How To Use Your Card

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See full prescribing information and medication guide for EFFEXOR XR® (venlafaxine HCl) at www.effexorxr.com.
How To Use Your Card

How does the EFFEXOR XR Co-Pay Card work at a retail pharmacy?

Every time you fill your EFFEXOR XR prescription at a retail pharmacy, provide your Co-Pay Card to the pharmacist. Patients who use their card at a pharmacy will pay a minimum of $4 per refill. By using the Card, patients will receive savings of up to $75 per refill. The Card is good for a maximum savings of $1000 per calendar year. Keep your card to use every time you refill your EFFEXOR XR prescription. The card is good until December 31, 2013.

How does the EFFEXOR XR (venlafaxine HCl) Co-Pay Card work for mail-order patients?

Mail-in redemptions have different terms and conditions than pharmacy redemptions. Patients who receive their prescription via a mail-order pharmacy program, for a 90-day supply, will pay the first $10 of the 90-day supply, and Pfizer will pay the remaining amount, up to $225, or the amount of your co-pay, for a maximum savings of $1000 per calendar year. The card is good until December 31, 2013. For a 60-day supply, you will pay the first $8 of the 60-day supply, and Pfizer will pay the remaining amount, up to $150 or the amount of your co-pay, for a total savings of $1000 per calendar year. The card is good until December 31, 2013. For each mail-order supply, you may request reimbursement via a mail-in rebate.

  • Make a copy of your pharmacy receipt (cash register receipt not valid)
  • Circle the product name, date, and price
  • Make a copy of the front of your Co-Pay Card and write your name and address
    at the top
  • Mail these items to the address below:

EFFEXOR XR Co-Pay Card Program
6501 Weston Parkway, Suite 370
Cary, NC 27513

How much will I save?

Patients who use their card at a pharmacy will pay a minimum of $4 per refill. By using the Card, patients will receive savings of up to $75 per refill. The Card is good for a maximum savings of $1000 per calendar year. Patients who receive their prescription via a mail-order pharmacy program, for a 90-day supply, will pay the first $10 of the 90-day supply, and Pfizer will pay the remaining amount, up to $225, or the amount of your co-pay, for a maximum savings of $1000 per calendar year. For a 60-day supply, you will pay the first $8 of the 60-day supply, and Pfizer will pay the remaining amount, up to $150 or the amount of your co-pay, for a total savings of $1000 per calendar year. Keep your card to use every time you refill your EFFEXOR XR prescription. The card is good until December 31, 2013.

Can the pharmacist activate the card for me?

No, the pharmacist cannot activate the Co-Pay Card for you. Cards that require activation will have a sticker on them that will provide activation instructions. Patients will have the option to activate the card by calling 877-775-7246 toll-free or by clicking here. If your card doesn't specifically include an activation message, then no additional steps are required. Remember to hold on to the card and present it to the pharmacist each time you refill your prescription.

I do not have prescription drug coverage or insurance. Can I still participate in the Co-Pay Card offer?

Yes, cash-paying eligible patients can use the Co-Pay Card to purchase EFFEXOR XR (venlafaxine HCl).

What happens after the date on the card has passed?

Once the date on the Co-Pay Card has passed, you can no longer use the card.

Can I use the Co-Pay Card in conjunction with other rebates?

No. The EFFEXOR XR Co-Pay Card cannot be combined with any other rebate, coupon, free trial or similar savings offer on the same prescription

My pharmacist was unable to process my EFFEXOR XR Co-Pay Card. How do I receive my reimbursement?

If you already filled your prescription, you can receive reimbursement via a mail-in rebate.

  • Make a copy of your pharmacy receipt (cash register receipt not valid)
  • Circle the product name, date, and price
  • Make a copy of the front of your Co-Pay Card and write your name and address
    at the top
  • Mail these items to the address below:

EFFEXOR XR Co-Pay Card Program
6501 Weston Parkway, Suite 370
Cary, NC 27513

Can I use this Co-Pay Card for other medications I’m taking?

This Co-Pay Card can only be used for EFFEXOR XR prescriptions.

My Co-Pay Card is damaged. How can I get a new one?

If your card is damaged, you can re-register.

What if I lost my Co-Pay Card? How can I get a new one?

If your card is lost, you can re-register.

Is there a minimum amount of capsules I need to purchase to use the Co-Pay Card?

The minimum capsule quantity for redemption is 30 capsules.

How often can the Co-Pay Card be redeemed?

The EFFEXOR XR Co-Pay Card can be redeemed for each refill up to a maximum benefit of $1000 per calendar year.

How quickly can I use the Co-Pay Card after it is activated?

Once you’ve activated the card, it’ll be ready to use right away, with an EFFEXOR XR prescription.

