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Ue out-of-pocket spending (“TrOOP”) under Part D of the Medicare program or any other prescription drug plan. I further agree that I will seek no reimbursement for any drugs obtained under this program. Applicant Declaration Regarding Change in Insurance Coverage: I understand that ACI policy requires individuals with access to medicines through an affordable benefit to seek access through that benefit. As such, I promise that I will notify Alcon Cares, Inc. within 30 (thirty) days by mail a.

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