*Commercially insured patients may save up to $ 30 out of pocket per carton, up to a maximum of three (3) cartons per prescription. This offer is not available to non-insured/cash-paying patients, nor patients eligible for prescription coverage by any state or federally funded healthcare programs. Maximum reimbursement limits apply. Patient out-of-pocket expenses may vary.
Concerns about cost holding you back? With Teva's Epinephrine Auto-Injector, you may choose to create an emergency plan that includes keeping auto-injectors in multiple locations.
Ask your healthcare provider if keeping an additional auto-injector at work, school, or any other location is appropriate for you. Wherever you choose to keep your auto-injector(s), make sure your family, coworkers, or caregiver(s) know where to find it and how to use it.
Why generics cost less.
Generics cost less than brand-name medicines for 3 main reasons:
- Generics manufacturers don't start product development from scratch
- Costly clinical trials and research have already been completed by brand manufacturers
- Less money is spent on big advertising and marketing programs
Of course, manufacturers still must show the FDA that the generic performs the same as the brand-name medicine.
Savings Offer Terms, Conditions, and Eligibility Requirements
Terms and Conditions: Only commercially insured patients are eligible for this offer. Patients are not eligible for this offer if they are eligible to have prescriptions paid for in part or full by any state or federally funded programs, including but not limited to Medicare, Medicaid, Medigap, VA, DOD, TRICARE, or by private health benefit programs which reimburse for the entire cost of prescription drugs. This card is not valid for patients who are Medicare eligible and are enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees (i.e., patients who are eligible for Medicare Part D but who receive a prescription drug benefit through a former employer). Cash Discount Cards and other non-insurance plans are not valid as primary under this offer. If the patient is eligible for drug benefits under any such program, the patient cannot use this offer. By redeeming this card, the patient (for a minor, the patient's parent or guardian) acknowledges that the patient is eligible and understands and agrees to comply with the terms and conditions of this offer.
Void if copied, transferred, purchased, altered, or traded and where prohibited and restricted by law. This is not an insurance program. This offer is restricted to residents of the United States and Puerto Rico. This offer may be changed or discontinued at any time without notice. This offer is limited to one per customer and may not be used with any other discount, coupon, or offer. This offer expires on September 30, 2019. This program is managed by ConnectiveRx on behalf of Teva Pharmaceuticals USA, Inc. The parties reserve the right to change or discontinue this offer at any time without notice. If you have any questions regarding your eligibility or benefits, please call 1-833-210-5451.
To the Patient: This card must be presented to the pharmacist along with your Epinephrine Auto-Injector 2-Pack prescription to participate in this program.
- Offer valid only for the following National Drug Codes:
- 0.15 mg/0.3 mL - 00093-5985-27 (2-Pack)
- 0.3 mg/0.3 mL - 00093-5986-27 (2-Pack)
Commercially Insured Patients: Commercially insured patients with coverage for the Epinephrine Auto-Injector 2-Pack may save as much as $30 on out-of-pocket expenses for each Epinephrine Auto-Injector 2-Pack carton, up to a maximum of three (3) cartons per prescription. Teva will pay up to $30 per carton of your co-payment or cost-sharing obligation per fill. Maximum reimbursement limits apply and patient out-of-pocket expenses may vary.
Cash-Paying Patients: Non-Insured/Cash-Paying Patients are not eligible for this offer.
To the Pharmacist: By redeeming this offer, the Pharmacist certifies that the Epinephrine Auto-Injector 2-Pack is being dispensed to a patient eligible for this offer in compliance with these terms and conditions, and the Pharmacist has not submitted and will not submit a claim for reimbursement under any federal, state, or other governmental program for this prescription. Void where prohibited by law.
Pharmacy Instructions for Commercially Insured Patients: Submit this claim to Change Healthcare. A valid Other Coverage Code (e.g. 8) is required. For each Epinephrine Auto-Injector 2-Pack carton, Teva will pay $30 per carton, up to a maximum of three (3) cartons per prescription. Payment will be received from Change Healthcare.
Pharmacy Instructions for Uninsured Cash-Paying Patients: Cash-Paying Patients are not eligible for this offer.
Valid Other Coverage Code required. For questions regarding processing, please call the Help Desk at 1-800-422-5604.
IMPORTANT SAFETY INFORMATION
Anaphylaxis can be life threatening, can happen within minutes, and can be caused by stinging and biting insects, allergy injections, foods, medicines, exercise, or unknown causes. Always carry your Epinephrine Injection (Auto-Injector) with you because you may not know when anaphylaxis may happen.
When you have an allergic emergency (anaphylaxis)
- Use Epinephrine Injection (Auto-Injector) right away.
- Get emergency medical help right away. You may need further medical attention. You may need to use a second Epinephrine Injection (Auto-Injector) if symptoms continue or recur. Only a healthcare provider should give additional doses of epinephrine if you need more than 2 injections for a single anaphylaxis episode.
Epinephrine Injection (Auto-Injector) should only be injected into the middle of your outer thigh (upper leg). Do not inject the Epinephrine Injection (Auto-Injector) into your: veins, buttocks, fingers, toes, hands, or feet. If you accidentally inject Epinephrine Injection (Auto-Injector) into any other part of your body, go to the nearest emergency room right away. Tell the healthcare provider where on your body you received the accidental injection.
Rarely, patients who have used Epinephrine Injection (Auto-Injector) may develop infections at the injection site within a few days of an injection. Some of these infections can be serious. Call your healthcare provider right away if you have any of the following at an injection site: redness that does not go away, swelling, tenderness, or the area feels warm to the touch.
Cuts on the skin, bent needles, and needles that remain in the skin after the injection, have happened in young children who do not cooperate and kick or move during an injection. If you inject a young child with Epinephrine Injection (Auto-Injector), hold their leg firmly in place before and during the injection to prevent injuries. Ask your healthcare provider to show you how to properly hold the leg of a young child during injection.
If you have certain medical conditions, or take certain medicines, your condition may get worse or you may have longer lasting side effects when you use your Epinephrine Injection (Auto-Injector). Tell your healthcare provider about all known allergies, all your medical conditions and all the medicines you take, especially if you take asthma medicines.
Common side effects of Epinephrine Injection (Auto-Injector) include: fast, irregular or “pounding” heartbeat; sweating; headache; weakness; shakiness; paleness; feelings of over excitement, nervousness or anxiety; dizziness; nausea or vomiting; and breathing problems. These side effects may go away with rest.
Tell your healthcare provider if you have any side effect that bothers you or that does not go away.
These are not all the possible side effects of Epinephrine Injection (Auto-Injector). For more information, ask your healthcare provider or pharmacist. Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Epinephrine Injection (Auto-Injector) is a prescription medicine in a disposable, prefilled automatic injection device (auto-injector) used to treat life-threatening, allergic emergencies including anaphylaxis in people who are at risk for or have a history of serious allergic emergencies. Each device contains a single dose of epinephrine.
Epinephrine Injection (Auto-Injector) is for immediate self (or caregiver) administration and does not take the place of emergency medical care. You should get emergency help right away after using Epinephrine Injection (Auto-Injector).
Epinephrine Injection, 0.3 mg (Auto-Injector) is for patients who weigh 66 pounds or more (30 kilograms or more). Epinephrine Injection, 0.15 mg (Auto-Injector) is for patients who weigh about 33 to 66 pounds (15 to 30 kilograms). It is not known if Epinephrine Injection (Auto-Injector) is safe and effective in children who weigh less than 33 pounds (15 kilograms).
Please read the Patient Information and Instructions for Use in the accompanying Full Prescribing Information.