Treat your cold sores with XERESE
†Compared to 26% with placebo. Randomized study of 1,443 treated patients.
‡When compared with Placebo. Randomized study of 1,443 treated patients.
Talk to your healthcare provider if your cold sore is not better in 2 weeks.
*BRING THIS COUPON TO YOUR PHARMACIST FOR COPAY SAVINGS.
TO THE PATIENT:
You must present this coupon along with your prescription to participate in this program. You must activate this coupon before using by calling 1-855-202-3279, texting “RXSAVE” to 26729, or by visiting https://copaysavingsprogram.com/110/ortho-dermatologics. By texting RXSAVE to 26729, you agree to receive recurring automated Ortho Dermatologics Rx Access copay savings program messages. Consent to receiving SMS messages is not a condition of purchase of goods or services. Message and data rates may apply. Message frequency varies. Reply HELP for help. Text STOP to opt out. Mobile Terms of Service: ortho-dermatologics.copaysavingsprogram.com/sms-terms Privacy Policy: bauschhealth.com/privacy.
When you use this coupon you are certifying that you understand and agree to the program rules, regulations, eligibility requirements, and terms and conditions.
This offer is not valid for any person eligible for reimbursement of prescriptions, in whole or in part, by any federal, state, or other governmental programs, including, but not limited to, Medicare (including Medicare Advantage and Part A, B, and D plans), Medicaid, TRICARE, Veterans Administration or Department of Defense health coverage, CHAMPUS, the Puerto Rico Government Health Insurance Plan, or any other federal or state health care programs or for anyone 65 years of age or older without commercial insurance.
TO THE PHARMACIST:
When you use this coupon, you are certifying that you have not submitted and will not submit a claim for reimbursement under any federal, state, or other governmental programs for this prescription.
Submit the claim to the primary Third Party Payer first, then submit the balance due to SS&C Health as a Secondary Payer as a copay only billing using BIN 019158 and a valid Other Coverage Code (e.g. 8). Reimbursement will be received from SS&C Health.
Cash paying patients, submit this claim to DST Pharmacy Solutions using BIN 019158. A valid Other Coverage Code (e.g. 1) is required.
For any questions regarding SS&C Health online processing, please call the Help Desk at 1-844-373-0987.
This offer is only valid for patients with commercial insurance and eligible uninsured patients.
Cash Discount Cards and other non-insurance plans are not valid as primary under this offer. If the patient is eligible for drug benefits under any such program, the patient cannot use this offer.
When you use this coupon you are certifying that you have not submitted and will not submit a claim for reimbursement under any federal, state, or other governmental programs, including, but not limited to, Medicare (including Medicare Advantage and Part A, B, and D plans), Medicaid, TRICARE, Veterans Administration or Department of Defense health coverage, CHAMPUS, the Puerto Rico Government Health Insurance Plan, or any other federal or state health care programs. This offer is not valid for any person eligible for reimbursement of prescriptions in whole or in part, by any of these programs.
By accepting this coupon and submitting claims for any of the products specified herein you agree to the program terms and conditions, which are posted at www.orthorxaccess.com.
This offer is good only in the United States of America (including the District of Columbia, Puerto Rico and the U.S. Virgin Islands) at retail pharmacies owned and operated by Walgreen Co. (or its affiliates) and other participating independent retail pharmacies. This offer is not valid in Massachusetts or Minnesota or where otherwise prohibited, taxed, or otherwise restricted. This offer is not valid for redemption in the State of California or by any resident of the State of California with regard to any product for which a therapeutically equivalent generic product is available.
This offer is not valid for any person that is 65 years of age or older without commercial insurance. Participants must be 18 years of age or older to redeem this offer for him/herself or a minor. Ortho Dermatologics’ affiliated entities reserve the right to rescind, revoke, terminate, or amend this offer at any time, without notice.
Indication
XERESE® (acyclovir and hydrocortisone) cream 5%/1% is a prescription medicine used in patients ages 6 and older to lessen the healing time of cold sores (herpes labialis) and lessen the chance of a cold sore becoming worse (ulcerating). It should be used early, at the first sign of a cold sore.
Important safety information
- XERESE is for cold sores on lips and around the mouth only and should not be used in eyes, mouth, nose or on genitals. Use exactly as directed by your healthcare provider.
- XERESE is not a cure for cold sores.
- It is not known if XERESE is safe for or works in children younger than 6 years old.
- The safety of XERESE is unknown in women who are pregnant or breast-feeding, or in patients with a weak immune system (become sick very easily). Tell your healthcare provider about these or any other medical conditions you have before using XERESE.
- Do not cover the cold sore or the area around the cold sore with a bandage.
- Do not use other skin products (such as make-up, sun screen or lip balm) or other skin medicine on the cold sore or the area around the cold sore.
- Talk to your healthcare provider if your cold sore is not better in 2 weeks.
- The most common side effects of XERESE are: drying or flaking of the skin, tingling or burning after applying it, redness of the skin and swelling or changes in skin color where the cream is applied. These are not all the possible side effects of XERESE. Tell your healthcare provider if you have any side effect that bothers you or that does not go away.
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.
Click here for full Prescribing Information.
INDICATION
XERESE® (acyclovir and hydrocortisone) cream 5%/1% is a prescription medicine used in patients ages 6 and older to lessen the healing time of cold sores (herpes labialis) and lessen the chance of a cold sore becoming worse (ulcerating). It should be used early, at the first sign of a cold sore.
Important safety information
- XERESE is for cold sores on lips and around the mouth only and should not be used in eyes, mouth, nose or on genitals. Use exactly as directed by your healthcare provider.
- XERESE is not a cure for cold sores.
- It is not known if XERESE is safe for or works in children younger than 6 years old.
- The safety of XERESE is unknown in women who are pregnant or breast-feeding, or in patients with a weak immune system (become sick very easily). Tell your healthcare provider about these or any other medical conditions you have before using XERESE.
- Do not cover the cold sore or the area around the cold sore with a bandage.
- Do not use other skin products (such as make-up, sun screen or lip balm) or other skin medicine on the cold sore or the area around the cold sore.
- Talk to your healthcare provider if your cold sore is not better in 2 weeks.
- The most common side effects of XERESE are: drying or flaking of the skin, tingling or burning after applying it, redness of the skin and swelling or changes in skin color where the cream is applied. These are not all the possible side effects of XERESE. Tell your healthcare provider if you have any side effect that bothers you or that does not go away.
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.
Click here for full Prescribing Information.