Terms & Conditions

By using the $4 Co-Pay Commitment Card (the "Card"), you acknowledge that you currently meet the eligibility criteria and will comply with the terms & conditions described below:
  • The Card 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").
  • The Card 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 must be 18 or older.
  • Patients will pay a minimum of $4 per refill. By using the Card, patients will receive savings of up to $75 per refill. The Card is good for a maximum of $1000 per calendar year.
  • You must deduct the value received under this program from any reimbursement request submitted to your insurance plan, either directly by you or on your behalf.
  • The Card 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.
  • The Card cannot be combined with any other rebate or coupon, free trial, or similar offer for the specified prescription.
  • The Card will be accepted only at participating pharmacies.
  • The Card is not health insurance.
  • This offer is good only in the U.S. and Puerto Rico.
  • The Card is limited to 1 per person during this offering period and is not transferable.
  • Pfizer reserves the right to rescind, revoke or amend the program without notice.
  • The Card and Program expire on December 31, 2013.

For questions about this card, please call 877-612-1148.

No membership fees.

Valid from 4/15/2010 to 12/31/2013.

Indications for EFFEXOR XR

EFFEXOR XR (venlafaxine HCl) Extended-Release Capsules are indicated for the treatment, in adults, of Depression, Generalized Anxiety Disorder (GAD), Social Anxiety Disorder (SAD), and Panic Disorder (PD) with or without agoraphobia.

Important Safety Information for EFFEXOR XR

Suicidality and Antidepressant Drugs

Antidepressants increased the risk compared to placebo of suicidal thinking and behavior (suicidality) in children, teens, and young adults. Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. Patients of all ages who are started on antidepressant therapy should be monitored appropriately and observed closely for clinical worsening, suicidality, or unusual changes in behavior. EFFEXOR XR® (venlafaxine HCl) is not approved for use in children and teens.

  • Do not take EFFEXOR XR if you take a Monoamine Oxidase Inhibitor (MAOI) or if you stopped taking an MAOI in the last 2 weeks. Do not take an MAOI within 7 days of stopping EFFEXOR XR. Ask your doctor or pharmacist if you are not sure if your medicine is an MAOI.
  • All patients taking antidepressants should be watched closely for signs that their condition is getting worse or that they are becoming suicidal, especially when they first start therapy, or when their dose is increased or decreased. Patients should also be watched for becoming agitated, irritable, hostile, aggressive, impulsive, or restless. Such symptoms should be reported to the patient’s doctor right away.
  • Before starting EFFEXOR XR, tell your doctor if you’re taking or plan to take any prescription or over-the-counter drugs, including migraine headache medication, herbal preparations, and nutritional supplements, to avoid a potentially life-threatening condition.
  • EFFEXOR XR may raise blood pressure in some patients. Your blood pressure should be controlled before starting treatment and should be monitored regularly.
  • Taking EFFEXOR XR with aspirin, nonsteroidal anti-inflammatory drugs, warfarin, or other drugs that affect coagulation may increase the risk of bleeding events.
  • Mydriasis (prolonged dilation of the pupil of the eye) has been reported with EFFEXOR XR. You should notify your physician if you have a history of glaucoma or increased eye pressure.
  • When people suddenly stop using or quickly lower their daily dose of EFFEXOR XR, discontinuation symptoms may occur. Talk to your doctor before discontinuing or reducing your dose of EFFEXOR XR.
  • Pregnant or nursing women shouldn’t take any antidepressant without consulting their doctor.
  • Until you see how EFFEXOR XR affects you, be careful doing such activities as driving a car or operating machinery. Avoid drinking alcohol while taking EFFEXOR XR.
  • In clinical studies, the most common side effects with EFFEXOR XR (reported in at least 10% of patients and at least twice as often as with placebo) were constipation, dizziness, dry mouth, insomnia, loss of appetite, nausea, nervousness, sexual side effects, sleepiness, sweating, and weakness.

Terms & Conditions

By using the $4 Co-Pay Commitment Card (the "Card"), you acknowledge that you currently meet the eligibility criteria and will comply with the terms & conditions described below:
  • The Card 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").
  • The Card 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 must be 18 or older.
  • Patients will pay a minimum of $4 per refill. By using the Card, patients will receive savings of up to $75 per refill. The Card is good for a maximum of $1000 per calendar year.
  • You must deduct the value received under this program from any reimbursement request submitted to your insurance plan, either directly by you or on your behalf.
  • The Card 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.
  • The Card cannot be combined with any other rebate or coupon, free trial, or similar offer for the specified prescription.
  • The Card will be accepted only at participating pharmacies.
  • The Card is not health insurance.
  • This offer is good only in the U.S. and Puerto Rico.
  • The Card is limited to 1 per person during this offering period and is not transferable.
  • Pfizer reserves the right to rescind, revoke or amend the program without notice.
  • The Card and Program expire on December 31, 2013.

For questions about this card, please call 877-612-1148.

No membership fees.

Valid from 4/15/2010 to 12/31/2013.


Uninsured? Need help paying for Pfizer medicines? Pfizer has programs that can help.
Call 1-866-706-2400 or click here www.PfizerHelpfulAnswers.com