Patient Access Card - Save on Sitavig

How to Redeem the Patient Access Card:

  1. Download and print your savings card by clicking on the button below:

  2. Call 1-888-839-0049 to activate the card.
  3. You will be instructed on the lowest co-pay option available to you.
  4. When you fill your Rx, show this savings card to the pharmacist and receive your instant discount. Ask the pharmacist to process your insurance first and this rebate second.
  5. Keep this savings card with you for future refills. The card is valid for 12 uses.

All eligible patients receive savings. Please see eligibility terms below.

Eligibility Terms:

  • This offer is not valid for any person eligible for reimbursement of prescriptions, in whole or in part, by any federal, state, or other governmental programs, including, but not limited to, Medicare (including Medicare Advantage and Part A, B, and D plans), Medicaid, TRICARE, Veterans Administration or Department of Defense health coverage, CHAMPUS, the Puerto Rico Government Health Insurance Plan, or any other federal or state health care programs. This offer is not valid in Massachusetts or Minnesota or where otherwise prohibited, taxed or otherwise restricted.
  • Offer good only in the USA at participating retail pharmacies and cannot be redeemed at government-subsidized clinics.
  • This coupon may be used up to 12 times.
  • Cipher Pharmaceuticals reserves the right to rescind, revoke or amend this offer without notice.
  • The selling, purchasing, trading or counterfeiting of this coupon is prohibited by law.
  • Offer may not be combined with any other rebate, coupon, free trial, or similar offer. Coupon has no cash value. No cash back.
  • Patients understand and agree to comply with the terms and conditions of this offer as set forth here.
Indication & Important Safety Information
INDICATION
Sitavig® (acyclovir), 50mg Muco-Adhesive Buccal Tablet is indicated for the treatment of recurrent herpes labialis (cold sores) in immunocompetent adults.
IMPORTANT SAFETY INFORMATION
  • Sitavig should not be used in patients with known hypersensitivity to acyclovir, milk protein concentrate, or other components of the product.
  • Sitavig has not been studied in pregnant women or in immunocompromised patients and no interaction studies have been performed. Sitavig’s safety and efficacy have not been established in pediatric patients.
  • Sitavig is a Pregnancy Category B product; therefore it should be used during pregnancy only if the potential benefit outweighs the potential risk to the fetus. It is not known if Sitavig is excreted in breast milk; however, systemic absorption is minimal.
  • In a controlled clinical trial Sitavig's most common side effects (greater than or equal to 1%) were: headache (3%), dizziness (1%), lethargy (1%), gingival (gum) pain (1%), aphthous stomatitis (canker sores) (1%), application site pain (1%), application site irritation (1%), erythema (1%) and rash (1%). In the same trial these side effects ranged from 0%-3% for placebo.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch.com or call 1-800-FDA-1088. Click here for Full Prescribing Information.