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VEMLIDY Co-pay Coupon Program
INDICATION AND IMPORTANT SAFETY INFORMATION
The VEMLIDY Co-pay Coupon Program is here to help reduce your out-of-pocket costs
- Eligible patients with commercial insurance may pay as low as a $0 co-pay for out-of-pocket costs for VEMLIDY, up to $5000 per year with no monthly limit, with the VEMLIDY Co-pay Coupon Program
- If you are enrolled in a government healthcare program, such as Medicaid or Medicare Part D, you are not eligible. This includes when you are in the Medicare Part D coverage gap known as the "donut hole.”
For full terms and conditions click here.
IMPORTANT SAFETY INFORMATION
Do you need help understanding your health insurance and Gilead medication costs?
Even if you are not eligible for the Co-pay Coupon Program you can call Support Path at the number below to learn about other financial resources that may be available to assist with treatment and insurance costs
For more information call 1-855-7-MYPATH (1-855-769-7284)
Hours: Monday-Friday, 9 am to 8 pm, ET
You can enroll in the program online, or by downloading the form here. Terms and conditions apply.
Enroll today and see if you are
eligible for savings!
IMPORTANT SAFETY INFORMATION (continued)
Commercially insured patients can start saving with the VEMLIDY Co-pay Coupon Program by using the form below to confirm your eligibility.
In order to receive the benefits of the program, it is important that you provide accurate information. When filling your prescription, be sure to have your Co-pay Coupon Program information available.
Translation services are available in a variety of languages—please call 1-877-627-0415 to request assistance.
PLEASE ANSWER ALL OF THE QUESTIONS BELOW:
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Please complete the items highlighted in red.
VEMLIDY Co-pay Coupon Program Terms and Conditions
The VEMLIDY Co-pay Coupon Program will cover the out-of-pocket costs of a patient's VEMLIDY prescriptions up to a maximum of $5,000 per year. This maximum applies to all eligible Gilead medications for the program.
The VEMLIDY 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. or Puerto Rico, or U.S. territories. Persons must be 18 years or older to use the Coupon for themselves or a minor.
The Coupon is limited to one per person and is not transferable. No substitutions are permitted. This Coupon is available for each valid prescription. 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:
- IN WHOLE OR PART, BY MEDICARE, MEDICAID OR A MEDICARE PART D PLAN, TRICARE, VA, DoD, PUERTO RICO GOVERNMENT HEALTH INSURANCE PLAN, OR ANY OTHER FEDERAL OR STATE-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.
Medicare Part D enrollees who are in the prescription drug coverage gap (the “donut hole”) are not eligible for the co-pay 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.
Gilead reserves the right to terminate, rescind, revoke, or modify this program at any time without notice.
INDICATION AND IMPORTANT SAFETY INFORMATION
What is VEMLIDY?
VEMLIDY is a prescription medicine used to treat chronic (long-lasting) hepatitis B virus (HBV) in adults with stable (compensated) liver disease.
VEMLIDY may lower the amount of HBV in your body.
VEMLIDY may improve the condition of your liver.
What is the most important information I should know about VEMLIDY?
VEMLIDY can cause serious side effects, including:
Worsening of hepatitis B virus (HBV) infection. Your HBV infection may get worse (flare-up) if you take VEMLIDY and then stop taking it. A “flare-up” is when your HBV infection suddenly returns in a worse way than before. Do not stop taking VEMLIDY without first talking to your healthcare provider, as they will need to monitor your health regularly to check your liver.
What should I tell my healthcare provider before taking VEMLIDY?
All of your medical conditions, including if you have end stage renal disease (ESRD) or HIV-1 infection. Your healthcare provider may test you for HIV infection before starting VEMLIDY. If you have HIV and only take VEMLIDY, the HIV virus may develop resistance and become harder to treat.
If you are pregnant or plan to become pregnant. It is not known if VEMLIDY will harm your unborn baby. Tell your healthcare provider if you become pregnant during treatment with VEMLIDY.
If you are breastfeeding or plan to breastfeed. It is not known if VEMLIDY passes into your breast milk. Talk with your healthcare provider about the best way to feed your baby.
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Some medicines may affect how VEMLIDY works. Keep a list of all your medicines and show it to your healthcare provider and pharmacist. Do not start a new medicine without telling your healthcare provider. Ask your healthcare provider if it is safe to take VEMLIDY with all of your other medicines.
What are the possible side effects of VEMLIDY?
New or worse kidney problems, including kidney failure. Your healthcare provider may do blood and urine tests to check your kidneys when starting and during treatment with VEMLIDY. Your healthcare provider may tell you to stop taking VEMLIDY if you develop new or worse kidney problems.
Too much lactic acid in your blood (lactic acidosis), which is a serious but rare medical emergency that can lead to death. Tell your healthcare provider right away if you get these symptoms: weakness or being more tired than usual, unusual muscle pain, being short of breath or fast breathing, stomach pain with nausea and vomiting, cold or blue hands and feet, feeling dizzy or lightheaded, or a fast or abnormal heartbeat.
Severe liver problems, which in rare cases can lead to death. Tell your healthcare provider right away if you get these symptoms: skin or the white part of your eyes turns yellow, dark “tea-colored” urine, light-colored stools, loss of appetite for several days or longer, nausea, or stomach-area pain.
The most common side effect of VEMLIDY is headache.
These are not all the possible side effects of VEMLIDY. Tell your healthcare provider if you have any side effect that bothers you or that does not go away.
Click here for Important Facts about VEMLIDY, including important warnings.