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AVODART Savings Card

Save up to $15.00 on your prescriptions for AVODART with the AVODART Savings Card. Simply print and present this card to your pharmacist each time you pick up your prescription.

Patient is not eligible if prescriptions are paid in part or full by any state or federally funded programs, including but not limited to Medicare or Medicaid, Medigap, VA, DOD or TriCare and where prohibited by law. See full rules and regulations below.

Rules and Regulations

TO THE PATIENT:

Present this card to your pharmacist with your prescription for 30 or more AVODART 0.5 mg Soft Gelatin Capsules. For each prescription of 30 or more capsules, receive up to $15 off the cost of your copay or pharmacy bill (see front of card for details). Not valid with any other offer. This savings card can be used no more than 12 times for $15 off 30 or more capsules. This card expires March 31, 2012.

Duplicates of this card are invalid. Please see eligibility rules on the back. To aid in processing, please present this card when you DROP OFF your prescription, not when you PICK UP. In order to be eligible for this offer: (a) where third-party reimbursement covers a portion of your prescription, this card is valid only for the amount of your actual out-of-pocket expenses up to a maximum of $15 on each prescription of 30 or more capsules of AVODART; (b) your prescription MUST NOT be covered (ie, reimbursed) by a federal healthcare program, including Medicare or Medicaid, or by any similar federal or state program, including a state pharmaceutical assistance program, and (c) you MUST NOT be Medicare eligible and enrolled in an employer-sponsored health plan/prescription drug benefit program for retirees (ie, you are eligible for Medicare Part D but receive a prescription drug benefit through a former employer).

Mail-Order Processing Instructions:

  • Call your mail-order pharmacy first to see if they accept the card. If they do not, please follow these simple steps:
  • Call 1-800-657-7613 (on the back of your card).
  • Ask for a Direct Member Reimbursement Form to be mailed to you.
  • Attach your mail-order pharmacy receipt, sign the form and return.

Further, if you are a resident of Massachusetts or Puerto Rico, this offer is valid only if you are paying the entire cost of the prescription yourself (ie, your insurance does not cover any of the cost of your prescription). Your acceptance of this offer must be consistent with the terms of any drug benefit provided by your health insurer, health plan, or private third-party payor, and you agree to report acceptance of this offer to your health insurer, health plan, or third-party payor as may be required. This offer may not be used with any other discount, coupon, or offer. Only an original savings card will be accepted and must be presented to your pharmacist at the time you have the prescription filled – not valid if reproduced. Offer good only in USA. Not transferable. Void where prohibited by law, taxed, or restricted. Limit 1 use per purchase.

By tendering this savings card, I, the Patient, certify that: (i) I have read the above terms, (ii) I will not submit a claim under any federal, state, or other governmental programs for this prescription, (iii) if I am Medicare eligible, I am not enrolled in an employer-sponsored health plan or prescription drug plan for retirees, and (iv) I will otherwise comply with the terms above. 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.

TO THE PHARMACIST:

When you use this card, you are certifying that you have not submitted and will not submit a claim for reimbursement under any federal, state or other governmental programs for this prescription.

  • Submit transaction to McKesson Corporation using BIN #610524
  • If primary coverage exists, input card information as secondary coverage and transmit using the COB segment of the NCPDP transaction. Applicable discounts will be displayed in the transaction response.
  • Acceptance of this card and your submission of claims for the AVODART loyalty card program are subject to the LoyaltyScript® program. Terms and Conditions posted at www.mckesson.com/mprstnc
  • Patient is not eligible if prescriptions are paid in part or full by any state or federally funded programs, including but not limited to Medicare or Medicaid, Medigap, VA, DOD or TriCare and where prohibited by law.
  • For questions regarding setup, claim transmission, patient eligibility or other issues, call the LoyaltyScript® for AVODART loyalty card program help line at 800-657-7613 (8:00 AM-9:00 PM ET, Monday-Friday, 9:30 AM - 6 PM ET Saturday excluding holidays).

By redeeming this savings card, I certify that: (i) I have received this card from an eligible patient, (ii) I have dispensed the product as indicated, (iii) I have not submitted, and will not submit, a claim for reimbursement to the patient or any federal, state, or other governmental payor, and (iv) I will otherwise comply with the terms hereof. I further certify that my participation in this program is consistent with all applicable state laws and any obligations, contractual or otherwise, that I have as a pharmacy provider. This coupon is subject to terms and conditions established by McKesson Corporation. By accepting this coupon, I agree to the program Terms and Conditions posted at www.mckesson.com/mprs. I also grant McKesson Corporation the right to audit any coupons I have submitted.

Offer valid only for prescriptions filled in the US. GlaxoSmithKline reserves the right to discontinue this offer at any time. It is a violation of federal law to buy, sell, or counterfeit this savings card.


Important Safety Information About AVODART

AVODART is for adult men only. Women should not take or touch AVODART due to risk of a specific birth defect. If a woman comes in contact with leaking AVODART Capsules, she should wash the contact area immediately with soap and water.

Do not take AVODART if you are allergic to dutasteride, finasteride, or any of the ingredients in AVODART.

AVODART may cause rare and serious allergic reactions, including swelling of your face, tongue, or throat, and serious skin reactions, such as skin peeling. Get medical help right away if you have these serious allergic reactions.

Your healthcare provider may check you for other prostate problems, including prostate cancer, before you start and while you take AVODART. A blood test called PSA (prostate-specific antigen) is sometimes used to see if you might have prostate cancer. AVODART will reduce the amount of PSA measured in your blood. Your healthcare provider is aware of this effect and can still use PSA to see if you might have prostate cancer. Increases in your PSA levels while on treatment with AVODART (even if the PSA levels are in the normal range) should be evaluated by your healthcare provider.

AVODART may cause serious side effects including a higher chance of a more serious form of prostate cancer.

Only your healthcare provider can tell if your symptoms are due to BPH or a more serious condition like prostate cancer. See your doctor for regular exams.

Do not donate blood until at least 6 months after stopping AVODART.

The most common side effects of AVODART include trouble getting or keeping an erection (impotence), a decrease in sex drive (libido), ejaculation problems and enlarged or painful breasts. Dizziness and an increase in drug-related ejaculation disorders also occurred with combination therapy (AVODART and tamsulosin).

Some types of medicines should be used with caution when taken with AVODART, such as ritonavir.

Before you take AVODART, tell your doctor if you have liver disease.

While some men have fewer problems and symptoms after 3 months of treatment with AVODART, a treatment period of at least 6 months is usually necessary to see if AVODART will work for you.

Click here for complete Prescribing Information for AVODART.

Complete Prescribing Information for AVODART is provided in Adobe's Portable Document Format (PDF). To view these documents you will need Adobe Acrobat Reader; if you do not have it, follow the link to download a copy.

If you are unable to or do not wish to download Acrobat Reader, but still wish to receive complete Prescribing Information, please click here.

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.

Important Safety Information About AVODART

AVODART is for adult men only. Women should not take or touch AVODART due to risk of a specific birth defect. If a woman comes in contact with leaking AVODART Capsules, she should wash the contact area immediately with soap and water.

Do not take AVODART if you are allergic to dutasteride, finasteride, or any of the ingredients in AVODART.

Additional Important Safety Information continued below.

BPH SYMPTOM CHECKLIST

Be prepared for your
next doctor's visit.