & Year

Abbott Nutrition benefits financially from the Program through increased customer loyalty and sales, but we do not assign an independent monetary value to the Personal Information we collect in connection with the Program. Further, the precise value of your membership in the Program can vary greatly by individual and depends on (without limitation): (a) the number of dollars spent, and points accumulated, (b) the rewards redeemed, (c) whether someone is a regular or occasional customer of Abbott Nutrition, and (d) whether participants elect to collect points for product purchases. Some benefits to participants may also be intangible, such as the ability to streamline the ordering and/or payment process.

In general, however, Abbott Nutrition estimates in good faith that the value of the personal information that Abbott Nutrition collects through the Program would be less than the value that the Program provides to consumers. To the extent Abbott Nutrition calculates the value of the personal information it collects through the Program, it does so in good faith based on the expenses related to the collection and retention of personal information in connection with the Program.

By providing your personal information when signing-up for the Program, you are affirmatively opting-in to our financial incentive program.

If you wish to withdraw from receiving mailings or other communications through the Program, you may submit such a request by going to glucerna.com/unsubscribe, or by calling 1-877-745-8237. Please mention the name of the 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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