Save $20 on EstroGel 0.06% (estradiol gel)!

Sign up now for instant savings.

Complete the information below and participate in a brief survey to receive up to $20 off your EstroGel prescription at the pharmacy. After you complete the survey, you will be able to print a customized $20 coupon for EstroGel.
Return to this site each month, participate in a brief follow-up survey, and receive an additional $20 coupon for your EstroGel prescription refill!

Some restrictions may apply. See below for complete eligibility rules..



Let’s get started!

All information provided must be in the name of the person receiving the prescription for EstroGel. Your name and e-mail address, along with your password (created below), will help identify you in further communications for this program. Returning participants sign in here.

First name*:
Last name*:
E-mail*:
Address 1:
Address 2:
City:
State:	select AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Zip:
*Providing an invalid name or e-mail address will restrict your eligibility for this coupon program. During this program, an e-mail reminder will be sent to you each month.
Create a password:
Confirm password:
Validation question†: (select and answer 1 of the following 5 questions)
Select One What is your mother's maiden name? Where were you born (city, state)? What is your pet's name? In what month were you born? What make and model was your first automobile?
Answer:
†This question will be used if, when you revisit our site as a part of the program, you have forgotten your password. Once answered correctly, your password will be e-mailed to you.
I understand that by answering these questions I consent to participate in the EstroGel coupon program. I also consent to the collection of personal information by ASCEND Therapeutics, Inc (“ASCEND”). I acknowledge that to administer the program, ASCEND will need to track my prescription activity associated with the redemption of coupons and to use my personal information to send correspondence in connection with the program.
The information you provide in this form will be used in accordance with ASCEND Therapeutics' privacy policy.

WHAT IS THE MOST IMPORTANT INFORMATION I SHOULD KNOW ABOUT EstroGel (AN ESTROGEN HORMONE)?

Estrogens increase the chance of getting cancer of the uterus (womb). Report any unusual vaginal bleeding right away while you are using EstroGel. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb). Your healthcare provider should check any unusual vaginal bleeding to find the cause.

Do not use estrogens with or without progestins to prevent heart disease, heart attacks, strokes, or dementia. Using estrogens with or without progestins may increase your chance of getting heart attacks, strokes, breast cancer, and blood clots.

Using estrogens, with or without progestins, may increase your risk of dementia, based on a study of women age 65 or older.

Do not start using EstroGel if you have unusual vaginal bleeding, currently have or have had certain cancers, had a stroke or heart attack in the past year, currently have or have had blood clots, currently have or have had liver problems, are allergic to EstroGel or any of its ingredients, or think you may be pregnant.

Common side effects of estrogens include headache, breast pain, irregular vaginal bleeding or spotting, stomach/abdominal cramps, bloating, nausea, vomiting, hair loss, fluid retention, and vaginal yeast infection.

You and your healthcare provider should talk regularly about whether you still need treatment with EstroGel.

You are encouraged to report negative side effects of prescription drugs to the FDA.
Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please see full patient information (PDF) and boxed warning.

This web site is intended for U.S. residents only.
EstroGel® is a registered trademark of LaSalle Laboratories, Inc. ©2009 ASCEND Therapeutics, Inc.
All Rights Reserved.