If you are a member of the Class as an uninsured consumer, you may file a claim for a share of the
Settlement Fund. You must complete and submit this Claim Form, no later than July 3, 2020.
To complete this form:
1. Complete all required portions of the attached Claim Form.
2. Complete Section A of the attached Claim Form.
3. Answer the question in Section B to determine your eligibility.
4. Provide information about your total purchases of Lovenox® or generic enoxaparin in Section
5. If possible, provide documentation of at least one purchase of Lovenox® or generic enoxaparin as
described in Section D.
6. Review and sign the Claim Form in Section E, which includes the Certification that the information you
provide is true and correct to the best of
your knowledge. If you submit the form electronically, your electronic signature and submission of the
form will be the same as if you signed the form on paper.
By signing and submitting the Claim Form, you are swearing under penalty of perjury that you qualify to
submit a claim according to the criteria given in Section B.
You have two options for submitting a Claim Form:
You can mail the completed and signed Claim Form and Certification by First-Class U.S. Mail, postage
prepaid, postmarked no later than July 3, 2020, to:
Enoxaparin Antitrust Settlement
c/o A.B. Data, Ltd.
P.O. Box 173090
Milwaukee, WI 53217
You can complete and submit the Claim Form and Certification using the Notice and Claims
Administrator’s Settlement Website, www.dvtmedslawsuit.com. When you complete the online
Claim Form, you will receive an acknowledgement that your claim has been submitted. If you choose this
option and file a claim electronically, your electronic signature and
submission of the form will conform to the requirements of the Electronic Signatures Act, 15 U.S.C. §
7001, et seq., and will have the same force and effect as if you signed
the Claim Form in hard copy.
If your completed Claim Form is not postmarked or filed online by July 3, 2020, you will not receive any
payment from the Settlements. Submission of this Claim Form does not ensure
that you will share in the payments related to the Settlements.
If the Notice and Claims Administrator disputes a material fact about your Claim, you will have the right
to present information in a dispute resolution process. For more information
on this process, visit www.dvtmedslawsuit.com.