*With this coupon, your patients pay the first $25 of their Keppra XR^® or Keppra^® co-pay and we pay the remaining out-of-pocket expense up to a maximum of $30. This coupon may not be repsiption. No cash value. Not valid for prescriptions that are reimbursed, in whole or part, under Medicare (including Medicare Part D), Medicaid, similar federal or state funded programs (including any state prescription drug assistance programs and the Government Health Insurance Plan available in Puerto Rico), private insurance in the Commonwealth of Massachusetts, or where otherwise prohibited by law. Product dispensed pursuant to program rules and federal and state laws. Claims should not be submitted to any public payor (i.e., Medicare, Medicaid, Medigap, Tricare, VA and DoD) for reimbursement. Offer expires 12/31/2012. UCB may cancel or alter this program at any time without notice.