The ALVESCO® (ciclesonide) Inhalation Aerosol Savings Program

Reduce co-pays to as low as $17 for every ALVESCO Rx. Save up to $75 on each of your next 12 prescription fills. Restrictions apply.

Reduce out-of-pocket cost on
ALVESCO® (ciclesonide) Inhalation Aerosol*

Since reducing out-of-pocket cost is important, we have a special offer for you. The ALVESCO (ciclesonide) Savings Program can provide qualified patients ALVESCO for low out-of-pocket cost. This program can reduce
co-pays to as low as $17, saving patients up to $75 on each of their next 12 prescription fills each year.*

* Most insured patients will pay no more than $17 monthly with a maximum benefit of $75 per fill. Restrictions apply and co-pay amounts may vary. See full program rules and eligibility.

If you lost your card, click here to reprint it.

Start saving now!

In order to participate in the ALVESCO Savings Program, you must meet certain eligibility criteria. Please answer the following questions to continue:

Required
Step
  • 1
  • 2
Are you a resident of the United States or Puerto Rico?
Yes    No

Which state do you reside in?


Are you enrolled in any government, state or federally funded medical or prescription benefit program? This includes Medicare, Medicaid, Medigap, VA, DOD and TriCare as well as any other state or federal employee benefit programs?
Yes    No

Your card is not valid for prescriptions purchased under Medicaid, Medicare or similar federal, state or other government funded benefit programs. Should you begin receiving prescription benefits from such a federal, state or government funded program at any time, you will no longer be eligible to participate in this program. We may contact you by phone or mail periodically in order to verify that your eligibility for the program has not changed. Do you acknowledge your agreement with this statement?
Yes    No

 

* Program Rules – Patient Eligibility, Terms, and Conditions

  • Valid only for qualified customers with a valid prescription for
    ALVESCO® (ciclesonide) Inhalation Aerosol. No substitutions permitted.
  • A parent or guardian must enroll in the ALVESCO Savings Program on behalf of a patient under 18 years of age.
  • Not valid for prescriptions covered or paid for by Medicare (including true out-of-pocket expenses under Medicare Part D), Medicaid, or any other federal or state healthcare programs, such as state pharmaceutical assistance programs.
  • Not valid for patients who are Medicare eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees (i.e., you are eligible for Medicare Part D but receive a prescription drug benefit through a former employer).
  • Your discount with the ALVESCO Savings Program card is valid to reduce your co-pay to $17 with a maximum reduction of $75 per prescription. Discount available on up to twelve (12) prescription fills for ALVESCO per calendar year.
  • Your acceptance of this offer must be consistent with the terms of any drug benefit provided by a health insurer, health plan, or other third-party payor, and you agree to report acceptance of this offer to your health insurer, health plan,
    or third-party payor as may be required.
  • Offer limited to one card per person, and may not be used with any other discount, coupon, or offer.
  • Only an original ALVESCO Savings Program card or web-generated paper card will be accepted and must be presented to your pharmacist at the time you have the prescription filled—not valid if reproduced.
  • Offer valid only in the United States. Void where prohibited by law, taxed, or restricted.
  • Sunovion Pharmaceuticals Inc. reserves the right to change or discontinue this offer at any time without notice.
  • By participating in this program, you the patient certify that (a) you have read the above terms; (b) you are not reimbursed, nor will you submit a claim for
    reimbursement, nor will you seek to have any portion of this prescription counted toward your out-of-pocket costs (eg, TrOOP) under any federal, state, or private programs for this or other prescriptions for ALVESCO to which this offer will apply; and (c) you will otherwise comply with the terms above.

Using mail-order pharmacies

  • Check with your mail-order pharmacy to see if they accept loyalty cards such as the ALVESCO Savings Program card (most of them do). If they do, all you need to do is submit a photocopy of your card along with your prescription and insurance card information.
  • For mail-order pharmacies that do not accept loyalty cards, we will reimburse you $75. Please call 1-855-834-3458 or visit http://www.patientrebateonline.com to request a form that you can fill out and return to us, along with a copy of your receipt. We will then issue you a check.

