SAVINGS & OFFERS

Talk to your doctor about once-daily BREO, a prescription medicine that helps improve lung function by opening up the airways in your lungs for a full 24 hours so you can breathe better.

Sign up now to receive information about BREO and a FREE savings offer.

THINGS TO KNOW ABOUT SAVINGS

There are two ways you can save on BREO (registration is required):

First 30-Day Prescription Free

  • Read Full Requirements and Restrictions. Subject to eligibility. Restrictions apply.
  • This is a one-time offer to get the first 30 days of BREO at no out-of-pocket cost.

12 Months at No Cost to You

  • Read Full Requirements and Restrictions. Subject to eligibility. Restrictions apply.
  • You can receive up to 12 months of medication (30-day supply) at no cost to you. The offer expires December 31, 2017. To ensure you receive 12 uses, the first use must occur by January 31, 2017.
  • This is NOT health insurance.
  • Hang on to your coupon. It can be used once per month for up to 12 months prior to the expiration date.
  • Coupon should be presented to your pharmacist for each refill.
  • You must be an adult younger than 65 years of age at the time of each refill to be eligible.
  • The coupon can be used for yourself or an appropriate dependent aged 18 years or older.

Please note that there is a maximum value on the coupon.

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Which of the following statements best describes you?

Enter your information below:

Has your doctor prescribed BREO?

Are you currently taking BREO?

Are you enrolled in any state-, federal-, or government-funded medical or prescription benefit program, including but not limited to Medicare, Medicaid, Medigap, VA, DOD, TRICARE®‡, or CHAMPUS?

TRICARE is a registered trademark of the Department of Defense. All rights reserved.

Do you have health insurance that covers prescription drugs?

Program Enrollment:

GSK believes your privacy is important. By providing your name, address, e-mail address and other information, you are giving GSK and companies working with GSK permission to market or advertise to you regarding the medical condition(s) in which you have expressed an interest, as well as other general health-related information from GSK. GSK will not sell or transfer your name, address or e-mail address to any other party for their own marketing use.

For additional information regarding how GSK handles your information, please see our privacy statement.

Savings Offer Consent:

I'd like to receive savings offers on my prescription. I understand by selecting "I agree" below, that I am agreeing GSK and companies working with GSK (for example, the program administrator) can use the personal information I provide when I enroll, as well as information received from my pharmacy about my use of the savings offer and the date on which I filled my prescription. GSK and the program administrator have my consent to use the information to select additional mailings and offers that may be of interest to me in connection with this program. I understand that I can revoke this authorization at any time by contacting GSK at 1-888-825-5249 or https://www.contactus.gsk.com/optout/index.html and that even if I decide not to participate in this GSK offer, it will not impact my ability to receive treatment from my healthcare provider.

In order to join this program and be eligible for the savings offer, you must agree to the savings offer consent above. If you would like to change your answer, please select "I agree to the savings offer consent."

IMPORTANT SAFETY INFORMATION

  • People with asthma who take long-acting beta2-adrenergic agonist (LABA) medicines, such as vilanterol (one of the medicines in BREO), have an increased risk of death from asthma problems. It is not known if LABA medicines increase the risk of death in people with COPD.

IMPORTANT SAFETY INFORMATION

  • People with asthma who take long-acting beta2-adrenergic agonist (LABA) medicines, such as vilanterol (one of the medicines in BREO), have an increased risk of death from asthma problems. It is not known if LABA medicines increase the risk of death in people with COPD.
  • Call your healthcare provider if breathing problems worsen over time while using BREO.
  • Get emergency medical care if your breathing problems worsen quickly, or if you use your rescue inhaler but it does not relieve your breathing problems.
  • Do not use BREO to relieve sudden breathing problems. Always have a rescue inhaler with you to treat sudden symptoms.
  • Do not use BREO if you have a severe allergy to milk proteins or are allergic to any of the ingredients in BREO. Ask your healthcare provider if you are not sure.
  • Do not use BREO more often than prescribed.
  • Do not take BREO with other medicines that contain a LABA for any reason. Tell your healthcare provider about all the medicines you take and about all of your health conditions.
  • 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.
    • pneumonia. People with COPD have a higher chance of getting pneumonia. BREO may increase the chance of getting pneumonia. Call your healthcare provider if you notice any of the following symptoms: increase in mucus (sputum) production; change in mucus color; fever; chills; increased cough; increased breathing problems.
    • weakened immune system and increased chance of getting infections (immunosuppression). You should avoid exposure to chickenpox and measles, and, if exposed, consult your healthcare provider without delay. Worsening of existing tuberculosis, fungal, bacterial, viral, or parasitic infections, or herpes infection of the eye may occur.
    • reduced adrenal function (adrenal insufficiency). This can happen when you stop taking an oral corticosteroid (such as prednisone) and start taking a medicine containing an inhaled corticosteroid (such as BREO). During this transition period, when your body is under stress such as from fever, trauma (such as a car accident), infection, surgery, or worse COPD symptoms, adrenal insufficiency can get worse and may cause death. Symptoms include: feeling tired; lack of energy; weakness; nausea and vomiting; low blood pressure.
    • 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 and cataracts. You should have regular eye exams while using BREO.
    • changes in laboratory blood values (sugar, potassium).
  • Common side effects of BREO 100/25 for COPD include:
    • runny nose and sore throat
    • upper respiratory tract infection
    • headache
    • thrush in your mouth or throat. Rinse your mouth with water without swallowing after use to help prevent this

You are encouraged to report negative side effects of prescription drugs to the FDA.

Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.