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What is HARVONI?

HARVONI is a prescription medicine used to treat adults with chronic (lasting a long time) hepatitis C (Hep C) genotype (GT) 1, 4, 5 or 6 infection with or without cirrhosis (compensated). In those with GT 1 and advanced cirrhosis (decompensated) or with GT 1 or 4 with or without cirrhosis (compensated) who have had a liver transplant, HARVONI is used with ribavirin.

IMPORTANT SAFETY INFORMATION

What is the most important information I should know about HARVONI?

HARVONI can cause serious side effects, including:

  • Hepatitis B virus reactivation: Before starting HARVONI treatment, your healthcare provider will do blood tests to check for hepatitis B infection. If you have ever had hepatitis B, the hepatitis B virus could become active again during and after treatment with HARVONI. This may cause serious liver problems, including liver failure and death. If you are at risk, your healthcare provider will monitor you during and after taking HARVONI.

  • What should I tell my healthcare provider before taking HARVONI?

  • Tell your healthcare provider about all of your medical conditions, including if you have ever had hepatitis B infection, liver problems other than hepatitis C infection, or a liver transplant; if you have severe kidney problems or are on dialysis; if you have HIV; or if you are pregnant or breastfeeding or plan to become pregnant or breastfeed. It is not known if HARVONI will harm your unborn baby or pass into your breast milk. If you take HARVONI with ribavirin, you should also read the ribavirin Medication Guide for important pregnancy-related information.

  • Tell your healthcare provider and pharmacist about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. HARVONI and certain other medicines may affect each other, or may cause side effects.

  • What are the possible side effects of HARVONI?

    Serious side effects may also include:

  • Slow heart rate (bradycardia): HARVONI, when taken with amiodarone (Cordarone®, Nexterone®, Pacerone®), a medicine used to treat certain heart problems, may cause slow heart rate, which in some cases has led to death or the need for a pacemaker. Get medical help right away if you take amiodarone with HARVONI and get any of the following symptoms: fainting or near-fainting, dizziness or lightheadedness, not feeling well, weakness, extreme tiredness, shortness of breath, chest pains, confusion, or memory problems.
    The most common side effects of HARVONI include tiredness, headache, and weakness.

  • 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.

    Please see Important Facts about HARVONI including Important Warning on hepatitis B reactivation.



    HARVONI and the HARVONI logo are trademarks of Gilead Sciences, Inc. or its related companies.

    Hep C Patient Couple Hep C Patient Couple Hep C Patient Couple Hep C Patient Couple

    CO-PAY COUPON
    & ELIGIBILITY

    ELIGIBLE PEOPLE MAY PAY AS LITTLE AS $5 PER CO-PAY FOR EPCLUSA

    Co-pay Coupon

    Cost should not be a barrier to receiving treatment for hepatitis C (Hep C). If eligible, you may pay as little as $5 per co-pay. Need a replacement coupon?

    Please note the following:

  • You are not eligible if you are enrolled in a government healthcare prescription drug program such as Medicare Part D or Medicaid. This includes when you are in the Medicare Part D coverage gap known as the “donut hole”.

  • The EPCLUSA Co-pay Coupon Program will cover the out-of-pocket costs of your EPCLUSA prescriptions up to a maximum of 25% of the catalog price of a 12-week regimen of EPCLUSA. See Terms and Conditions below.

  • CHECK YOUR ELIGIBILITY

    All fields required unless otherwise noted.

    Are you a current resident of the 50 states, District of Columbia, Puerto Rico, Guam, or the Virgin Islands?

    You are not eligible at this time. If you have questions, please call 1-855-7-MYPATH (1-855-769-7284).

    Are your prescriptions paid for in part or in full by any state- or federally funded program, including but not limited to Medicare or Medicaid, Medigap, VA, DOD, or TRICARE? Please note that Medicare part D enrollees, while in the prescription drug coverage gap (the “donut hole”), are not eligible for the co-pay coupon.

    You are not eligible at this time. If you have questions, please call 1-855-7-MYPATH (1-855-769-7284).

    If you begin receiving prescription benefits from such state- or federally funded programs at any time, you will no longer be eligible to use the co-pay coupon. Do you acknowledge your agreement with this statement?

    You are not eligible at this time. If you have questions, please call 1-855-7-MYPATH (1-855-769-7284).

    For financial or insurance assistance, call 1-855-769-7284.

    Please provide the following information:

    Please provide your first name.
    Please provide your last name.
    Email address is required.
    Email addresses do not match. Please try again.
    Street address is required.
    City is required.

    State is required.
    Please enter a valid US ZIP code.

    Please provide your date of birth.
    You must be 18 years of age to sign up.

    Phone number is required for co-pay registration.

    How would you like to receive communications?

    How would you like
    to receive communications?

    Co-pay Coupon Terms and Conditions

  • The EPCLUSA Co-pay Coupon Program will cover the out-of-pocket costs of your EPCLUSA prescriptions after you pay the first $5 per prescription fill, up to a maximum of 25% of the catalog price of a 12-week regimen of EPCLUSA. The offer is valid for 6 months from the time of first redemption.

