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This SAVINGS card can be used to reduce the amount of your out-of-pocket expense up to a maximum of $50 for your first prescription after you pay the first $20 for your first prescription. For subsequent fills, you may pay as little as $40 for your prescription, with a maximum benefit of $50 per fill through December 31, 2018 for the next 11 fills. No other purchase is necessary. This offer can be used up to a total of 12 times per calendar year through December 31, 2018, with a benefit cap of $600 per calendar year. Valid prescription with Prescriber ID# required.
Eligibility Requirements: This SAVINGS card can be redeemed only by patients or patient guardians who are 18 years of age or older and who are residents of the United States and its territories. Patients must have commercial insurance. Not valid for uninsured patients (but may be used by commercially insured patients without coverage for Muse) and patients who are covered by any state or federally funded healthcare program, including but not limited to any state pharmaceutical assistance program, Medicare (Part D or otherwise), Medicaid, Medigap, VA or DOD, or TriCare (regardless of whether Muse is covered by such government program); not valid if the patient is Medicare eligible and enrolled in an employer-sponsored health plan or prescription benefit program for retirees; and not valid if the patient’s insurance plan is paying the entire cost of this prescription. Void outside the US and its territories or where prohibited by law, taxed, or restricted. This program is valid in Massachusetts through June 30, 2019, unless otherwise amended or extended by Massachusetts.
This SAVINGS card is not health insurance. The SAVINGS card is not transferable and the amount of the benefit cannot exceed the patient’s out-of-pocket expenses. Cannot be combined with any other rebate/coupon, free trial, or similar offer for the specified prescription. This SAVINGS card is not redeemable for cash. Mylan Specialty reserves the right to amend or end this program at any time without notice.
NOTICE: Data related to your use of this SAVINGS card may be collected, analyzed and shared with Mylan Specialty for market research and other purposes related to assessing coupon programs. Data shared with Mylan Specialty will be aggregated and de-identified, meaning it will be combined with data related to other SAVINGS card redemptions and will not identify you.
Patient Instructions: Present your SAVINGS card and prescription drug insurance card, along with a valid prescription for Muse. By using this SAVINGS card, you acknowledge that you currently meet the eligibility criteria and that you understand and will comply with the following additional terms and conditions:
Pharmacist Instructions: When you use this SAVINGS card, you are certifying that you have received this SAVINGS card from an eligible patient; you have dispensed the product as indicated; you have not submitted and will not submit a claim for reimbursement under any federal, state or other governmental programs for this prescription; and you will otherwise comply with these terms and all applicable terms and conditions. You further certify that your participation in this program is consistent with all applicable state laws and any obligations, contractual or otherwise, that you have as a pharmacy provider, and that you will report the use of this SAVINGS card to the patient’s insurer if required.
Do not use MUSE:
If your erection is rigid for more than 4 hours, call your doctor promptly.
Do not drive or do other hazardous activities after taking MUSE because dizziness or fainting could occur. In patients experiencing these symptoms, the symptoms have usually occurred during the beginning of treatment and within one hour of using MUSE.
Before using MUSE, tell your doctor if you have a history of fainting. The first time you use MUSE you should be in your doctor’s office so that your doctor can find the right dose for you and monitor you for symptoms indicating that your blood pressure may be too low, like lightheadedness.
If you do feel dizzy or faint after using MUSE, this may be due to the lowering of your blood pressure. Lie down immediately and raise your legs. If these symptoms persist, call your doctor promptly.
MUSE does not protect against sexually transmitted diseases or pregnancy. Partners should use adequate protective and contraceptive measures.
The most common side effects that have been seen using MUSE are aching in the penis, testicles, legs, and in the perineum (area between the penis and rectum), warmth or burning sensation in the urethra, redness of the penis due to increased blood flow and minor urethral bleeding or spotting due to improper administration.
MUSE (alprostadil) is indicated for the treatment of erectile dysfunction. Erectile dysfunction is the inability to attain or maintain an erection sufficient for sexual intercourse.
For additional information, please see the Patient Prescribing Information.
MUSE is a registered trademark of Meda Pharma S.A.R.L. LLC, a Mylan company. The Mylan logo is a registered trademark of Mylan Inc. All other trademarks and service marks are the property of their respective owners.
© 2018 Mylan Pharmaceuticals Inc. All rights reserved 3/18 MUS-2018-0002