About OMNARIS (ciclesonide) Nasal Spray

Enroll in the OMNARIS Relief Is Here Program, and you’ll pay only $11 every time you fill your OMNARIS prescription — up to 12 times per year.* That's like getting OMNARIS prescription medicine for your nasal allergy symptom relief for the price of a generic!

 

How many times can I refill my OMNARIS prescription for $11?
Do I need to get a new Relief Is Here card after 12 OMNARIS refills?
I lost my Relief Is Here card. What should I do?
I use a mail-order pharmacy for my prescriptions. Can I still get OMNARIS for $11?
Can I begin using my card right away after I sign up for the program?
Can I use my card to get a discount on my son’s prescription as well as my own?
What are the full Relief Is Here Program rules?

How many times can I refill my OMNARIS prescription for $11 with the Relief Is Here card?
Your Relief Is Here Card is good for up to 12 fills or refills per calendar year. Each time you use your card to refill your OMNARIS prescription, your copay will be reduced to $11.*

Do I need to get a new Relief Is Here card after 12 OMNARIS refills?
No. Your card “resets” on January 1st of each year, allowing you a reduced copay on up to 12 fills/refills for the upcoming year. You can just keep using the same card for up to 12 prescription fills per calendar year.

I lost my Relief Is Here card. What should I do?
If you're refilling at the same pharmacy where you've used your card before, they should have your information on file and your copay will automatically be reduced. If you need another card for a refill at a different pharmacy, you may reprint your card here, or call 1-866-278-9738 between the hours of 8:00 am and 8:00 pm Eastern Time, Monday through Friday, and we’ll send you a new card in the mail.

I use a mail-order pharmacy for my prescriptions. Can I still get OMNARIS for $11?
Check with your mail-order pharmacy to see if they accept loyalty cards such as the Relief Is Here card (most of them do). If they do, all you need to do is submit a photocopy of your card along with your prescription and insurance card information.

For mail-order pharmacies that do not accept loyalty cards, we will reimburse you for the difference so that you are still getting OMNARIS for $11. Call 1-866-278-9738 to request a form that you can fill out and return to us, along with a copy of your receipt. We will then issue you a check.

Can I begin using my card right away after I sign up for the program?
It takes about 30 minutes for your membership to process after you sign up or activate your card, either online or by phone. After 30 minutes, you will be able to get your discount on OMNARIS Nasal Spray.

Can I use my card to get a discount on my son’s prescription as well as my own?
No. Each person must enroll in the program and have their own card. A parent or guardian must enroll in the OMNARISRelief Is Here Program on behalf of a patient under 18 years of age. To get the discount on both prescriptions, you would need to present both your card and your son’s card at the pharmacy.

Program Rules: Patient Eligibility, Terms, and Conditions

Valid only for qualified customers with a valid prescription for OMNARIS Nasal Spray. No substitutions permitted.

A parent or guardian must enroll in the OMNARIS Relief Is Here Program on behalf of a patient under 18 years of age.

Not valid for prescriptions covered or paid for by Medicare (including true out-of-pocket expenses under Medicare Part D), Medicaid, or any other federal or state healthcare programs, such as state pharmaceutical assistance programs.

Not valid for patients who are Medicare eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees (ie, you are eligible for Medicare Part D but receive a prescription drug benefit through a former employer).

The OMNARIS Relief Is Here card is void in Massachusetts.

Your discount with the OMNARIS Relief Is Here card is valid to reduce your copay to $11 with a maximum reduction of $50 per prescription. Discount available on up to twelve (12) prescription fills for OMNARIS per calendar year.

Your acceptance of this offer must be consistent with the terms of any drug benefit provided by a health insurer, health plan, or other third-party payor, and you agree to report acceptance of this offer to your health insurer, health plan, or third-party payor as may be required.

Offer limited to one card per person, and may not be used with any other discount, coupon, or offer.

Only an original OMNARIS Relief Is Here card or web-generated paper card will be accepted and must be presented to your pharmacist at the time you have the prescription filled — not valid if reproduced.

Offer valid only in the United States. Void where prohibited by law, taxed, or restricted.

Sunovion Pharmaceuticals Inc. reserves the right to change or discontinue this offer at any time without notice.

By participating in this program you the patient certify that: (a) you have read the above terms; (b) you are not reimbursed, nor will you submit a claim for reimbursement, nor will you seek to have any portion of this prescription counted toward your out-of-pocket costs (eg, TrOOP) under any federal, state, or private programs for this or other prescriptions for OMNARIS Nasal Spray to which this offer will apply; and (c) you will otherwise comply with the terms above.

Using mail-order pharmacies                  

Check with your mail-order pharmacy to see if they accept loyalty cards such as the Relief Is Here card (most of them do). If they do, all you need to do is submit a photocopy of your card along with your prescription and insurance card information.

For mail-order pharmacies that do not accept loyalty cards, we will reimburse you for the difference so that you are still getting OMNARIS for $11. Call 1-866-278-9738 to request a form that you can fill out and return to us, along with a copy of your receipt. We will then issue you a check.

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Symptom relief begins within 24-48 hours after the first dose.

OMNARIS (ciclesonide) Nasal Spray is for the treatment of nasal allergy symptoms associated with seasonal allergic rhinitis (seasonal allergies) in adults and children 6 years of age and older, and with perennial allergic rhinitis (year-round allergies) in adults and adolescents 12 and older.

Important Safety Information

Patients using corticosteroid drugs that weaken the immune system are more susceptible to infection and should avoid exposure to chickenpox or measles. If you have tuberculosis, eye herpes, or untreated infections of any kind, speak to your doctor before using OMNARIS. Yeast infections of the nose and throat may occur.

Patients who have recently had an ulcer in the nose, trauma to the nose or nasal surgery should not use OMNARIS until healing has occurred. Rare instances of nasal irritation and eye problems have been reported following the use of nasal steroids. Talk with your doctor if you have a history of eye problems or experience a change in vision.

Patients taking higher doses of a nasal steroid than recommended, or certain other at-risk individuals, may experience symptoms of a hormonal imbalance, including very rarely changes in menstruation, acne, and weight gain. Like all steroid nasal sprays, OMNARIS may cause slowed growth in children. The growth of children using OMNARIS should be monitored routinely by a healthcare professional.

The most common side effects that may occur with OMNARIS are headache, nosebleed, sore throat and ear pain.

The health information contained on this website is provided for educational purposes only and is not intended to replace discussions with a healthcare professional. The product discussed on this site may have different product labeling in different countries. All decisions regarding patient care must be made with a healthcare professional, considering the unique characteristics of the patient.

For more information, please see the OMNARIS Full Prescribing Information and the OMNARIS Patient's Instructions for Use.

OMNARIS is available by prescription. Ask your healthcare professional if OMNARIS is right for you. 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.

The health information contained on this website is provided for educational purposes only and is not intended to replace discussions with a healthcare professional. This site is intended for U.S. residents only. The product discussed on this site may have different product labeling in different countries. All decisions regarding patient care must be made with a healthcare professional, considering the unique characteristics of the patient.

© 2011 Sunovion Pharmaceuticals Inc. is a U.S. subsidiary of Dainippon Sumitomo Pharma Co. Ltd., and is a registered trademark of Dainippon Sumitomo Pharma Co. Ltd.
OMNARIS is a registered trademark of Nycomed GmbH, used with permission.