Fight the virus and the inflammation

Instant Savings Offer

†Compared with 26% on placebo. Randomized study of 1443 treated patients.

‡Compared with placebo. Randomized study of 1443 treated patients.

*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 visiting xeresesavings.com, calling 1-866-686-0122, or texting “XERESE” to 54969. By texting XERESE to 54969, you will receive a link to activate the copay savings card via SMS. 1 msg per activation. Msg. & data rates may apply. Msg. frequency varies. For SMS Terms, visit https://xerese.copaysavingsprogram.com/smsterms and for Privacy Policy, visit https://www.bauschhealth.com/privacy. OraPharma is a subsidiary of Bausch Health.

This offer is only valid for patients who have commercial insurance, and for cash-pay patients who are 65 years of age or younger and do not have any insurance. Patients with government insurance are not eligible. Maximum benefits and number of uses apply. For more information on maximum benefits and number of uses please visit www.xerese.com or call 1-866-686-0122. When you use this coupon you are certifying that you are an eligible patient and understand and agree to abide by 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. OraPharma reserves the right to rescind, revoke, or amend this offer at any time without notice. This offer expires on December 31, 2021.

TO THE PHARMACIST:
This offer is only valid for patients who have commercial insurance, and for cash-pay patients who are 65 years of age or younger and do not have any insurance. Patients with government insurance are not eligible. Maximum benefits and number of uses apply.

For eligible patients who have commercial insurance, 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 DST Pharmacy Solutions.

For eligible cash paying patients who are 65 years of age or younger and do not have any insurance, submit the claim to SS&C Health using BIN 019158. A valid Other Coverage Code (e.g. 1) is required.

For any questions regarding DST Pharmacy Solutions online processing, please call 1-844-373-0987. 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 process this coupon you are certifying that that the patient is eligible under this program and 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.

By accepting this coupon and submitting claims, you also agree to all other program terms and conditions, which are posted at www.xerese.com.

OraPharma reserves the right to rescind, revoke, terminate, or amend this offer at any time without notice. This offer expires on December 31, 2021.

Indication

XERESE® (acyclovir and hydrocortisone) cream 5%/1% is indicated for the early treatment of recurrent herpes labialis (cold sores) to reduce the likelihood of ulcerative cold sores and to shorten the lesion healing time in patients 6 years of age and older.

Important safety information

  • XERESE (acyclovir and hydrocortisone) cream 5%/1% is intended for cutaneous use only, on the lips and around the mouth. XERESE should not be used in the eye, inside the mouth or nose, or on the genitals.
  • Systemic exposure to acyclovir and hydrocortisone following topical administration is minimal. However, caution should be exercised when XERESE is administered to women who are pregnant or nursing. The benefit of XERESE has not been adequately assessed in immunocompromised patients.
  • XERESE has a potential for irritation and contact sensitization.
  • In clinical trials, the most common adverse reactions in the area of the application site included drying or flaking of the skin; burning or tingling following application; erythema; pigmentation changes; application site reaction including signs and symptoms of inflammation. Each event occurred in less than 1% of patients.
  • Patients should be encouraged to seek medical advice when a cold sore fails to heal within 2 weeks.

To report SUSPECTED ADVERSE REACTIONS, contact Bausch Health LLC at 1-800-321-4576 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Click here for full Prescribing Information.

 

REFERENCE: 1. XERESE® (acyclovir and hydrocortisone) cream 5%/1% Prescribing Information. August 2020.

XERESE® (acyclovir and hydrocortisone) cream 5%/1% is indicated for the early treatment of recurrent herpes labialis (cold sores) to reduce the likelihood of ulcerative cold sores and to shorten the lesion healing time in patients 6 years of age and older.
 

Important Safety Information


INDICATION

XERESE® (acyclovir and hydrocortisone) cream 5%/1% is indicated for the early treatment of recurrent herpes labialis (cold sores) to reduce the likelihood of ulcerative cold sores and to shorten the lesion healing time in patients 6 years of age and older.

Important safety information
  • XERESE (acyclovir and hydrocortisone) cream 5%/1% is intended for cutaneous use only, on the lips and around the mouth. XERESE should not be used in the eye, inside the mouth or nose, or on the genitals.
  • Systemic exposure to acyclovir and hydrocortisone following topical administration is minimal. However, caution should be exercised when XERESE is administered to women who are pregnant or nursing. The benefit of XERESE has not been adequately assessed in immunocompromised patients.
  • XERESE has a potential for irritation and contact sensitization.
  • In clinical trials, the most common adverse reactions in the area of the application site included drying or flaking of the skin; burning or tingling following application; erythema; pigmentation changes; application site reaction including signs and symptoms of inflammation. Each event occurred in less than 1% of patients.
  • Patients should be encouraged to seek medical advice when a cold sore fails to heal within 2 weeks.

To report SUSPECTED ADVERSE REACTIONS, contact Bausch Health LLC at 1-800-321-4576 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Click here for full Prescribing Information.