Sign Up to Help Minimize Out of Pocket Costs for ORALAIR®

The ORALAIR co-pay assistance program may help people save on their allergy therapy. It can bring the cost of eligible patients’ co-pays down to $15 per prescription, for a maximum monthly benefit of $100. See below for eligibility restrictions, terms, and conditions.

After you sign up for the ORALAIR co-pay assistance support program, you will receive your printable co-pay card. To get your savings, give the information on the co-pay card to:

  • Your allergy specialist when he or she prescribes ORALAIR
  • The pharmacy when they call you to confirm your prescription

Start Saving Money on Your ORALAIR Prescriptions

If you already have an ORALAIR co-pay card, you can also activate it at 1-866-885-7520

Eligibility, restrictions, terms, and conditions

Co-pay card for patients with valid prescription for ORALAIR. Card limited to one per person.

Valid for most patients with commercial insurance, as well as for cash-paying patients.

  • Commercial-insured patients may receive savings to reduce co-pay amount to $15.
  • Cash-paying patients may receive savings of up to $100.

Card valid for 30-day prescriptions.

Card valid for 1 use per month, for up to 10 uses.

Card may be used only by eligible residents of the United States.

This offer is not valid for patients covered, in whole or in part, by any state or federally funded healthcare or pharmacy benefit programs, including but not limited to Medicare, Medicaid, VA, or TRICARE, or any qualified health plan purchased on a state-based, partnership, or federally facilitated exchange. It is not valid in states where prohibited by law or if prohibited by the patient's health insurance.

This offer is not an insurance benefit.

No other purchase is necessary.

Eligible patients may be responsible for deductibles or other out-of-pocket costs, depending on their specific healthcare benefits.

This offer will provide savings in patient’s co-pay cost for ORALAIR only. It does not cover any other healthcare provider charges or any other treatment costs.

Patient, pharmacist, and prescriber agree not to seek reimbursement for all or any part of the benefit received by the patient through this offer.

Patient is responsible for reporting receipt of co-pay assistance to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the co-pay card, as may be required.

This offer is nontransferable. No substitutions are permitted. This offer cannot be combined with any other coupon, rebate, free trial, discount, prescription savings card, or other offer.

It is illegal to sell, purchase, trade, or counterfeit, or offer to sell, purchase, trade, or counterfeit, the coupon. Void if reproduced. Void where prohibited by law, taxed, or restricted.

Stallergenes Greer reserves the right to rescind, revoke, amend, or terminate this offer or the program in its entirety at any time.

INDICATION

ORALAIR® (Sweet Vernal, Orchard, Perennial Rye, Timothy, and Kentucky Blue Grass Mixed Pollens Allergen Extract) is a prescription medicine used for sublingual (under the tongue) immunotherapy prescribed to treat sneezing, runny or itchy nose, nasal congestion or itchy and watery eyes due to allergy to these grass pollens. ORALAIR may be prescribed for persons 5 to 65 years old whose doctor has confirmed are allergic to any of these grass pollens.

If any of these symptoms occur, stop taking ORALAIR and immediately seek medical care. For home administration of ORALAIR, your doctor should prescribe auto-injectable epinephrine for you to keep at home for treating a severe reaction, should one occur. Your doctor will train and instruct you on the proper use of auto-injectable epinephrine.

Please see Important Safety Information below. Please see full Prescribing Information, including Boxed Warning and Medication Guide.

IMPORTANT SAFETY INFORMATION

ORALAIR can cause severe allergic reactions that may be life-threatening. Symptoms of allergic reactions to ORALAIR include:

  • Trouble breathing
  • Throat tightness or swelling
  • Trouble swallowing or speaking
  • Dizziness or fainting
  • Rapid or weak heartbeat
  • Severe stomach cramps or pain, vomiting, or diarrhea
  • Severe flushing or itching of the skin

If any of these symptoms occur, stop taking ORALAIR and immediately seek medical care. For home administration of ORALAIR, your doctor should prescribe auto-injectable epinephrine for you to keep at home for treating a severe reaction, should one occur. Your doctor will train and instruct you on the proper use of auto-injectable epinephrine.

Do not take ORALAIR if you or your child:

  • Has severe, unstable, or uncontrolled asthma;
  • Had a severe allergic reaction in the past that included trouble breathing, dizziness or fainting, or rapid or weak heartbeat;
  • Has ever had difficulty with breathing due to swelling of the throat or upper airway after using any sublingual immunotherapy before;
  • Has ever been diagnosed with eosinophilic esophagitis; or
  • Is allergic to any of the inactive ingredients contained in ORALAIR.

Stop taking ORALAIR and contact your doctor if you or your child has any mouth surgery procedures (such as tooth removal), develops any mouth infections, ulcers or cuts in the mouth or throat, or has heartburn, difficulty swallowing, pain with swallowing, or chest pain that does not go away or worsens.

In children and adults, the most commonly reported side effects were itching of the mouth, lips, tongue or throat. These side effects, by themselves, are not dangerous or life-threatening.

You may report side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Talk to your doctor before using ORALAIR while pregnant or breastfeeding.

Please see full Prescribing Information, including Boxed Warning and Medication Guide.

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be used, reproduced, or copied in whole or in part without prior written permission from Stallergenes Greer S.A.
All Rights Reserved Worldwide.
ORALAIR® is a registered trademark of Stallergenes Greer or its affiliates.

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