#COPAY RELIEF SKIN#
sun sensitivity and rash. When you are outside, use sunscreen (SPF 50) and wear a hat and clothes that cover your skin to avoid getting a sunburn.Your doctor will also do regular blood tests to check your liver. Call your doctor if you have symptoms such as yellowing of your skin or eyes, dark or brown urine, pain on the upper right side of your stomach area, bleeding or bruising more easily than normal, or increased fatigue. What are the possible side effects of Esbriet?Įsbriet may cause serious side effects, including: are taking any prescription or over-the-counter medicines, vitamins, or herbal supplements.are or plan to become pregnant or breastfeed (Esbriet has not been studied in these patients).have other medical conditions (particularly liver or kidney problems).
#COPAY RELIEF FULL#
Please visit for the full list of Terms and Conditions.īefore you take Esbriet, tell your doctor if you: Genentech reserves the right to rescind, revoke or amend the program without notice at any time. The patient, guardian, prescriber, hospital and any other person using the program agree not to seek reimbursement for all or any part of the benefit received by the patient through the offer of this program. This program is void where prohibited by law and shall follow state restrictions in relation to AB-rated generic equivalents (e.g., MA, CA) where applicable. The program is only valid in the United States and U.S. No party may seek reimbursement for all or any part of the benefit received through this Program. After reaching the maximum program benefit, the patient will be responsible for all out-of-pocket expenses.Īll participants are responsible for reporting the receipt of all program benefits as required by any insurer or by law. Under the program, the patient will pay a co-pay. Patients using Medicare, Medicaid or any other federal or state government program to pay for their medications are not eligible. (FDA)-approved indication of a Genentech medication.
*This Esbriet $5 Co-pay Program is valid ONLY for patients with commercial insurance who have a valid prescription for a Food and Drug Administration
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