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Certain restrictions apply. This card may reduce out-of-pocket expenses. Must be 12 years of age or older to be eligible, and a legal guardian over 18 years of age must redeem the card for patients aged 12 to 17. You are not eligible if you are enrolled or you participate in any state or federally funded health care program (eg, Medicare, Medicaid, etc). Click here for Full Terms and Conditions and Eligibility Requirements or call 1-877-678-7494 between 8:30 ᴀᴍ and 8:30 ᴘᴍ (Eastern), Monday through Friday.
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STEP 1 - CALL
Call us at 1-877-678-7494 from 8:30 am – 8:30 pm (Eastern) Monday – Friday, excluding holidays, if you have questions about co-pay card activation and/or program eligibility.
STEP 2 - ACTIVATE & USE
Once you activate your LEO Pharma® CONNECT Co-Pay Card, simply present it at your pharmacy with your Enstilar® Foam prescription. After the first use, keep your card and take it to the pharmacy each time you fill your Enstilar® Foam prescription.
Terms and Conditions and Eligibility Requirements:
This card is good for use only with a valid prescription for Enstilar® (calcipotriene and betamethasone dipropionate) Foam 0.005%/0.064%, Picato® (ingenol mebutate) gel 0.015%, 0.05%, or Finacea® (azelaic acid) Foam 15%.
This card is valid for up to 12 prescription fills per calendar year, up to a maximum benefit of $6000 per year for Enstilar®, or Picato®, and up to a maximum benefit of $1200 per year for Finacea Foam®.
For patients with commercial health insurance, this card may reduce out-of-pocket expenses.
Offer good only in the USA at participating pharmacies.
Original card must be presented to the pharmacist at the time the prescription is filled. Not valid if reproduced.
Only one card per patient.
The selling, purchasing, trading, or counterfeiting of this card is prohibited by the law.
Card is not transferable.
You must be 18 years of age or older to use this card. If you are under 18, a legal guardian over 18 years of age may access this program on your behalf where permitted by, and consistent with, additional restrictions imposed by law (and subject to any additional age restrictions that relate to each product).
This card is not health insurance.
You are responsible for the use of this card and for complying with reporting obligations, if any, of your insurance plan.
Patient is not eligible to participate in the program or use the card if enrolled in or eligible for any state or federally funded programs, including, but not limited to, Medicare (including Medicare Part D), Medicaid, Medigap, VA, DOD, TriCare, or CHIP.
Offer void where prohibited by law, taxed, or restricted.
Not valid in combination with any other offers, discounts, or programs.
Card has no cash value.
LEO Pharma Inc. reserves the right to rescind, revoke, or amend this offer without notice.
You understand and agree to the terms and conditions as set forth above.
Enstilar® (calcipotriene and betamethasone dipropionate) Foam is a prescription medicine used on the skin (topical) to treat plaque psoriasis in people 12 years of age and older. It is not known if Enstilar Foam is safe and effective in children under 12 years of age.
Enstilar Foam is for use on skin only (topical). Do not get Enstilar Foam near or in your mouth, eyes, or vagina. Avoid using Enstilar Foam on your face, groin, or armpits, or if you have thinning of your skin (atrophy) at the treatment site.
Enstilar Foam is flammable. Avoid fire, flame, and smoking when applying and right after you apply Enstilar Foam.
Enstilar Foam has the appearance of a non-expanding foam that gradually collapses after spraying.
What should I discuss with my healthcare provider before starting Enstilar Foam?
Tell your healthcare provider about all your medical conditions, including if you:
have a calcium metabolism disorder
have thinning skin (atrophy) at the treatment site
are pregnant or plan to become pregnant. It is not known if Enstilar Foam will harm your unborn baby.
are breastfeeding or plan to breastfeed. It is not known if Enstilar Foam passes into your breastmilk.
Tell your healthcare provider about all the medicines you take, including any corticosteroid medicines, any other products containing calcipotriene, and any other prescription and over-the-counter medicines, vitamins and herbal supplements. Do not use other products containing calcipotriene or a corticosteroid medicine without talking to your healthcare provider first.
How should I use Enstilar Foam?
Read the Instructions For Use that comes with Enstilar Foam. There you will find information about how to apply and store Enstilar Foam.
Use Enstilar Foam exactly as your healthcare provider says. Do not use more than 60 grams of Enstilar Foam every 4 days.
Do not use Enstilar Foam for longer than prescribed. Using too much Enstilar Foam or using it too often or for too long can increase your risk for having serious side effects.
Do not bandage or cover the treated skin area, unless instructed by your healthcare provider.
Gently rub in Enstilar Foam to your affected areas. Wash your hands after applying Enstilar Foam unless you are using it to treat your hands.
Apply Enstilar Foam to the affected areas of your skin 1 time a day for up to 4 weeks. You should stop treatment when your plaque psoriasis is under control, unless your healthcare provider gives you other instructions.
What are the possible side effects of Enstilar Foam?
Enstilar Foam may cause serious side effects including:
Too much calcium in your blood or urine and/or adrenal gland problems
Cushing's syndrome, a condition that happens when your body is exposed to too much of the hormone cortisol
High blood sugar and sugar in your urine
Skin problems, including reactions where Enstilar Foam is applied, and allergic reactions (allergic contact dermatitis). Tell your healthcare provider if you have any skin problems including thinning of your skin, pain/burning, inflammation, itching, irritation, dryness, changes in skin color, redness, infection or raised bumps on your skin.
Eye problems: Enstilar Foam may increase your chance of getting cataracts and glaucoma. Do not get Enstilar Foam in your eyes because it may cause irritation. If you accidentally get Enstilar Foam on your face, in your mouth or in your eyes, wash the area with water right away. Tell your healthcare provider if you have blurred vision or get any other vision problems during treatment.
The most common side effects include irritation, itching, inflamed hair pores (folliculitis), changes in skin color, rash with raised red bumps or skin welts (hives) and worsening of your psoriasis. These are not all the possible side effects. Call your healthcare provider for medical advice about side effects.
Where do I learn more?
This summary does not include all the information about Enstilar Foam. Read the information that comes with your prescription every time you have a prescription filled. Talk to your healthcare provider or pharmacist about this information. Your healthcare provider is the best person to help you decide if Enstilar Foam is right for you.
