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Important Safety Information Important Information About Serious Rash

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Cephalon Medical Services:
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1-877-CEPH-881
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You're just steps away from your First Prescription FREE Offer and a co-pay as low as $5 on future prescriptions*

With a little information about you, we can provide you with your First Prescription FREE Offer and a Prescription Co-pay Card.* These simple questions can help us add support programs that are
tailored to your needs.

 

 

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Do you or a loved one feel tired or sleepy when you
need to be awake due to any of the following?(Please select all that apply)

Have you been told by your doctor that you
have any of the following?

Which of the following have you ever done due to your
excessive sleepiness?

Which of the following prescription medications have you
ever taken for your excessive sleepiness?

Are you currently taking any of the following medications?
(Please select all that apply)

*Limitations apply.


Terms and conditions for the NUVIGIL First Prescription FREE Offer and Prescription Co-pay Program

 

PATIENT INFORMATION

First NUVIGIL Prescription FREE Offer

If you and your doctor decide NUVIGIL is right for you, present your first prescription FREE offer, including the NUVIGIL prescription co-pay card with your first prescription for NUVIGIL to any participating retail pharmacy and receive your first prescription FREE (up to 30 tablets).

Save on Future NUVIGIL Prescriptions

Present the NUVIGIL co-pay card to your pharmacist and your co-pay will be as low as $5 per prescription on future prescriptions (maximum savings of up to $50 per prescription).

Please bring your first prescription FREE offer and the NUVIGIL co-pay card to your pharmacist when you fill your first prescription; it contains important instructions for the pharmacist.

By redeeming this offer, you certify that you are eligible for this offer in accordance with the Terms and Limitations disclosed herein.

Please note that this offer cannot be redeemed by patients eligible for Medicare (including Medicare Advantage or Part D Prescription Drug Plans), Medicaid or other public payment programs.

Be sure to follow all dosing instructions provided by your doctor. Ask your doctor or pharmacist if you have questions regarding your prescription.

Terms and Limitations: Offer expires 12/31/2013. Valid only in the United States at participating retail pharmacies and cannot be redeemed at government-subsidized clinics. Offer must be accompanied by a valid prescription for NUVIGIL. Void in Massachusetts and where prohibited by law. No substitutions permitted. Offer not valid for patients eligible for coverage for NUVIGIL under Medicare (including Medicare Advantage or Part D Prescription Drug Plans), Medicaid or other public payment programs (e.g., TRICARE, or any state program). Depending upon the nature and terms of your relationship with insurance carriers, you will report offer redemption to the insurance carrier if required. Offer not valid for prescriptions reimbursed in full (including co-pay) by any third party payor. Offer cannot be combined with any other voucher, certificate, coupon, rebate, or similar offer. It is illegal for any person to sell, purchase, or trade; or to offer to sell, purchase, or trade or to counterfeit this offer. This is not an insurance program.

Cephalon reserves the right to rescind, revoke, or amend this offer without notice. Offer not extended on prescriptions for:

  • Patients using mail-order or institution-based pharmacies to fill their prescriptions, or who are federal or state government employees
  • Patients who are filling their prescriptions at nonparticipating pharmacies
  • Patients over age 65 (due to Medicare eligibility) or under age 18

Additional Terms and Limitations:

  • Insured patients only
  • Minimum supply of 14 tablets per fill
  • Maximum number of card uses per month of three
  • One card per patient

Cash value of this coupon is 1/100 of a cent.

By redeeming this offer, patients and pharmacists understand and agree to comply with these Terms and Limitations.

For questions regarding processing, please call the AlphaScrip Pharmacy Help Desk at 1-877-274-3244.





Important Safety Information

What is NUVIGIL?

NUVIGIL® (armodafinil) Tablets [C-IV] is a prescription medicine used to improve wakefulness in adults who experience excessive sleepiness due to one of the following diagnosed sleep disorders: obstructive sleep apnea (OSA), shift work disorder (SWD), or narcolepsy.

In patients with OSA, NUVIGIL is used along with other medical treatments for this sleep disorder. NUVIGIL is not a replacement for your current OSA treatment, and it is important that you continue to use this treatment as prescribed by your doctor.

NUVIGIL may help the sleepiness caused by these conditions, but it may not stop all of your sleepiness and does not take the place of sleep.

NUVIGIL is a federally controlled substance (C-IV), so use NUVIGIL only as directed and keep in a safe place to prevent misuse and abuse. It is against the law to sell or give NUVIGIL to another person.

What important information should I know about NUVIGIL?

  • NUVIGIL may cause serious side effects including a serious rash or a serious allergic reaction that may affect parts of your body such as your liver or blood cells, and may result in hospitalization and be life-threatening. If you develop a skin rash, hives, sores in your mouth, blisters, swelling, peeling, or yellowing of the skin or eyes, trouble swallowing or breathing, dark urine, or fever, stop taking NUVIGIL and call your doctor right away or get emergency help.
  • NUVIGIL is not approved for children for any condition. It is not known if NUVIGIL is safe or if it works in children under the age of 17.
  • You should not take NUVIGIL if you have had a rash or allergic reaction to NUVIGIL or PROVIGIL® (modafinil) Tablets [C-IV], or are allergic to any of the following ingredients: modafinil, armodafinil, croscarmellose sodium, lactose monohydrate, magnesium stearate, microcrystalline cellulose, povidone, or pregelatinized starch.

