Start by filling out the form below. Once you’ve printed the form, you'll need to collect a few other required items, then pack it all up and mail it. See the step-by-step details and Terms & Conditions below.
Please complete all 5 steps within 90 days to receive your reimbursement check:
1. Complete this original reimbursement certificate and include up to 2 opened product boxes of ACUVUE® Brand Contact Lenses AND unopened contact lens blister packs within those boxes (at least 2 lenses per 6 pack are required for ACUVUE® OASYS® Brand, ACUVUE® ADVANCE® Brand, ACUVUE® ADVANCE® Plus Brand, ACUVUE® OASYS® Brand for ASTIGMATISM, ACUVUE® OASYS® Brand for PRESBYOPIA, ACUVUE® ADVANCE® Brand for ASTIGMATISM, ACUVUE® 2® Brand and ACUVUE® Brand; at least 20 lenses per box are required for 24 packs of ACUVUE® ADVANCE® Plus Brand and ACUVUE® OASYS® Brand; at least 15 lenses per box are required for 30 packs of 1-DAY ACUVUE® MOIST® Brand, 1-DAY ACUVUE® MOIST® Brand for ASTIGMATISM, 1-DAY ACUVUE® Brand; at least 75 lenses per box are required for 90 packs of 1-DAY ACUVUE® MOIST® Brand and 1-DAY ACUVUE® TruEye® Brand).
2. Attach copies of receipts of purchase for product and fitting fee.
3. Unopened boxes of product must be returned to the original place of purchase for refund or exchange in accordance with seller’s policies.
4. Mail to: ACUVUE® Money Back Guarantee 386-040 P.O. Box 4001, Grand Rapids, MN 55730-4001 (Please allow 4-6 weeks for delivery of your refund check).
5. Keep a copy of your paperwork for your records. See Terms and Conditions.
Terms & Conditions: Offer valid for U.S. residents only. Offer not valid where prohibited by law. Claim must be received within 90 days of product purchase date. Last valid date of purchase: 12/31/14. Limit one reimbursement claim per person. Maximum value of reimbursement equals U.S. $170.00 for opened boxes. If you submit a claim for this Money Back Guarantee you may not submit for a rebate. Photocopy of certificate not valid. Allow 4-6 weeks for delivery. No P.O. boxes, only street or rural addresses are acceptable. Fraudulent submission could result in federal prosecution under the U.S. Mail Fraud Statutes (18 U.S. Code, Section 1341 and 1342). Not responsible for lost, late, or undelivered responses. Notice to Consumers: If you or your doctor filed a claim for reimbursement from a third party payer (e.g., insurance company, employer group, etc.) for the purchase of this product, you must notify your payer about this refund. VISTAKON®, Division of Johnson & Johnson Vision Care, Inc. reserves the right to cancel this program at any time without notice.
For questions about the Money Back Guarantee, please call 1-888-565-8474. Should you have any comments about the quality of ACUVUE® Brand Contact Lenses, please contact Customer Relations toll free at 1-800-843-2020.
ACUVUE®, ACUVUE® ADVANCE®, ACUVUE® OASYS®, HYDRACLEAR®, ACUVUE® 2®, 1-DAY ACUVUE® MOIST®, 1-DAY ACUVUE®, 1-DAY ACUVUE® TruEye®, and SEE WHAT COULD BE® are trademarks of Johnson & Johnson Vision Care,
Inc. ©Johnson & Johnson Vision Care, Inc. 2014 CC13859