With Prevacid, you not only relieve your acid reflux symptoms. Prevacid helps heal the damage caused by acid reflux disease, known as erosive esophagitis. When you join Beyond the Burn, you'll get an instant savings card good for up to $25 off every Prevacid refill.

Take a moment to register now for the Beyond the Burn program. Once we process your request, you will receive your enrollment kit including your savings card and much more.

To take advantage of your Beyond the Burn Savings Card, you have to have a prescription for Prevacid. If you're not already taking Prevacid, talk to your doctor to see if Prevacid is right for you.

If you have lost your savings card, or have any questions about this program please call 1-800-458-2300.

All fields marked with an asterisk (*) are required.

Step 1


Are you requesting information on Prevacid for yourself or someone else?*
If you are inquiring for somebody else, please answer the following
questions on their behalf.

First Name *
Last Name *
Address *
City *
State *
Zip Code *
Phone Number  -   -  *
E-Mail Address *

 

Step 2


Have you ever been diagnosed by your physician with acid reflux disease, or GERD?*

How long has it been since you were first diagnosed with heartburn, ARD, or GERD?*


Approximately how often do you experience heartburn, ARD, or GERD?*


How does your heartburn/ARD/GERD condition affect you?*


Please tell us which medication(s) you're currently taking to treat your condition. You may answer 'none' if you are not taking any treatment at this time.*
Prescription
OTC


How satisfied are you with your current treatment?*


How many days per week are you taking medication?*


Gender?*

Age?*
How did you hear about Prevacid?*


Step 3


Would you like to receive further communications from TAP Pharmaceuticals, including valuable information, special offers and FREE gifts?*

 

After you receive your kit
Once you receive your Beyond the Burn enrollment kit, if you're not currently taking Prevacid, make an appointment with your doctor. If your doctor prescribes Prevacid for your treatment, you can then take your Beyond the Burn Savings Card and prescription to the pharmacy to receive up to $25 off.

Important Safety and other Information for Prevacid
If you suffer from persistent heartburn two or more days a week, despite treatment and diet changes, it could be acid reflux disease. Prevacid is used to treat acid reflux disease including erosive esophagitis and may not be right for everyone. Individual results may vary.  Prescription Prevacid has a low occurrence of side effects such as diarrhea, abdominal pain and nausea.  Symptom relief does not rule out other serious stomach conditions.

Please see the complete Prescribing Information and talk to your doctor.

Privacy Information

Be assured that any personal information you provide, we consider personal and as such it will be kept private and confidential. Your contact information and any other personal information you provide will be available to TAP Pharmaceutical Products Inc. and companies working with TAP. TAP will not disclose your information to other third parties.

If you have requested it, from time to time TAP may send you additional helpful information about Prevacid and acid reflux disease that we believe you may find helpful. You may also be asked for your opinion on programs and materials.

I have a genuine interest in this offer and understand that submission of this offer is Optional