![]() Patient, pharmacist, and prescriber agree not to seek reimbursement for all or any part of the benefit received by the patient through the offer. Void where prohibited by law, taxed, or restricted. Patients who begin receiving prescription benefits from Government Programs at any time will no longer be eligible to use the Coupon. Medicare Part D enrollees who are in the prescription drug coverage gap (the “donut hole”) are not eligible for the Coupon. In whole or in part by Medicare or a Medicare Part D plan, Medicaid, TRICARE, VA, DOD, Puerto Rico Government Health Insurance Plan, or any other state or federally funded healthcare benefit program (collectively, “Government Programs”) orīy commercial plans or other health or pharmacy benefit programs that reimburse for the entire cost of prescription drugs or prohibit the Coupon’s use. The Coupon is valid only for patients with commercial insurance and is not valid for prescriptions that are eligible to be reimbursed: The Coupon is not insurance and is not intended to substitute for insurance. (“Gilead”)’s patient assistance program for that product(s). Patient may not be currently receiving free drug assistance through Gilead Sciences, Inc. The offer cannot be combined with any other coupon, free trial, discount, prescription savings card, or other offer. The Coupon is only available with a valid prescription. The Coupon is limited to one per person and is not transferable. Coupon user must be at least 18 years old to use the Coupon for themselves or on behalf of a minor. Product must be dispensed in the U.S., Puerto Rico, or U.S. territories at participating eligible pharmacies in the U.S., Puerto Rico, or U.S. The EPCLUSA Co-pay Coupon (“Coupon”) can be used only by eligible residents of the U.S., Puerto Rico, or U.S. The offer is valid for 6 months from the time of first redemption. The EPCLUSA ® Co-pay Coupon Program will cover the out-of-pocket costs of yourĮligible EPCLUSA prescription after you pay the first $5 per prescription fill, up to a maximum of 25% of theĬatalog price of 12 weeks (3 bottles) of EPCLUSA. See complete Important Safety Information below Tests to check for hepatitis B infection.Īgain during and after treatment with EPCLUSA. You are at risk, your healthcare provider will monitor Liver problems including liver failure and death. You have ever had hepatitis B, the hepatitis B virusĬould become active again during and after Hepatitis B virus reactivation: Before startingĮPCLUSA treatment, your healthcare provider willĭo blood tests to check for hepatitis B infection. Important Safety InformationĮPCLUSA can cause serious side effects, including: Genotype 1-6 infection with or without cirrhosis (compensated). EPCLUSA is a prescription medicine used to treat adults with chronic hepatitis C (Hep C)
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