A blue card with white text that reads "SIMPLY SAVE $25 UP TO 25 ON EVERY ELIGIBLE PRESCRIPTION". The text is in a bold font and is centered on the card. Below the text there is a website address "www.exalgo.com" and a link to the company's website.
The card also has a cardholder ID: variable expiration date: 9/30/11 claims processor: RESTAT bin number: 600471 group number: X4770 Rx PCN No: 77777 and person code: 001. There is also a note that says "Please see Full Prescription Information Including boxed warning and Important Risk Information In the accompanying brochure."
At the bottom right corner of the card there are two logos - "Exalgo" and "Hydromorphone HCI Extended-Release Tablets".
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