Pay No More Than $0

How to Redeem the Sitavig Patient Access Card – Pay No More Than $0:

  1. Download and print your savings card by clicking on the button below:
  2. 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.
  3. Keep this savings card with you for future refills. The card is valid for 12 uses.

All eligible patients receive savings. Please see reverse side for terms and conditions.

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.
How Sitavig Works
How to Apply Sitavig
Get Sitavig Prescritions Delivered to Your Home
Indication & Important Safety Information
INDICATION
Sitavig® (acyclovir) 50 mg buccal tablet is indicated for
the treatment of recurrent herpes labialis (cold sores) in immunocompetent
adults.

IMPORTANT SAFETY INFORMATION

  • Sitavig® (acyclovir) 50 mg buccal tablet should not be used in patients with known hypersensitivity to acyclovir, milk protein concentrate, or any other component of the product.
  • Sitavig has not been studied in immunocompromised patients. No interaction studies have been performed. Sitavig’s safety and efficacy have not been established in pediatric patients.
  • There are no available data on Sitavig use in pregnant women. However, published observational studies over decades of use of acyclovir have not identified a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes. It is not known if Sitavig is excreted in breast milk; however, systemic exposure following buccal administration of acyclovir is minimal. Before administration, discuss if the patient is lactating or planning to breastfeed.
  • The possibility of viral resistance to acyclovir should be considered in patients who fail to respond or experience recurrent viral shedding during therapy.
  • In a controlled clinical trial, the most common side effects (greater than or equal to 1%) for Sitavig 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 (redness) (1%), and rash (1%). In the same trial, these side effects ranged from 0% to 3% for placebo.

You are encouraged to report negative side effects of prescription
drugs to the FDA. Call
1-800-FDA-1088 or visit www.fda.gov/medwatch.

Please see Full Prescribing Information.