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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.

Talk to your doctor

Ask your doctor if BREO is right for you

Start the conversation

Hear how Ivanna talks to her doctor
about managing her asthma

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View Transcript

TEXT ONSCREEN:

TALKING TO YOUR DOCTOR

ABOUT ASTHMA

IVANNA:

At that particular point, I felt incredibly hopeless because I was in my late 20s. I had two kids that depended on me. And that was the turning point,

TEXT ONSCREEN:

Ivanna is a real patient who was prescribed a GSK product at the time of filming. GSK paid her for her time and expenses for sharing her unique experience.

IVANNA:

when I realized that I needed to take control. My asthma doctor…he is my specialist. And he's supposed to have this under control and have the answers for me. And so whenever I would tell him, you know, another hospital visit–but this one was worse–I know it was very disappointing for him. And so he definitely was on board with finding something.

TEXT ONSCREEN:

Start the conversation. Talk to your doctor about improving your asthma control.

Close Transcript

Having open conversations with your doctor can make a difference.
Click to play with sound. Click mute for no sound.

If they’re struggling with their asthma and nothing
is working, I would just recommend talking to
your asthma doctor.

-Ivanna

Only your healthcare provider can tell you which asthma medication is right for you. You can help by keeping a journal of how you’re feeling and sharing it with your doctor.

Start the
conversation

BREO Missing Puzzle Piece BREO Missing Puzzle Piece

Think about your current treatment plan and how it’s working for you. Are your asthma symptoms controlled? How often are you using your rescue inhaler?

Answering these questions below can help you start a more informed conversation with your doctor about your asthma treatment plan. Bring a copy of your answers to your next visit to see if you are meeting your asthma treatment goals.

Asthma Symptoms

Are you still having asthma symptoms
on your current medication?

Rescue Inhaler Use

How many times do you use your rescue inhaler per week?

Asthma Flare Ups

How many asthma flare-ups* have you had in the past year?

*A flare-up is a time when symptoms have worsened and are severe enough to require treatment with steroids, or also a hospital stay or emergency department visit.

Is Your Asthma Controlled?

Do you feel in control of your asthma?

Asthma Treatment Goal

What is your primary goal for your asthma treatment?

Talk to your doctor about your specific asthma treatment goals.

The responses to these questions are not intended to diagnose a condition or disease state and do not replace the advice of your doctor.

E-mail this guide.

The email address you provide will only be used to send you this Doctor Discussion Guide form. GSK will not use the email address you provide in any other way. GSK will not sell or transfer your information to any other party for any reason.

Talking To Your Doctor

Keep the
conversation going

  • Don’t be afraid to ask questions.
  • Be open about any concerns you have.
  • If you’re prescribed BREO, use it as instructed (as with any prescribed medication).
  • Keep track of how you’re feeling and any differences you notice while on the new medication.
  • Schedule a follow-up appointment according to your doctor’s suggestion.