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ORLP12149570
BesuretohaveyourORALAIRcopaycardhandyandtoprovideyourcardinformationwhenconfirming
yourshipmentwithyourspecialtypharmacy.Youcanalsogiveyourcopaycardinformationtoyourallergy
specialisttofaxtoyourspecialtypharmacy.
TolearnmoreaboutORALAIR,gotoORALAIR.com.
PleaseseeImportantSafetyInformationbelowandaccompanyingfullPrescribingInformation,includingBoxed
WarningandMedicationGuide.

Eligibility,restrictions,terms,andconditions
CopaycardforpatientswithvalidprescriptionforORALAIR
Validformostpatientswithcommercialinsurance,aswellasforcashpayingpatients
Commercialinsuredpatientswillreceivesavingstoreducecopayamountto$25
Cashpayingpatientswillreceivesavingsoffofretailpricetoreducecostto$25
Cardvalidfor30dayprescriptions
Cardvalidfor1usepermonth,forupto10uses
CardmaybeusedonlybyeligibleresidentsoftheUnitedStates
Thisofferisnotvalidforpatientscovered,inwholeorinpart,byanystateorfederallyfundedhealthcareorpharmacybenefit
programs,includingbutnotlimitedtoMedicare,Medicaid,VA,TRICARE,oranyqualifiedhealthplanpurchasedonastatebased,
partnership,orfederallyfacilitatedExchange
Thisofferisnotaninsurancebenefit
Nootherpurchaseisnecessary
Eligiblepatientsmayberesponsiblefordeductiblesorotheroutofpocketcosts,dependingontheirspecifichealthcarebenefits
ThisofferwillprovidesavingsinpatientscopaycostforORALAIRonly.Itdoesnotcoveranyotherhealthcareproviderchargesor
anyothertreatmentcosts
Patient,pharmacist,andprescriberagreenottoseekreimbursementforalloranypartofthebenefitreceivedbythepatientthroughthis
offer
Patientisresponsibleforreportingreceiptofcopayassistancetoanyinsurer,healthplan,orotherthirdpartywhopaysforor
reimbursesanypartoftheprescriptionfilledusingthecopaycard,asmayberequired
Thisofferisnontransferrable.Nosubstitutionsarepermitted.Thisoffercannotbecombinedwithanyothercoupon,rebate,freetrial,
discount,prescriptionsavingscard,orotheroffer
Itisillegaltosell,purchase,trade,orcounterfeit,oroffertosell,purchase,trade,orcounterfeit,thecoupon.Voidifreproduced.Void
whereprohibitedbylaw,taxed,orrestricted
GREERreservestherighttorescind,revoke,amend,orterminatethisofferortheprograminitsentiretyatanytime

INDICATION
ORALAIRisaprescriptionmedicineusedforsublingual(underthetongue)immunotherapyprescribedtotreatsneezing,runnyoritchynose,
nasalcongestionoritchyandwateryeyesduetoallergytothesegrasspollens.ORALAIRmaybeprescribedforpeople10to65yearsold
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8/5/2015

https://surveys.arthritisconnect.com/arthritisguide

whosedoctorhasconfirmedareallergictoanyofthesegrasspollens.

IMPORTANTSAFETYINFORMATION
ORALAIRcancausesevereallergicreactionsthatmaybelifethreatening.SymptomsofallergicreactionstoORALAIRinclude:
Troublebreathing
Throattightnessorswelling
Troubleswallowingorspeaking
Dizzinessorfainting
Rapidorweakheartbeat
Severestomachcrampsorpain,vomiting,ordiarrhea
Severeflushingoritchingoftheskin
Ifanyofthesesymptomsoccur,stoptakingORALAIRandimmediatelyseekmedicalcare.ForhomeadministrationofORALAIR,your
doctorshouldprescribeautoinjectableepinephrineforyoutokeepathomefortreatingaseverereaction,shouldoneoccur.Yourdoctor
willtrainandinstructyouontheproperuseofautoinjectableepinephrine.
DonottakeORALAIRifyouoryourchild:
Hassevere,unstable,oruncontrolledasthma
Hadasevereallergicreactioninthepastthatincludedtroublebreathing,dizzinessorfainting,orrapidorweakheartbeat
Haseverhaddifficultywithbreathingduetoswellingofthethroatorupperairwayafterusinganysublingualimmunotherapybefore
Haseverbeendiagnosedwitheosinophilicesophagitisor
IsallergictoanyoftheinactiveingredientscontainedinORALAIR.
StoptakingORALAIRandcontactyourdoctorifyouoryourchildhasanymouthsurgeryprocedures(suchastoothremoval),developsany
mouthinfections,ulcersorcutsinthemouthorthroat,orhasheartburn,difficultyswallowing,painwithswallowing,orchestpainthatdoesnot
goawayorworsens.
Inchildrenandadults,themostcommonlyreportedsideeffectswereitchingofthemouth,lips,tongueorthroat.Thesesideeffects,by
themselves,arenotdangerousorlifethreatening.
YoumayreportsideeffectstotheFDAat1800FDA1088orwww.fda.gov/medwatch.
TalktoyourdoctorbeforeusingORALAIRwhilepregnantorbreastfeeding.
PleaseseefullPrescribingInformation,includingBoxedWarningandMedicationGuide,foradditionalimportantsafetyinformation.

AllmaterialandcontenthereinCopyright2015GREER.Nomaterialfromthiswebsitemaybeused,reproduced
orcopiedinwholeorinpartwithoutwrittenpermissionfromGREER.AllRightsReservedWorldwide.ORALAIR
isaregisteredtrademarkofSTALLERGENESS.A.AllPointsAllergyisatrademarkofGREER.

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