SAVINGS PROGRAM

TUDORZA PRESSAIR SAVINGS GUARANTEE PROGRAM

The TUDORZA PRESSAIR Savings Guarantee Program can help you save money on your medicine.

Eligible, commercially-insured patients PAY NO MORE THAN $25 for each prescription, up to 12 fills, including those with restrictions on prescription benefit coverage.*

What you need to know:

1

New patients may receive first fill free

2

Receive a 30-day supply (1 inhaler) of TUDORZA for $25 per refill, up to 12 refills

Activate your AZhelps Savings Card today and add it to Apple on your smartphone

TUDORZA PRESSAIR Savings Card Coupon
TUDORZA PRESSAIR Savings Card Coupon

*Eligibility

You may be eligible for this offer if you are insured by commercial insurance and your insurance does not cover the full cost of your prescription, or you are not insured and are responsible for the cost of your prescriptions.

Patients who are enrolled in a state or federally funded prescription insurance program are not eligible for this offer. This includes patients enrolled in Medicare Part D, Medicaid, Medigap, Veterans Affairs (VA), Department of Defense (DOD) programs or TriCare, and patients who are Medicare eligible and enrolled in an employer-sponsored group waiver health plan or government-subsidized prescription drug benefit program for retirees.

If you are enrolled in a state or federally funded prescription insurance program, you may not use this savings card even if you elect to be processed as an uninsured (cash-paying) patient.

This offer is not insurance, is restricted to residents of the United States and Puerto Rico, and to patients over 18 years of age. If you use a mail-order pharmacy, please contact your pharmacy provider to confirm if this offer will be accepted.

Terms of Use

Eligible commercially insured patients with a valid prescription for TUDORZA® PRESSAIR® (aclidinium bromide inhalation powder) who present this savings card at participating pharmacies will pay $25 per 30 day supply (1 inhaler) if their out-of-pocket cost is more than $25. New commercially insured patients will receive 100% off their out-of-pocket cost for the first inhaler. If you pay cash for your prescription, you will receive up to $100 in savings on your out-of-pocket costs that exceed $25 for each prescription. This offer is good for 12 uses and each inhaler counts as 1 use. Other restrictions may apply. Patient is responsible for applicable taxes, if any. Card expires on 12/31/2017. If you have any questions regarding this offer, please call 1-866-421-28481-866-421-2848.

Non-transferable, limited to one per person, cannot be combined with any other offer. Void where prohibited by law, taxed or restricted. Patients, pharmacists, and prescribers cannot seek reimbursement from health insurance or any third party for any part of the benefit received by the patient through this offer.

AstraZeneca reserves the right to rescind, revoke, or amend this offer, eligibility and terms of use at any time without notice. This offer is not conditioned on any past, present or future purchase, including refills. Offer must be presented along with a valid prescription for TUDORZA PRESSAIR at the time of purchase.

If your commercial insurance plan does not cover TUDORZA PRESSAIR, use of this offer permits your healthcare provider or pharmacy to share limited information with certain AstraZeneca vendors to determine if additional resources may be available to you; and to act on your behalf to initiate any processes that may be necessary to access these resources.

BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE.

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IMPORTANT SAFETY INFORMATION

Who should not use TUDORZA PRESSAIR?

Do not use TUDORZA PRESSAIR if you have a severe allergy to milk proteins, or are allergic to aclidinium bromide, or any of the ingredients in TUDORZA PRESSAIR. Ask your healthcare provider if you are not sure.

What should I tell my doctor before using TUDORZA?

Before you use TUDORZA, tell your doctor about all your medical conditions, including if you have eye problems (especially glaucoma), prostate or bladder problems, or problems passing urine. TUDORZA may make these problems worse.

Tell your doctor about all the medicines you take, including prescription and non-prescription medicines and eyedrops. Especially tell your doctor if you take anticholinergics (including tiotropium, ipratropium) or atropine.

Do not use TUDORZA more often than prescribed or take more medicine than prescribed for you.

Seek immediate medical help if your breathing problems worsen with TUDORZA, you need to use your rescue inhaler more often than usual, or your rescue inhaler does not work as well for you.

What are the possible side effects of TUDORZA?

TUDORZA can cause serious side effects. Stop taking TUDORZA and seek medical help right away if you experience:

  • Sudden shortness of breath immediately after use of TUDORZA
  • New or worsened symptoms of increased pressure in your eyes (acute narrow-angle glaucoma), which may include eye pain, nausea or vomiting, blurred vision, seeing halos or bright colors around lights, or red eyes. Using only eyedrops to treat these symptoms may not work and if not treated, this could lead to permanent loss of vision
  • Symptoms of new or worsened urinary retention (difficult, painful, or frequent urination, or urination in a weak stream or drips)
  • Serious allergic reactions including rash, hives, swelling of the face, lips, tongue, or throat; breathing problems; and itching

What are the most common side effects of TUDORZA?

The most common side effects of TUDORZA include headache, common cold symptoms, and cough. These are not all the possible side effects with TUDORZA.

INDICATIONS AND USAGE

TUDORZA PRESSAIR is a prescription medicine used long term, 2 times each day to treat symptoms of chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema.

TUDORZA is not a rescue medicine and should not be used for treating sudden breathing problems. Your doctor may give you other medicine to use for sudden breathing problems.

 
 
AZhelps Savings Card offers as low as [$0] for as long as your doctor prescribes, subject to eligibility