Activate Your EFFEXOR XR® (venlafaxine HCl) Choice Card | Safety Info

Activate a Card

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ACTIVATE YOUR EFFEXOR XR CHOICE CARD BY ENTERING THE ID NUMBER FOUND ON THE FRONT.

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FIRST THINGS FIRST—LET'S MAKE SURE YOU ARE ELIGIBLE FOR THE EFFEXOR XR CHOICE CARD

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To help you stay on track, we may provide refill reminders when you have an upcoming refill or are late refilling your prescription. We may also send communication providing tips on how to make refilling your prescription easier. If you'd like these reminders, please provide your email address below.
SMS Terms & Conditions: By agreeing to these EFFEXOR XR Rx Mobile Program (“Program”) text message Terms and Conditions, you agree to receive text messages on your mobile device subject to the terms & conditions described below. You also consent to receive autodialed and/or pre-recorded calls and/or text messages from or on behalf of EFFEXOR XR at the telephone number provided above. I understand that this consent is not a condition of purchase or use of EFFEXOR XR or of any Pfizer product or service.
  • Participants will receive an average of 1-3 text messages each month while enrolled in the Program. Texts will be delivered based on each participant’s pharmacy refill cycle.
  • There is no fee payable to Pfizer to receive text messages; however, your carrier’s message and data rates may apply.
  • Data obtained from you in connection with your registration for, and use of, this SMS service may include your phone number and/or email address, related carrier information, and elements of pharmacy claim information and will be used to administer this program and to provide program benefits such as information about your prescription, refill reminders, as well as program updates and alerts.
  • Pfizer will not be liable for any delays in the receipt of any SMS messages as delivery is subject to effective transmission from your network operator.
  • This program is valid with most major US carriers, including: The service is available on these US carriers only: Verizon Wireless, Sprint, Nextel, Boost, T-Mobile®, AT&T, Alltel, ACS Wireless, Bluegrass Cellular, Carolina West Wireless, CellCom, Cellular One of East Central Illinois (ECIT), Cincinnati Bell, Cricket, C-Spire Wireless, Duet IP (AKA Max/Benton/Albany), Element Mobile, Epic Touch, GCI Communications, Golden State, Hawkeye (Chat Mobility), Hawkeye (NW Missouri Cellular), Illinois Valley Cellular (IVC), Inland Cellular, iWireless, Keystone Wireless (Immix/PC Management), MetroPCS, MobiPCS, Mosaic, MTPCS/Cellular One (Cellone Nation), Nex-Tech Wireless, nTelos, Panhandle Telecommunications, Pioneer, Plateau, Revol Wireless, Rina-Custer, Rina-All West, Rina- Cambridge Telecom Coop, Rina-Eagle Valley Comm, Rina-Farmers Mutual Telephone Co, Rina-Nucla Nutria Telephone Co, Rina-Silver Star, Rina-South Central Comm, Rina-Syringa, Rina- UBET, Rina-Manti, Simmetry, South Canaan/CellularOne of NEPA, Thumb Cellular, Union Wireless, United Wireless, U.S. Cellular, Viaero Wireless, Virgin Mobile, West Central Wireless (includes Five Star Wireless).
  • Pfizer reserves the right to rescind, revoke or amend the EFFEXOR XR Mobile Program without notice at any time.
  • You can unsubscribe from the program by texting STOP. For questions about this program, text HELP or contact the customer support center at 1-800-725-4125.
Pfizer understands your personal and health information are private. The information you provide will only be used by Pfizer and parties acting on its behalf to send you the materials you requested and other helpful information and updates on EFFEXOR XR and/or high depression, generalized anxiety disorder (GAD), panic disorder (PD), and social anxiety disorder (SAD), as well as related treatments, products, offers, and services.
By clicking this activation button, you agree to the Terms and Conditions below.
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Terms and Conditions

By using the EFFEXOR XR Choice Card (the "Card"), you attest that you meet the eligibility criteria and will comply with the Terms and Conditions described below:

You will pay $4 for a 30-day supply (30 tablets) if: you use commercial/private insurance and your out-of-pocket expense for a 30-day supply of brand-name EFFEXOR XR
is $130 or less.

You will pay $30 for a 30-day supply (30 tablets) if: you do not use prescription health coverage to purchase your brand-name EFFEXOR XR under this program or you use commercial/private insurance and your out-of-pocket expense for a 30-day supply of brand-name EFFEXOR XR is $130 or more. In addition:

  • a) Medicare Part D patients may participate in this Card Program, but cannot use any part of their Medicare Part D prescription benefit for EFFEXOR XR during the term of this offer
  • b) Out-of-pocket expenditures under this Card Program cannot be applied towards a patient’s Medicare Part D true out of pocket (TrOOP) expenses
  • c) Patients participating in this category cannot seek reimbursement for a purchase of EFFEXOR XR from any third party insurance entity during the term of this offer

This offer is not valid for prescriptions that are eligible to be reimbursed, in whole or in part, by Medicaid 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"]).