 

INDICATION FOR ALVESCO® (ciclesonide) INHALATION AEROSOL

ALVESCO is for the long-term treatment of asthma as preventative therapy in adults and adolescents 12 years of age and older. ALVESCO is NOT indicated for the relief of acute bronchospasm.

IMPORTANT SAFETY INFORMATION FOR ALVESCO

ALVESCO is NOT a rescue inhaler and should not be used for relief of sudden symptoms of shortness of breath during an asthma attack. Use a fast-acting rescue medicine (such as a levalbuterol or albuterol inhaler) to relieve sudden symptoms if you have an asthma attack. You should contact your healthcare professional if an asthma attack does not respond to your rescue medicine or you need to use your rescue medicine more often than usual.

You should not use ALVESCO if you are allergic to ciclesonide or any of the ingredients in ALVESCO. Rare cases of severe allergic reactions, including swelling of the lips, tongue and throat, have been reported.

Yeast infections of the mouth and throat (thrush) have occurred in some ALVESCO patients. Rinse your mouth after you inhale each dose of ALVESCO. If you develop a yeast infection, it should be treated by a healthcare professional.

Patients taking ALVESCO are at a possible increased risk of infection due to a weakened immune system that may occur when taking a steroid medicine. Tell your healthcare professional if you have had tuberculosis (TB) or any other infections before or while using ALVESCO, or if you are exposed to chickenpox or measles.

If you took an oral (by mouth) steroid previously and are having the dose decreased, or you have been switched to ALVESCO from an oral steroid, tell your healthcare professional right away about any symptoms such as feeling tired or exhausted, weakness, nausea, vomiting, or symptoms of low blood pressure (such as dizziness or faintness). These may be symptoms of a potentially life-threatening condition in which your body does not produce enough natural steroids.

Using inhaled steroid medicines for a long time may put you at greater risk for decreased bone mass (which can cause bones to become weaker).  Inhaled corticosteroids including ALVESCO may cause slowed growth in children and adolescents.  Your healthcare professional should monitor your bone health and the growth of children and adolescents taking ALVESCO. 

Glaucoma, increased pressure in the eye, and cataracts have been seen in patients who received inhaled steroid medications, including ALVESCO. Your healthcare professional should monitor you especially if you have a change in vision or have a history of increased pressure in the eye, glaucoma, and/or cataracts.

As with other inhaled asthma medicines, bronchospasm (a sudden squeezing of the airways) can occur, with wheezing, right after you inhale your dose of ALVESCO. If this happens, stop using ALVESCO and use a rescue medicine right away, such as levalbuterol or albuterol. You should also inform your healthcare professional right away so that your asthma medicine can be re-evaluated.

It is important to take ALVESCO regularly, as prescribed. Do not stop treatment even if you are feeling better, unless told to do so by your healthcare professional. You should contact your healthcare professional if your symptoms do not improve after 4 weeks, or if your condition worsens at any time during treatment. DO NOT inhale more doses or use your ALVESCO inhaler more often than you have been directed.

What are some of the possible side effects of ALVESCO?

The most common side effects with ALVESCO include headache, pain or irritation of the nose and throat, sinus infection, upper respiratory infection (such as the common cold), joint pain, stuffy nose, leg or arm pain, and back pain.

For additional information, please see the full Prescribing Information for ALVESCO.

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.

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ALVESCO is a registered trademark of Takeda GmbH, used under license.

Sunovion Pharmaceuticals Inc. is a U.S. subsidiary of Dainippon Sumitomo Pharma Co., Ltd., and is a registered trademark of Dainippon Sumitomo Pharma Co., Ltd. This site is intended for U.S. residents 18 years of age or older.

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