NicoDerm CQ with SmartControl™

I certify that I am 18 or older. I understand that the sample I am receiving is non-medicated and that I will receive a $7 coupon to try the real NicoDerm CQ patch with therapeutic nicotine.

By submitting this form you are giving GlaxoSmithKline Consumer Healthcare permission to provide you with health information, promotional offers, relevant product news and surveys that request your feedback. In the future if you do not wish to receive this information, you will be given the opportunity to opt-out. Please click here to read our Privacy Statement.

You will receive:
• A non-medicated sample patch to show you how easy and discreet it is to wear
• A $7 coupon to try the real NicoDerm CQ patch with therapeutic nicotine
• A series of emails with tips and information to help you quit

Member ID

Not yet a Member? Click Here to become one!

Please note - you can only receive one sample across our site and our network sites.

share this sample:

About this sample...

When you’re ready to quit smoking, count on NicoDerm CQ - recommended by doctors as the #1 over-the-counter stop-smoking treatment. In fact, no other stop-smoking product has been proven more effective long-term to help you kick the habit:

• Clear, flexible thin patch. Your free sample is not medicated. But you’ll discover how easy it is to wear NicoDerm CQ - a patch so clear and discreet, it’s almost invisible. You’ll also receive a $7 coupon so that you can discover the real benefits of the NicoDerm CQ patch - how it helps you quit.

• Unique step-down process. NicoDerm CQ has helped millions of people step down from nicotine gradually-helping you adjust to less and less support until you’re smoke-free.

• 24/7 Support. Our customized online resources give you the support you need, when you need it. You’ll also receive a series of emails with tools and tips to help you kick the habit.

Get your FREE non-medicated sample today - and discover the thinnest, most flexible stop-smoking patch.