For all eligible patients, you can only qualify for up to $2500 of savings per calendar year. After a maximum of $2500, you will pay usual monthly out-of-pocket costs.

This Card cannot be combined with any other rebate/coupon, free trial, discount, prescription savings card, or similar offer for the specified prescription.

The Card will be accepted only at participating pharmacies.

This Card is not health insurance.

Offer valid only in the U.S. and Puerto Rico, but not for Massachusetts residents or where otherwise prohibited by law.

The Card is limited to 1 use per person per month during this offering period and is not transferable. It is illegal to sell, purchase, trade, or counterfeit, or offer to sell, purchase, trade, or counterfeit this Card.

Pfizer reserves the right to rescind, revoke or amend the Card Program without notice at any time.

You must be 18 or older to participate in this Program.

Card Program expires December 31, 2016.

No membership fees.

For questions about this card, please call 1-855-488-0749, visit EffexorXR.com or write to the address below.

For reimbursement when using mail order, mail copy of original pharmacy receipt (cash register receipt NOT valid) with product name, date and amount circled to:

EFFEXOR XR Choice Card
14001 Weston Parkway, Suite 103
Cary, NC 27513-9967

Be sure to include a copy of the front of your Choice Card, your name and mailing address.

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EFFEXOR XR is available in different dosage strengths (37.5 mg, 75 mg, and 150 mg).

Indications

EFFEXOR XR Extended-Release Capsules are prescription medicine 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

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 is not approved for use in children and teens.

  • Do not take EFFEXOR XR if you currently take, or have taken within the last 14 days, any medicine known as an MAOI such as linezolid or methylene blue. 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.
  • Some people are at risk for visual problems such as eye pain, changes in vision, or swelling or redness around the eye. You may want to undergo an eye examination to see if you are at risk and get preventative treatment if you are.
  • 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.

Patients should always ask their doctors for medical advice about adverse events.

You may report an adverse event related to Pfizer products by calling 1-800-438-1985 (US only). If you prefer, you may contact the U.S. Food and Drug Administration (FDA) directly. The FDA has established a reporting service known as MedWatch where health care professionals and consumers can report serious problems they suspect may be associated with the drugs and medical devices they prescribe, dispense, or use. Visit MedWatch or call 1-800-FDA-1088.

Please see Full Prescribing Information, including BOXED WARNING, and Medication Guide for EFFEXOR XR.

Terms and Conditions

By using the EFFEXOR XR Choice Card (the "Card"), you attest that you meet the eligibility criteria and will comply with the Terms and Conditions described below:

You will pay $4 for a 30-day supply (30 tablets) if: you use commercial/private insurance and your out-of-pocket expense for a 30-day supply of brand-name EFFEXOR XR
is $130 or less.

You will pay $30 for a 30-day supply (30 tablets) if: you do not use prescription health coverage to purchase your brand-name EFFEXOR XR under this program or you use commercial/private insurance and your out-of-pocket expense for a 30-day supply of brand-name EFFEXOR XR is $130 or more. In addition:

  • a) Medicare Part D patients may participate in this Card Program, but cannot use any part of their Medicare Part D prescription benefit for EFFEXOR XR during the term of this offer
  • b) Out-of-pocket expenditures under this Card Program cannot be applied towards a patient’s Medicare Part D true out of pocket (TrOOP) expenses
  • c) Patients participating in this category cannot seek reimbursement for a purchase of EFFEXOR XR from any third party insurance entity during the term of this offer

This offer is not valid for prescriptions that are eligible to be reimbursed, in whole or in part, by Medicaid 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"]).

For all eligible patients, you can only qualify for up to $2500 of savings per calendar year. After a maximum of $2500, you will pay usual monthly out-of-pocket costs.

This Card cannot be combined with any other rebate/coupon, free trial, discount, prescription savings card, or similar offer for the specified prescription.

The Card will be accepted only at participating pharmacies.

This Card is not health insurance.

Offer valid only in the U.S. and Puerto Rico, but not for Massachusetts residents or where otherwise prohibited by law.

The Card is limited to 1 use per person per month during this offering period and is not transferable. It is illegal to sell, purchase, trade, or counterfeit, or offer to sell, purchase, trade, or counterfeit this Card.

Pfizer reserves the right to rescind, revoke or amend the Card Program without notice at any time.

You must be 18 or older to participate in this Program.

Card Program expires December 31, 2016.

No membership fees.

For questions about this card, please call 1-855-488-0749, visit EffexorXR.com or write to the address below.

For reimbursement when using mail order, mail copy of original pharmacy receipt (cash register receipt NOT valid) with product name, date and amount circled to:

EFFEXOR XR Choice Card
14001 Weston Parkway, Suite 103
Cary, NC 27513-9967

Be sure to include a copy of the front of your Choice Card, your name and mailing address.