TORMENTED BY POLLEN? - Dymista
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For seasonal nasal allergy sufferers 6 years and older SAVE UP TO $150* TORMENTED BY POLLEN? ON DYMISTA Why suffer with sneezing or a stuffy, runny, itchy nose? *After you pay the first $29 on each 30-day supply of Dymista. Eligibility restrictions apply. For full terms and conditions, visit www.dymista.com/copay. Offer not valid for patients enrolled in federal or state funded health- care programs, such as Medicaid, Medicare or Tricare, or where prohibited by law, and not valid for uninsured patients (but may be used by commercially insured patients without coverage for Dymista). Mylan Specialty L.P. reserves the right to amend or end this program at any time without notice. APPROVED USES DYMISTA is a prescription medicine used to treat symptoms of seasonal allergic rhinitis in people 6 years of age and older, who need treatment with both azelastine hydrochloride and fluticasone propionate. DYMISTA may help to reduce your nasal symptoms including stuffy nose, runny nose, itching, and sneezing. IMPORTANT SAFETY INFORMATION • DYMISTA can cause sleepiness or drowsiness. Do not drive, operate machinery, or do anything that needs you to be alert until you know how DYMISTA affects you. BY PRESCRIPTION ONLY Please see additional Important Safety Information on pages 4 and 5 and accompanying Full Prescribing Information and Patient Information.
In patients 12 years and older, 3 key clinical studies of total nasal For seasonal nasal allergy sufferers 6 years and older symptom scores showed FIGHT BACK WITH DYMISTA! FOR SNEEZING AND STUFFY, RUNNY, ITCHY NOSE Greater relief vs products you may have tried VS Dymista offers fast and long-acting relief* of sneezing and stuffy, runny, itchy nose *Patients 12 years and older may get relief in as little as 30 minutes. Relief of seasonal nasal symptoms was experienced by patients over the course of IMPORTANT SAFETY INFORMATION a 2-week study. continued DYMISTA may cause serious side effects including: • Sleepiness or drowsiness • Nasal Problems. Symptoms of nasal problems may include: crusting in the nose, nosebleeds, runny nose, hole in the cartilage between your nose (nasal septal perforation). A whistling sound when you breathe may vs. placebo be a symptom of nasal septal perforation. • Slow wound healing. You should not use DYMISTA until your nose has healed if you have a sore in your In 3 studies of patients 12 years and older, Dymista nose, if you have had surgery on your nose, or if your provided greater relief of seasonal stuffy, runny, itchy nose has been injured. nose—and sneezing—compared with the same active ingredient you get in Flonase®.†‡ elief was measured by the change in nasal symptoms averaged over a R † 14-day study period. ‡The comparative products used in these clinical trials are not for sale or otherwise available. IMPORTANT SAFETY INFORMATION BY PRESCRIPTION ONLY continued • Do not drink alcohol or take any other medicines that Please see additional Important Safety Information may cause you to feel sleepy while using DYMISTA. It can on pages 4 and 5 and accompanying Full Prescribing increase your chances of having serious side effects. Information and Patient Information. 2 3
IMPORTANT SAFETY INFORMATION IMPORTANT SAFETY INFORMATION • DYMISTA can cause sleepiness or drowsiness. Do not continued drive, operate machinery, or do anything that needs you • The most common side effects of DYMISTA include: to be alert until you know how DYMISTA affects you. changes in taste, nosebleeds, and headache. • Do not drink alcohol or take any other medicines that • Tell your healthcare provider if you have any side effect may cause you to feel sleepy while using DYMISTA. It that bothers you or that does not go away. These are can increase your chances of having serious side effects. not all of the possible side effects of DYMISTA. For more DYMISTA may cause serious side effects including: information, ask your healthcare provider or pharmacist. • Sleepiness or drowsiness Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter • Nasal Problems. Symptoms of nasal problems may medicines, vitamins, and herbal supplements. DYMISTA include: crusting in the nose, nosebleeds, runny nose, and other medicines may affect each other, causing side hole in the cartilage between your nose (nasal septal effects. perforation). A