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ELIGIBILITY REQUIREMENTS

ELIGIBILITY: Patients may be eligible for this offer if they have commercial insurance and insurance does not cover the full cost of the prescription or if they are not insured and are responsible for the cost of their prescriptions. Government beneficiaries; patients who are enrolled in any federal healthcare program, including patients enrolled in Medicare (Part D or otherwise), Medicaid, Medigap, Veterans Affairs (VA) or Department of Defense (DOD) programs, or TRICARE; patients who are Medicare eligible and enrolled in an employer-sponsored group waiver health plan or government prescription drug benefit program for retirees; or patients enrolled in any similar federal or state programs, including state pharmaceutical assistance programs, are NOT eligible for this offer. Further, patients CANNOT use this coupon if they are Medicare eligible. For coupon eligibility purposes, all those 65 or older will be considered Medicare eligible. If patients are government beneficiaries or Medicare eligible, they may not use this savings offer even if they elect to be processed as an uninsured (cash-paying) patient. This offer is not health insurance and is restricted to residents of the United States, Puerto Rico, and US territories. Void where prohibited by law, taxed, or restricted. Not valid in Massachusetts or California if an AB-rated generic drug is available for the product.

TERMS OF USE: Eligible commercially insured/covered patients with no restrictions (e.g., step-edit, prior authorization, or NDC block) and patients with a valid prescription for BREO ELLIPTA (fluticasone furoate and vilanterol inhalation powder) who present this savings card at participating pharmacies will pay the first $10, and receive up to $100 off each 30-day prescription or refill of BREO applied to their out-of-pocket cost. If you pay cash for your prescription, or are insured and your insurance does not cover or has a managed care restriction (e.g., step-edit, prior authorization, or NDC block), and are not a government beneficiary or Medicare eligible, you will receive up to $100 in savings on your out-of-pocket costs for each 30-day supply for each product. This offer is valid for up to 12 uses per product, and each 30-day supply per product counts as 1 use. Other restrictions may apply. Patient is responsible for applicable taxes, if any. This offer is limited to 1 per person and is nontransferable and cannot be combined with any other coupon, free trial, or similar offer. No substitutions are permitted. Patients, pharmacists, and prescribers cannot seek reimbursement from health insurance or any third party for any part of the amount received by the patient through this offer. Offer must be presented along with a valid prescription for BREO at the time of purchase. Your acceptance of this offer must be consistent with the terms of any drug benefit plan provided to you by your health insurer. You agree to report your use of this coupon to your health insurer if required.

GSK or McKesson (on GSK’s behalf) reserves the right to rescind, revoke, or amend this offer at any time without notice. This offer may not be sold, purchased, traded, or counterfeited. Duplicates of this uniquely coded offer are invalid and not redeemable at the pharmacy. This offer is not conditioned on any past, present, or future purchase, including refills. This offer expires on 06/30/2020.

Risks &
Side Effects

Please review this safety information.

Below you can learn about the risks and side effects of BREO ELLIPTA. This, however, is not all the safety information, and does not replace talking with your healthcare provider about your medical condition or treatment. Please see the complete Prescribing Information and Patient Information for BREO ELLIPTA for more information or ask your healthcare provider or pharmacist.

Can BREO ELLIPTA be used to relieve sudden breathing problems?

No. BREO does not relieve sudden symptoms of asthma and you should not take extra doses of BREO to relieve these sudden symptoms. Always have a rescue inhaler with you to treat sudden symptoms. If you do not have a rescue inhaler, call your healthcare provider to have one prescribed for you.

Is BREO ELLIPTA approved for use in children or adolescents?

No. BREO should not be used in children and adolescents. It is not known if BREO is safe and effective in children and adolescents younger than 18 years of age.

Who should not use BREO ELLIPTA?

Do not use BREO ELLIPTA:
  • to treat sudden, severe symptoms of asthma.
  • if you have a severe allergy to milk proteins. Ask your healthcare provider if you are not sure.
  • if you are allergic to fluticasone furoate, vilanterol, or any of the ingredients in BREO.

What should I tell my healthcare provider before using BREO ELLIPTA?

Tell your healthcare provider about all of your medical conditions, including if you:
  • have heart problems.
  • have high blood pressure.
  • have seizures.
  • have thyroid problems.
  • have diabetes or have been told you have high blood sugar.
  • have liver problems.
  • have weak bones (osteoporosis).
  • have an immune system problem.
  • have eye problems such as glaucoma, increased pressure in your eye, cataracts, or other changes in vision.
  • are allergic to milk proteins.
  • have any type of viral, bacterial, fungal, or parasitic infection.
  • are exposed to chickenpox or measles.
  • are pregnant or plan to become pregnant. It is not known if BREO may harm your unborn baby.
  • are breastfeeding. It is not known if the medicines in BREO pass into your breast milk and if they can harm your baby.
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. BREO and certain other medicines may interact with each other. This may cause serious side effects. Especially tell your healthcare provider if you take antifungal or anti-HIV medicines.
Know the medicines you take. Keep a list of them to show your healthcare provider and pharmacist when you get a new medicine.