What are possible side effects of NUVIGIL?

  • Stop taking NUVIGIL and call your doctor or get emergency help if you get any of the following serious side effects:
    • Mental (psychiatric) symptoms, including: depression, feeling anxious, sensing things that are not really there, extreme increase in activity (mania), thoughts of suicide, aggression, or other mental problems
    • Symptoms of a heart problem, including: chest pain, abnormal heart beat, and trouble breathing
  • Common side effects of NUVIGIL are headache, nausea, dizziness, and trouble sleeping. These are not all the side effects of NUVIGIL.
  • Tell your doctor if you get any side effect that bothers you or that does not go away. Talk to your doctor for medical advice about side effects.

What should I avoid while taking NUVIGIL?

  • Do not drive a car or do other dangerous activities until you and your doctor know how NUVIGIL affects you.
  • Avoid drinking alcohol.

What should I tell my doctor before starting NUVIGIL?

  • Tell your doctor about all of your health conditions including if you have: history of mental health problems (including psychosis), heart problems or had a heart attack, high blood pressure, liver or kidney problems, a history of drug or alcohol abuse or addiction, or are pregnant, planning to become pregnant, or breastfeeding.
  • Tell your doctor about all of the medicines you take. Women who use hormonal birth control may have a higher chance of getting pregnant while taking and for one month after stopping NUVIGIL. Talk to your doctor about other birth control methods while taking NUVIGIL.

You are encouraged to report side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, call 1-800-FDA-1088, or by fax at 1-800-FDA-0178.

For more information, ask your doctor or call 1-800-896-5855.

This information does not take the place of talking with your doctor for medical advice about your condition or treatment.

Please read the Medication Guide for Patients in the Full Prescribing Information for NUVIGIL.


Important Safety Information

What is PROVIGIL?

PROVIGIL is a prescription medicine used to improve wakefulness in adults who are very sleepy due to one of the following diagnosed sleep disorders:

  • narcolepsy
  • obstructive sleep apnea (OSA). PROVIGIL is used with other medical treatments for this sleep disorder. PROVIGIL does not take the place of using your CPAP machine or other treatments that your doctor has prescribed for this condition. It is important that you continue to use these treatments as prescribed by your doctor.
  • shift work disorder (SWD)

PROVIGIL will not cure these sleep disorders. PROVIGIL may help the sleepiness caused by these conditions, but it may not stop all your sleepiness. PROVIGIL does not take the place of getting enough sleep. Follow your doctor\'s advice about good sleep habits and using other treatments.

PROVIGIL is a federally controlled substance (C-IV), so use PROVIGIL only as directed and keep in a safe place to prevent misuse and abuse. It is against the law to sell or give PROVIGIL to another person.

What important information should I know about PROVIGIL?

  • PROVIGIL may cause serious side effects including a serious rash or a serious allergic reaction that may affect parts of your body such as your liver or blood cells. Any of these may need to be treated in a hospital and may be life-threatening. If you develop a skin rash, hives, sores in your mouth, blisters, peeling, or yellowing of your skin or eyes, trouble swallowing or breathing, dark urine, or fever, stop taking PROVIGIL and call your doctor right away or get emergency help.
  • Provigil is not approved for children for any condition. It is not known if PROVIGIL is safe or if it works in children under the age of 17.
  • You should not take PROVIGIL if you have had a rash or allergic reaction to PROVIGIL or NUVIGIL® (armodafinil) Tablets [C-IV], or are allergic to any of the following ingredients: modafinil, armodafinil, lactose monohydrate, microcrystalline cellulose, pregelatinized starch, croscarmellose sodium, povidone, and magnesium stearate.

What are possible side effects of PROVIGIL?

Stop taking PROVIGIL and call your doctor right away or get emergency help if you get any of the following serious side effects:

  • Mental (psychiatric) symptoms, including: depression, feeling anxious, sensing things that are not really there, increase in activity (mania), thoughts of suicide, aggression, other mental problems.
  • Symptoms of a heart problem, including: chest pain, abnormal heart beats, and trouble breathing.

Common side effects of PROVIGIL are headache, nausea, feeling nervous, stuffy nose, diarrhea, back pain, feeling anxious, trouble sleeping, dizziness, and upset stomach. These are not all the side effects of PROVIGIL. Tell your doctor if you get any side effect that bothers you or that does not go away. Talk to your doctor for medical advice about side effects.

What should I avoid while taking PROVIGIL?

  • Do not drive or do other dangerous activities until you and your doctor know how PROVIGIL affects you.
  • Avoid drinking alcohol.

What should I tell my doctor before starting PROVIGIL?

  • Tell your doctor about all of your health conditions including if you have: history of mental health problems (including psychosis), heart problems or had a heart attack, high blood pressure, liver or kidney problems, a history of drug or alcohol abuse or addiction, or are pregnant, planning to become pregnant, or breastfeeding.
  • Tell your doctor about all of the medicines you take. Women who use hormonal birth control may have a higher chance of getting pregnant, while taking and for one month after stopping PROVIGIL. Talk to your doctor about other birth control methods while taking PROVIGIL.

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, or by fax at 1-800-FDA-0178.

For more information, ask your doctor or call 1-800-896-5855.

This information does not take the place of talking with your doctor for medical advice about your condition or treatment.

Please read the Medication Guide for patients in the Full Prescribing Information for PROVIGIL.