whistling sound when you breathe may be a symptom of nasal septal perforation. Especially tell your healthcare provider if you take: • Slow wound healing. You should not use DYMISTA until • ritonavir (Norvir) or medicines that contain ritonavir your nose has healed if you have a sore in your nose, if (commonly used to treat HIV infection or AIDS) you have had surgery on your nose, or if your nose has • ketoconazole, fluconazole, or itraconazole (for fungal been injured. infections) • Thrush (Candida), a fungal infection in your nose • Before using DYMISTA tell your healthcare provider if you and throat. Tell your healthcare provider if you have any are pregnant or plan to become pregnant. It is not known redness or white colored patches in your nose or mouth. if DYMISTA will harm your unborn baby. • Eye problems, such as glaucoma or cataracts. Some people may have eye problems, including glaucoma and APPROVED USES cataracts. You should have regular eye exams when DYMISTA is a prescription medicine used to treat using DYMISTA. symptoms of seasonal allergic rhinitis in people 6 years of age and older, who need treatment with both • Immune system problems that may increase your azelastine hydrochloride and fluticasone propionate. risk of infections. DYMISTA may cause problems DYMISTA may help to reduce your nasal symptoms with the way your immune system protects your body including stuffy nose, runny nose, itching, and sneezing. against infection and increase your risk of infection. Avoid contact with people who have contagious diseases You are encouraged to report negative side effects such as chickenpox or measles while you use DYMISTA. of prescription drugs to the FDA. Symptoms of infection may include: fever, aches or pains, Visit www.FDA.gov/medwatch or call chills, feeling tired. 1-800-FDA-1088. • Adrenal Insufficiency. Adrenal insufficiency is a condition in which the adrenal glands do not make enough steroid hormones. Symptoms of adrenal insufficiency may include: tiredness, weakness, nausea, vomiting, low blood pressure. • Slowed or delayed growth in children. A child’s growth should be checked regularly while using DYMISTA. Call your healthcare provider or get medical help right away if you have symptoms of any of the serious side effects listed above. Please see accompanying Full Prescribing Information and Patient Information. 4 5
Dymista: Get the #1 prescribed antihistamine and the same anti-inflammatory as Flonase® —with less spray volume Eligible, commercially insured patients save up to $150* on Dymsita! After you pay the first $29 on each 30-day supply. Take this card with you to the pharmacy Recommended dosing is 1 spray per nostril, twice daily for patients 6 years and older. If you have commercial insurance, this SAVINGS card can be used to reduce the Clinical benefit has not been demonstrated regarding spray volume. amount of your out-of-pocket expense up to a maximum of $150 after you pay the first $29 per Dymista vs Flonase® and Astelin® 30-day prescription. No other purchase is necessary. This — Dymista features up to 71% less spray volume offer can be used up to a total of 12 times per calendar year per dose than Flonase® and Astelin® taken with a benefit cap of $1,800 per calendar year. together* For full terms and conditions, please visit dymista.com/copay. *At the maximum recommended adult dose of 2 sprays per nostril. Visit Dymista.com to sign up for news and updates IMPORTANT SAFETY INFORMATION continued • Thrush (Candida), a fungal infection in your nose and throat. Tell your healthcare provider if you have any redness *Eligibility restrictions apply. RxBIN: 610524 or white colored patches in your nose or mouth. RxPCN: Loyalty Not valid for patients enrolled in federal or state healthcare • Eye problems, such as glaucoma or cataracts. Some programs, such as Medicare, Medicaid, and TriCare, or RxGRP: 50777456 where prohibited by law and not valid for uninsured patients ISSUER: (80840) people may have eye problems, including glaucoma and (but may be used by commercially insured patients without cataracts. You should have regular eye exams when using coverage for Dymista). ID: ERXDYMISTA DYMISTA. Please see Important Safety Information on pages 4 and 5 and accompanying Full Prescribing Information and Patient Information. Flonase is a registered trademark of Glaxo Group Limited. DYMISTA and Astelin are registered trademarks of Meda Pharmaceuticals Inc., a Mylan Company. MYLAN and the Mylan logo are registered trademarks of Mylan Inc. © 2019 Mylan Specialty L.P. All rights reserved. 5/19 DYM-2019-0391 6 BY PRESCRIPTION ONLY
