EPCLUSA is a prescription medicine used to
treat adults with chronic hepatitis C (Hep C)
genotype 1-6 infection with or without cirrhosis
(compensated).
Important Safety Information
What is the most important information I
should know about EPCLUSA?
What is the most important
information I should know about
EPCLUSA?
EPCLUSA can cause serious side effects, including:
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.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.
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Co-pay Coupon Terms and Conditions
The EPCLUSA® Co-pay Coupon Program will cover the out-of-pocket costs of your eligible EPCLUSA prescription after you pay the first $5 per prescription fill, up to a maximum of 25% of the catalog price of 12 weeks (3 bottles) 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 pharmacies in the U.S., Puerto Rico, or U.S. territories. Product must be dispensed in the U.S., Puerto Rico, or U.S. territories. Coupon user must be at least 18 years old to use the Coupon for themselves or on behalf of 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 program for that product(s).
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:
in whole or in part by Medicare or a Medicare Part D plan, Medicaid, TRICARE, VA, DOD, Puerto Rico Government Health Insurance Plan, or any other state or federally funded healthcare benefit program (collectively, “Government Programs”); or
by commercial plans or other health or pharmacy benefit programs that reimburse for the entire cost of prescription drugs or prohibit the Coupon’s use.
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 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 may be 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 patient co-pay ID, pharmacy demographics, prescriber information, and details relating to the coupon claim, such as co-pay amount, insurance details, and the therapy received. For more information, please see the Gilead Privacy Policy at www.gilead.com.
Gilead Sciences reserves the right to terminate, rescind, revoke, or modify the Coupon at any time without notice.