How should I use BREO ELLIPTA?

Read the step-by-step instructions for using BREO at the end of the Patient Information.
  • Do not use BREO unless your healthcare provider has taught you how to use the inhaler and you understand how to use it correctly.
  • BREO comes in 2 different strengths. Your healthcare provider prescribed the strength that is best for you.
  • Use BREO exactly as your healthcare provider tells you to use it. Do not use BREO more often than prescribed.
  • Use 1 inhalation of BREO 1 time each day. Use BREO at the same time each day.
  • If you miss a dose of BREO, take it as soon as you remember. Do not take more than 1 inhalation per day. Take your next dose at your usual time. Do not take 2 doses at 1 time.
  • If you take too much BREO, call your healthcare provider or go to the nearest hospital emergency room right away if you have any unusual symptoms, such as worsening shortness of breath, chest pain, increased heart rate, or shakiness.
  • Do not use other medicines that contain a LABA for any reason. Ask your healthcare provider or pharmacist if any of your other medicines are LABA medicines.
  • Do not stop using BREO unless told to do so by your healthcare provider because your symptoms might get worse. Your healthcare provider will change your medicines as needed.
  • BREO does not relieve sudden symptoms of asthma and you should not take extra doses of BREO to relieve these sudden symptoms. Always have a rescue inhaler with you to treat sudden symptoms. If you do not have a rescue inhaler, call your healthcare provider to have one prescribed for you.
  • Call your healthcare provider or get medical care right away if:
    • your breathing problems get worse.
    • you need to use your rescue inhaler more often than usual.
    • your rescue inhaler does not work as well to relieve your symptoms.
    • your peak flow meter results decrease. Your healthcare provider will tell you the numbers that are right for you.

What are the possible side effects of BREO ELLIPTA?

BREO can cause serious side effects, including:
  • fungal infection in your mouth or throat (thrush). Rinse your mouth with water without swallowing after using BREO to help reduce your chance of getting thrush.
  • weakened immune system and increased chance of getting infections (immunosuppression)
  • reduced adrenal function (adrenal insufficiency). Adrenal insufficiency is a condition where the adrenal glands do not make enough steroid hormones. This can happen when you stop taking oral corticosteroid medicines (such as prednisone) and start taking a medicine containing an ICS (such as BREO). During this transition period, when your body is under stress from fever, trauma (such as a car accident), infection, surgery, or worse chronic obstructive pulmonary disease symptoms, adrenal insufficiency can get worse and may cause death. Symptoms of adrenal insufficiency include:
    • feeling tired
    • lack of energy
    • weakness
    • nausea and vomiting
    • low blood pressure (hypotension)
  • sudden breathing problems immediately after inhaling your medicine. If you have sudden breathing problems immediately after inhaling your medicine, stop taking BREO and call your healthcare provider right away.
  • serious allergic reactions. Call your healthcare provider or get emergency medical care if you get any of the following symptoms of a serious allergic reaction:
    • rash
    • hives
    • swelling of your face, mouth, and tongue
    • breathing problems
  • effects on heart.
    • increased blood pressure
    • a fast or irregular heartbeat, awareness of heartbeat
    • chest pain
  • effects on nervous system.
    • tremor
    • nervousness
  • bone thinning or weakness (osteoporosis).
  • eye problems including glaucoma, increased pressure in your eye, cataracts, or other changes in vision. You should have regular eye exams while using BREO.
  • high levels of blood sugar (hyperglycemia), which may cause increased thirst, frequent urination, or unexplained tiredness.
  • changes in laboratory blood levels, including low levels of potassium (hypokalemia).
  • slowed growth in children.

Common side effects of BREO for asthma include:

  • runny nose and sore throat
  • thrush in your mouth or throat. Rinse your mouth with water without swallowing after use to help prevent this.
  • headache
  • flu
  • respiratory tract infection
  • bronchitis
  • inflammation of the sinuses
  • mouth and throat pain
  • hoarseness and voice changes
  • cough
These are not all the possible side effects of BREO.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What are the ingredients in BREO ELLIPTA?

Active ingredients: fluticasone furoate, vilanterol trifenatate
Inactive ingredients: lactose monohydrate (contains milk proteins), magnesium stearate