  • The EPCLUSA co-pay coupon (“Coupon”) can be used only by eligible residents of the U.S., Puerto Rico, or U.S. territories at participating eligible retail, specialty, or mail-order pharmacies in the U.S., Puerto Rico, or U.S. territories. Product must originate in the U.S., Puerto Rico, or U.S. territories. You must be at least 18 years old to use the Coupon for yourself or a minor.

  • The Coupon is limited to one per person and is not transferable. No substitutions are permitted. The Coupon is only available with a valid prescription. The offer cannot be combined with any other coupon, free trial, discount, prescription savings card, or other offer. Patient may not be currently receiving free drug assistance through Gilead Sciences, Inc. (“Gilead”)'s patient assistance programs.

  • The Coupon is not insurance and is not intended to substitute for insurance.

  • The Coupon is valid only for patients with commercial insurance and is not valid for prescriptions that are eligible to be reimbursed:

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    in whole or part by Medicare, Medicaid or a Medicare Part D plan, TRICARE, VA, DOD, Puerto Rico Government Health Insurance Plan (“Healthcare Reform”), or any other state- or federally funded healthcare benefit program (collectively, “Government Programs”); or

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    by commercial plans or other health or pharmacy benefit programs that reimburse for the entire cost of prescription drugs.

  • Medicare Part D enrollees who are in the prescription drug coverage gap (the “donut hole”) are not eligible for the Coupon. Patients who begin receiving prescription benefits from such Government Programs at any time will no longer be eligible to use the Coupon. Void where prohibited by law, taxed, or restricted.

  • Patient, pharmacist, and prescriber agree not to seek reimbursement for all or any part of the benefit received by the patient through the offer. Both patient and pharmacist are each individually responsible for reporting receipt of Coupon benefit to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the Coupon, as required.

  • It is illegal to sell, purchase, trade, or counterfeit, or offer to sell, purchase, trade, or counterfeit the Coupon.

  • Certain information pertaining to your use of the Coupon will be shared with Gilead, the sponsor of the Coupon, and its affiliates. The information disclosed will include the date the prescription is filled, the number of pills or product dispensed by the pharmacists, and the amount of your co-pay that will be paid for by using the Coupon. For more information, please see the Gilead Privacy Policy at www.gilead.com.

  • Gilead reserves the right to terminate, rescind, revoke, or modify the Coupon at any time without notice.


  • Important Safety

    Information

    What is the most important information I should know about EPCLUSA?

    EPCLUSA can cause serious side effects, including:

  • Hepatitis B virus reactivation: Before starting EPCLUSA treatment, your healthcare provider will do blood tests to check for hepatitis B infection. If you have ever had hepatitis B, the hepatitis B virus could become active again during and after treatment with EPCLUSA. This may cause serious liver problems including liver failure and death. If you are at risk, your healthcare provider will monitor you during and after taking EPCLUSA.

  • Continued below

    IMPORTANT SAFETY INFORMATION

    What is the most important information I should know about EPCLUSA?

    EPCLUSA can cause serious side effects, including:

  • Hepatitis B virus reactivation: Before starting EPCLUSA treatment, your healthcare provider will do blood tests to check for hepatitis B infection. If you have ever had hepatitis B, the hepatitis B virus could become active again during and after treatment with EPCLUSA. This may cause serious liver problems including liver failure and death. If you are at risk, your healthcare provider will monitor you during and after taking EPCLUSA.

  • What should I tell my healthcare provider before taking EPCLUSA?

  • Tell your healthcare provider about all of your medical conditions, including if you have ever had hepatitis B infection or liver problems other than hepatitis C infection; if you have severe kidney problems or are on dialysis; if you have HIV; or if you are pregnant or breastfeeding, or plan to become pregnant or breastfeed. It is not known if EPCLUSA will harm your unborn baby or pass into your breast milk. If you take EPCLUSA with ribavirin, you should also read the ribavirin Medication Guide for important pregnancy-related information.

  • Tell your healthcare provider and pharmacist about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. EPCLUSA and certain other medicines may affect each other, or may cause side effects.

  • What are the possible side effects of EPCLUSA?

    Serious side effects may also include:

  • Slow heart rate (bradycardia): EPCLUSA, when taken with amiodarone (Cordarone®, Nexterone®, Pacerone®), a medicine used to treat certain heart problems, may cause slow heart rate. In some cases slow heart rate has led to death or the need for a pacemaker when amiodarone is taken with medicines containing sofosbuvir. Get medical help right away if you take amiodarone with EPCLUSA and get any of the following symptoms: fainting or near-fainting, dizziness or lightheadedness, not feeling well, weakness, extreme tiredness, shortness of breath, chest pains, confusion, or memory problems.

  • The most common side effects of EPCLUSA include headache and tiredness. Tell your healthcare provider if you have any side effect that bothers you or does not go away.

    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.

    What is EPCLUSA?

    EPCLUSA is a prescription medicine used to treat adults with chronic (lasting a long time) hepatitis C (Hep C) genotype 1, 2, 3, 4, 5, or 6 infection with or without cirrhosis (compensated). In those with advanced cirrhosis (decompensated), EPCLUSA is used with ribavirin.

    Please see Important Facts about EPCLUSA including Important Warning.


    Tap for Use and Important Safety Information about EPCLUSA including Important Warning on hepatitis B reactivation.