DYMISTA Savings Card Terms and Conditions: This Savings Card can be used to reduce the amount of your out-of-pocket expenses for DYMISTA® (azelastine hydrochloride and fluticasone propionate) Nasal Spray up to a maximum of $150 after you pay the first $29 per 30-day prescription, while this program remains in effect. This offer can be used up to a total of 12 times per calendar year, with a savings cap of $1800 per calendar year while this program remains in effect. No other purchase is necessary. Valid prescription with Prescriber ID# is required. Mylan Specialty L.P. reserves the right to amend or end this program at any time without notice. Eligibility Requirements: This Savings Card can be redeemed only by patients or patient guardians who are 18 years of age or older and who are residents of the United States and its territories. Patients must have commercial insurance. This program is not valid for uninsured patients (but may be used by commercially insured patients without coverage for Dymista®) and patients who are covered by any state or federally funded healthcare program, including but not limited to any state pharmaceutical assistance program, Medicare (Part D or otherwise), Medicaid, Medigap, VA or DOD, or TriCare (regardless of whether Dymista® is covered by such government program); not valid if the patient is Medicare eligible and enrolled in an employer-sponsored health plan or prescription benefit program for retirees; and not valid if the patient’s insurance plan is paying the entire cost of this prescription. This program is void outside the US and its territories or where prohibited by law, taxed, or restricted. Absent a change in Massachusetts law, this program will no longer be valid for Massachusetts residents as of January 1, 2020. This Savings Card is not health insurance. Patient Instructions: By using this Savings Card, you acknowledge that you currently meet the eligibility criteria and that you understand and agree you have not submitted and will not submit a claim for reimbursement under any federal, state or other governmental programs for this prescription. Your use of this Savings Card must be consistent with the terms of any drug benefit provided by your commercial health insurer, health plan, or private third-party payer. You agree to report the use of this Savings Card to your commercial insurer if required. Pharmacist Instructions: When you accept this Savings Card, you are certifying that you have received this Savings Card from an eligible patient; you have received a valid prescription for Dymista® for an eligible patient; you have dispensed the product as indicated; you have not submitted and will not submit a claim for reimbursement under any federal, state or other governmental programs for this prescription; and you will otherwise comply with the terms of this Savings Card and all applicable terms and conditions. • Submit transaction to McKesson Corporation using BIN #610524. • For commercially insured patients, input this Savings Card information as secondary coverage and transmit using the COB segment of the NCPDP transaction. Applicable patient savings will be displayed in the transaction response. • Acceptance of this Savings Card and your submission of claims for the Dymista® Savings Card program are subject to the Savings Card Terms and Conditions posted at https://www.activatethecard.com/dymista/#tnc. • Acceptance of this Savings Card and your submission of claims for the Dymista® Savings Card program are subject to the LoyaltyScript® program Terms and Conditions posted at www.mckesson.com/mprstnc. • For questions regarding setup, claim transmission, patient eligibility or other issues, call the LoyaltyScript® for the Dymista® Savings Card program at 800-657-7613 (8:00 AM-8:00 PM EST, Monday-Friday). Find out more about Dymista. Visit DYMISTA.COM BY PRESCRIPTION ONLY Dymista is a registered trademark of Meda Pharmaceuticals Inc., a Mylan Company. LoyaltyScript is a registered trademark of McKesson Corporation. MYLAN and the Mylan logo are registered trademarks of Mylan Inc. © 2019 Mylan Specialty L.P. All rights reserved. 5/19 DYM-2019-0391
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