Pfizer Inc. Helping with a Savings Offer in Smoking Cessation

What is CHANTIX

CHANTIX is a prescription medicine that, along with support, helps adults 18 and over stop smoking. You may benefit from quit-smoking support programs and/or counseling during your quit attempt. It's possible that you might slip up and smoke while taking CHANTIX. If you do, you can stay on CHANTIX and keep trying to quit.

Important Safety Information

Some people have had changes in behavior, hostility, agitation, depressed mood, suicidal thoughts or actions while using CHANTIX to help them quit smoking. Some people had these symptoms when they began taking CHANTIX, and others developed them after several weeks of treatment or after stopping CHANTIX. If you, your family, or caregiver notice agitation, hostility, depression, or changes in behavior, thinking, or mood that are not typical for you, or you develop suicidal thoughts or actions, anxiety, panic, aggression, anger, mania, abnormal sensations, hallucinations, paranoia, or confusion, stop taking CHANTIX and call your doctor right away. Also tell your doctor about any history of depression or other mental health problems before taking CHANTIX, as these symptoms may worsen while taking CHANTIX.

Do not take CHANTIX if you have had a serious allergic or skin reaction to CHANTIX. Some people can have serious skin reactions while taking CHANTIX, some of which can become life-threatening. These can include rash, swelling, redness, and peeling of the skin. Some people can have allergic reactions to CHANTIX, some of which can be life-threatening and include: swelling of the face, mouth, and throat that can cause trouble breathing. If you have these symptoms or have a rash with peeling skin or blisters in your mouth, stop taking CHANTIX and get medical attention right away.

Tell your doctor if you have a history of heart or blood vessel problems before starting CHANTIX, or if you have a history of these problems and have any new or worse symptoms during treatment with CHANTIX. Get emergency medical help right away if you have any symptoms of a heart attack.

The most common side effects of CHANTIX include nausea (30%), sleep problems, constipation, gas and/or vomiting. If you have side effects that bother you or don't go away, tell your doctor. You may have trouble sleeping, vivid, unusual or strange dreams while taking CHANTIX. Use caution driving or operating machinery until you know how CHANTIX may affect you.

CHANTIX should not be taken with other quit-smoking products. You may need a lower dose of CHANTIX if you have kidney problems or get dialysis.

Before starting CHANTIX, tell your doctor if you are pregnant, plan to become pregnant, or if you take insulin, asthma medicines, or blood thinners. Medicines like these may work differently when you quit smoking.

Please see patient Medication Guide.
Please see full Prescribing Information.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit http://www.fda.gov/Safety/MedWatch/default.htm or call 1-800-FDA-1088

*Terms and Conditions

By using this co-pay, you acknowledge that you currently meet the eligibility criteria and will comply with the terms and conditions described below:

This co-pay is not valid for prescriptions that are eligible to be reimbursed, in whole or in part, by Medicaid, Medicare, or other federal or state healthcare programs (including any state prescription drug assistance programs and the Government Health Insurance Plan available in Puerto Rico [formerly known as "La Reforma de Salud”]). This co-pay is not valid for prescriptions that are eligible to be reimbursed by private insurance plans or other health or pharmacy benefit programs that reimburse you for the entire cost of your prescription drugs.

Patients with an out-of-pocket prescription cost of $115 or less will pay $40 maximum per monthly CHANTIX prescription. Patients with an out-of-pocket prescription cost of more than $115 will pay $40 plus any additional difference between $115 and the final prescription cost. For example: a patient who has an out-of-pocket prescription cost of $135 will pay a total of $60 for that prescription ($40 plus $20). All those eligible to use the co-pay can do so on any CHANTIX prescription - it is not limited to the first prescription. Patients are limited to 3 uses of this co-pay within the validity dates. This co-pay is non-transeferable. No membership fees. You must deduct the value of this co-pay from any reimbursement request submitted to your insurance plan, either directly by you or on your behalf. This co-pay is not valid for Massachusetts residents whose prescriptions are covered in whole or in part by third-party insurance, or where otherwise prohibited by law. Co-pay cannot be combined with existing CHANTIX $30 offer coupon.

Activation is required, call 1-800-746-4678 to activate co-pay. This co-pay will be accepted only at participating pharmacies. This co-pay is not health insurance. Pfizer reserves the right to rescind, revoke, or amend this offer without notice. For reimbursement when using a mail order: Pay for the CHANTIX prescription and mail copy of original pharmacy receipt (cash register receipt NOT valid) with product name, date, and amount circled to: CHANTIX Evergreen Program, 6501 Weston Parkway, Suite 370, Cary, NC 27513. Be sure to include a copy of this page, your name, and your mailing address. Offer expires 12/31/12.