Terms and Conditions for SOLOSEC® Savings Program

Eligibility Requirements

  • Not valid for any person eligible for reimbursement of prescriptions, in whole or in part, by any state- or federally funded program. This includes Medicare, Medigap, Medicaid, TRICARE®, Veterans Affairs (VA) or Department of Defense (DoD) health coverage, Employer Group Waiver Plans, or where prohibited, taxed or otherwise restricted by law.
  • Must be a US resident.
  • Must be 18 years of age or older to redeem this offer for yourself or a minor.

Terms and Conditions:

  • Offer valid for up to 12 fills.
  • A commercially insured patient with plan coverage for SOLOSEC® may pay as little as $25.
  • Cash-pay patients are eligible to participate and may pay as little as $75. "Cash-pay patient" means an uninsured patient or a patient who has commercial insurance, but SOLOSEC® is not covered on the plan's formulary or has an NDC block, prior authorization, step edit or other restriction that has not been met. Medicare Part D enrollees who are in the prescription drug coverage gap ("donut hole") are not considered and are not eligible for this offer.
  • Patient out-of-pocket costs may vary. Patient is responsible for any remaining balance after offer is applied and applicable taxes, if any.
  • This co-pay card is not valid when the entire cost of a patient's prescription drug is eligible for reimbursement from a private insurance plan or other private health or pharmacy benefit programs.
  • Patient and pharmacy agree not to seek reimbursement for all or any part of the benefit received by the patient through this offer from any third-party payer and are each responsible for making any required reports of use of this offer to any third-party payer who pays any part of the prescription filled.
  • Valid only at participating pharmacies in the US.
  • No other purchase is necessary.
  • This card and offer are not health insurance.
  • The selling, purchasing, trading, or counterfeiting of this offer is prohibited by law. Void if reproduced.
  • Not valid with other offers. This offer has no cash value. No cash back.
  • Lupin Pharmaceuticals, Inc. reserves the right to amend, revoke or terminate this offer without notice.
  • By applying this offer, pharmacist is certifying that (i) the patient meets the eligibility criteria, (ii) you have not submitted and will not submit a claim for reimbursement under any state- or federally funded program for this prescription; (iii) participation is not contrary to pharmacy agreements with third-party payers or laws or regulations applicable to pharmacies.
  • Patient and pharmacist understand and agree to comply with the eligibility requirements and terms and conditions of this offer as described above.
 

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What is SOLOSEC?

SOLOSEC® (secnidazole) 2g oral granules is a prescription medicine used to treat bacterial vaginosis in females 12 years of age and older. SOLOSEC is used to treat Trichomoniasis, a common sexually transmitted infection (STI), in people 12 years of age and older. People taking SOLOSEC for Trichomoniasis should avoid having sex until they and their sex partners are treated with the same dose and at the same time, to prevent reinfection. It is not known if SOLOSEC is safe and effective in children under 12 years of age.

How should I take SOLOSEC?

SOLOSEC is a single-dose therapy for oral use. Use SOLOSEC by sprinkling an entire packet of SOLOSEC onto applesauce, yogurt, or pudding. The entire dose should be taken at once, and finished within 30 minutes. Avoid chewing or crunching the granules. SOLOSEC should not be taken by dissolving the granules in any liquid. Avoid drinking alcohol during treatment with SOLOSEC and for 2 days (48 hours) after you take SOLOSEC.

Important Safety Information

  • You should not use SOLOSEC if you've had an allergic reaction to secnidazole, other ingredients of the formulation, or other nitroimidazole derivatives or have Cockayne syndrome.
  • Before taking SOLOSEC, tell your healthcare provider about all of your medical conditions, including if you
    • Are pregnant or plan to become pregnant.
    • Are breastfeeding or plan to breastfeed. Breastfeeding is not recommended. You should not breastfeed for 96 hours (4 days) after taking SOLOSEC.
  • Vaginal yeast infections may occur with SOLOSEC and require an antifungal treatment.
  • The most common side effects of SOLOSEC include headache, nausea, vomiting, diarrhea, abdominal pain, vaginal itching and a bad, bitter or metallic taste in your mouth (dysgeusia).
  • Take SOLOSEC exactly as your healthcare provider tells you to. Do not take SOLOSEC more often than it is prescribed.

Call your doctor for medical advice on side effects. You are encouraged to report suspected side effects of prescription drugs to FDA at www.fda.gov/MedWatch also at 1-800-FDA-1088 or contact Evofem Biosciences, Inc. at 1-833-EVFMBIO (1-833-383-6246).

Please see full prescribing information for SOLOSEC, available here.

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