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Programs for Patients With or Without Insurance

Programs for Patients With or Without Insurance

Co-Pay Assistance Program

Provides up to $400 per co-pay for eligible patients with commercial insurance
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ELIGIBILITY REQUIREMENTS:

You may be eligible for the Co-pay Assistance Card for BARACLUDE® (entecavir) if:

  1. You are insured by commercial insurance and your insurance coverage does not cover the full cost of your prescription, that is, you have a co-pay obligation;
  2. You do not have prescription insurance coverage through a state or federal healthcare program, including but not limited to Medicare Part D, Medicaid, Medigap, Veterans Affairs (VA) or Department of Defense (DOD) programs; Patients who move from commercial to a state or federal healthcare program will no longer be eligible;
  3. You are 18 years of age or older; and
  4. You are a resident of the United States or Puerto Rico.

TERMS OF USE:

  1. If eligible, you may receive up to $400 per co-pay. Patient is responsible for taxes, if any.
  2. Patients, pharmacists, and prescribers cannot seek reimbursement from health insurance, health savings or flexible spending accounts, or any third party for any part of the benefit received by the patient through this offer.
  3. Your acceptance of this offer confirms that this offer is consistent with your insurance and that you will report the value received as may be required by your insurance provider.
  4. The Co-pay Assistance Card must be activated before use, and expires on December 31, 2018.
  5. Only valid in the United States and Puerto Rico; this offer is void where restricted or prohibited by law.
  6. The Co-pay Assistance Card may not be sold, purchased, traded, or counterfeited. Reproductions of this Co-pay Card are void.
  7. This offer is not conditioned on any past, present or future purchase, including refills.
  8. No membership fees.
  9. The Co-pay Card for BARACLUDE is not health insurance.
  10. Bristol-Myers Squibb reserves the right to rescind, revoke, or amend this offer at any time without notice.

The Co-pay Assistance Card will be accepted only at participating pharmacies. For those customers using mail-order or any non-participating retail pharmacy, please call 1-877-264-2440 (M-F 8:00 AM – 8:00 PM EST) to request a patient rebate form, or go to www.patientrebateonline.com to download a form.

BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE.

To the pharmacist: For processing assistance, please call McKesson Pharmacy Support at 1-877-264-2440 (M-F 8:00 AM - 8:00 PM EST).

Free Drug Program

Helps eligible low-income patients get BARACLUDE at no cost
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The Free Drug Program is for eligible patients without drug coverage, who live in the US, Puerto Rico, or the US Virgin Islands, and meet the financial income criteria for the program. Other eligibility requirements apply.

Important Safety Information:

Important Safety Information:

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What is the most important information I should know about BARACLUDE® (entecavir)?

  •   Your hepatitis B virus infection may get worse if you stop taking BARACLUDE. This usually happens within 6 months after stopping BARACLUDE. Take BARACLUDE exactly as prescribed; do not run out of your medicine or stop taking BARACLUDE without talking to your healthcare provider. Your healthcare provider should monitor your health and do regular blood tests to check your liver if you stop taking BARACLUDE.
  •   If you have or get HIV infection that is not being treated with medicines while taking BARACLUDE, the HIV virus may develop resistance to certain HIV medicines and become harder to treat. You should get an HIV test before you start taking BARACLUDE and anytime after that when there is a chance you were exposed to HIV.

BARACLUDE can cause serious side effects including:

  •   Lactic acidosis (buildup of acid in the blood). Some people who have taken BARACLUDE or medicines like BARACLUDE have developed a serious condition called lactic acidosis. Lactic acidosis is a serious medical emergency that can cause death and must be treated in the hospital. Reports of lactic acidosis with BARACLUDE generally involved patients who were seriously ill due to their liver disease or other medical condition.
    •   Call your healthcare provider right away if you: feel very weak or tired; have unusual (not normal) muscle pain; have trouble breathing; have stomach pain with nausea and vomiting; feel cold (especially in your arms and legs); feel dizzy or light-headed; have a fast or irregular heartbeat.
  •   Serious liver problems. Some people who have taken medicines like BARACLUDE have developed serious liver problems called hepatotoxicity, with liver enlargement (hepatomegaly) and fat in the liver (steatosis). Hepatomegaly with steatosis is a serious medical emergency that can cause death.
    •   Call your healthcare provider right away if: your skin or the white part of your eyes turns yellow (jaundice); your urine turns dark; your bowel movements (stools) turn light in color; you don’t feel like eating food for several days or longer; you feel sick to your stomach (nausea); you have lower stomach pain.
  •   If you are female, very overweight, or have been taking nucleoside analogue medicines, like BARACLUDE for a long time, you may be more likely to get lactic acidosis or serious liver problems.

Before you take BARACLUDE, tell your healthcare provider if you:

  •   have kidney problems. Your BARACLUDE dose or schedule may need to be changed.
  •   have received medicine for HBV before. Some people, especially those who have already been treated with certain other medicines for HBV, may develop resistance to BARACLUDE and may have less benefit from treatment. Your healthcare provider will test the level of the hepatitis B virus in your blood.
  •   have any other medical conditions.
  •   are pregnant or plan to become pregnant. It is not known if BARACLUDE will harm your unborn baby. Talk to your healthcare provider if you are pregnant or plan to become pregnant.
  •   are breast-feeding or plan to breast-feed. It is not known if BARACLUDE can pass into your breast milk. You and your healthcare provider should decide if you will take BARACLUDE or breast-feed.

Tell your healthcare provider about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal supplements.

The most common side effects of BARACLUDE include: headache, tiredness, dizziness, and nausea. These are not all the possible side effects of BARACLUDE. For more information, ask your healthcare provider or pharmacist.

Do not change your dose or stop taking BARACLUDE without talking to your healthcare provider. If you forget to take your dose, call your healthcare provider or pharmacist, if you are not sure what to do.

Please see Full Prescribing Information, including “What is the most important information I should know about BARACLUDE?” in the Patient Information section.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call
1-800-FDA-1088.

Selected Important Safety Information:

Expand

Selected Important Safety Information

What is the most important information I should know about BARACLUDE® (entecavir)?

  •   Your hepatitis B virus infection may get worse if you stop taking BARACLUDE. This usually happens within 6 months after stopping BARACLUDE. Take BARACLUDE exactly as prescribed; do not run out of your medicine or stop taking BARACLUDE without talking to your healthcare provider. Your healthcare provider should monitor your health and do regular blood tests to check your liver if you stop taking BARACLUDE.
  •   If you have or get HIV infection that is not being treated with medicines while taking BARACLUDE, the HIV virus may develop resistance to certain HIV medicines and become harder to treat. You should get an HIV test before you start taking BARACLUDE and anytime after that when there is a chance you were exposed to HIV.

BARACLUDE can cause serious side effects including lactic acidosis and serious liver problems:

  •   Some people taking BARACLUDE or medicines like BARACLUDE have developed lactic acid build-up in the blood or serious liver problems with liver enlargement and fat in the liver. These are serious medical emergencies that can cause death.