IMPORTANT SAFETY INFORMATION
Quillivant XR is a federally controlled substance (CII) because it can be abused or lead to dependence. Keep Quillivant XR in a safe place to prevent misuse and abuse. Selling or giving away Quillivant XR may harm others and is against the law. Tell your doctor if you or your child have (or have a family history of) ever abused or been dependent on alcohol, prescription medicines, or street drugs.
Quillivant XR should not be taken if you or your child are allergic to methylphenidate hydrochloride, or any of the ingredients in Quillivant XR, or are taking or have taken within the past 14 days an antidepression medicine called a monoamine oxidase inhibitor or MAOI.
Heart-related problems have been reported with methylphenidate hydrochloride and other stimulant medications:
- Sudden death in patients who have heart problems or heart defects
- Stroke and heart attack in adults
- Increased blood pressure and heart rate
Your doctor should check your or your child’s blood pressure and heart rate regularly during treatment with Quillivant XR.
Mental (psychiatric) problems can be caused or worsened by methylphenidate hydrochloride and other stimulant medications:
- New or worse behavior or thought problems
- New or worsening bipolar symptoms
- New or worsening psychotic symptoms (such as hearing voices, believing things that are not true, are suspicious)
Call your doctor right away if you or your child have any heart-related symptoms such as chest pain, shortness of breath or fainting or new or worsening mental (psychiatric) symptomsor new manic symptoms while taking Quillivant XR.
Quillivant XR may not be right for you. Tell your doctor if:
- You or your child have heart problems, heart defects, or high blood pressure
- You or your child have mental problems including psychosis (hearing voices, believing things that are not true, suspicious), mania, bipolar illness, or depression or about a family history of suicide, bipolar illness or depression
- You are pregnant or plan to become pregnant. It is not known if Quillivant XR will harm your unborn baby. Talk to your doctor if you are pregnant or plan to become pregnant
- You are breastfeeding or plan to breast feed. Quillivant XR passes into your breast milk. You and your doctor should decide if you will take Quillivant XR or breast feed
Possible serious side effects of Quillivant XR are heart-related problems and mental problems, as well as slowing of growth (height and weight) in children. Children should have their height and weight checked often while taking Quillivant XR. Quillivant XR treatment may be stopped if a problem is found during these check-ups.
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Talk to your doctor if you or your child have side effects that are bothersome or do not go away.
This is not a complete list of possible side effects. Ask your doctor or pharmacist for more information.
INDICATION
Quillivant XR is a central nervous system (CNS) stimulant prescription medicine. Quillivant XR is used for the treatment of Attention Deficit Hyperactivity Disorder (ADHD).Quillivant XR may help increase attention and decrease impulsiveness and hyperactivity in patients with ADHD.
This co-pay card is not health insurance. The co-pay card is only accepted at participating pharmacies. For any questions, please call 1-800-932-4371, or write: Pfizer, ATTN: Quillivant XR, PO Box 2249, Morrisville, PA 19067-8049. No membership fees required. Savings limited to $100 per 30 days for up to 12 uses within the program term. Card may be used once every 30 days. The maximum limit is $1200 per year or the amount of the co-pay you paid, whichever is less.
IMPORTANT SAFETY INFORMATION
Quillivant XR is a federally controlled substance (CII) because it can be abused or lead to dependence. Keep Quillivant XR in a safe place to prevent misuse and abuse. Selling or giving away Quillivant XR may harm others and is against the law. Tell your doctor if you or your child have (or have a family history of) ever abused or been dependent on alcohol, prescription medicines, or street drugs.
Quillivant XR should not be taken if you or your child are allergic to methylphenidate hydrochloride, or any of the ingredients in Quillivant XR, or are taking or have taken within the past 14 days an antidepression medicine called a monoamine oxidase inhibitor or MAOI.
Heart-related problems have been reported with methylphenidate hydrochloride and other stimulant medications:
- Sudden death in patients who have heart problems or heart defects
- Stroke and heart attack in adults
- Increased blood pressure and heart rate
Your doctor should check your or your child’s blood pressure and heart rate regularly during treatment with Quillivant XR.
Mental (psychiatric) problems can be caused or worsened by methylphenidate hydrochloride and other stimulant medications:
- New or worse behavior or thought problems
- New or worsening bipolar symptoms
- New or worsening psychotic symptoms (such as hearing voices, believing things that are not true, are suspicious)
Call your doctor right away if you or your child have any heart-related symptoms such as chest pain, shortness of breath or fainting or new or worsening mental (psychiatric) symptoms or new manic symptoms while taking Quillivant XR.
Quillivant XR may not be right for you. Tell your doctor if:
- You or your child have heart problems, heart defects, or high blood pressure
- You or your child have mental problems including psychosis (hearing voices, believing things that are not true, are suspicious), mania, bipolar illness, or depression or about a family history of suicide, bipolar illness or depression
- You are pregnant or plan to become pregnant. It is not known if Quillivant XR will harm your unborn baby. Talk to your doctor if you are pregnant or plan to become pregnant
- You are breastfeeding or plan to breast feed. Quillivant XR passes into your breast milk. You and your doctor should decide if you will take Quillivant XR or breast feed
Possible serious side effects of Quillivant XR are heart-related problems and mental problems, as well as slowing of growth (height and weight) in children. Children should have their height and weight checked often while taking Quillivant XR. Quillivant XR treatment may be stopped if a problem is found during these check-ups.
| Common side effects include: | ||||||||||||||||||||
|
Talk to your doctor if you or your child have side effects that are bothersome or do not go away.
This is not a complete list of possible side effects. Ask your doctor or pharmacist for more information.
INDICATION
Quillivant XR is a central nervous system (CNS) stimulant prescription medicine. Quillivant XR is used for the treatment of Attention Deficit Hyperactivity Disorder (ADHD). Quillivant XR may help increase attention and decrease impulsiveness and hyperactivity in patients with ADHD.
This co-pay card is not health insurance. The co-pay card is only accepted at participating pharmacies. For any questions, please call 1-800-932-4371, or write: Pfizer, ATTN: Quillivant XR, PO Box 2249, Morrisville, PA 19067-8049. No membership fees required. Savings limited to $100 per 30 days for up to 12 uses within the program term. Card may be used once every 30 days. The maximum limit is $1200 per year or the amount of the co-pay you paid, whichever is less.
TERMS AND CONDITIONS
By using the Quillivant XR $20 Co-pay Card, you acknowledge that you currently meet the eligibility criteria and will comply with the Terms and Conditions described below:
- Co-pay cards are 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”])
- Co-pay cards are 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
- Insureds must be 18 or older; patients must be 6 or older
- By using a co-pay card, a patient may pay only $20 per prescription. Savings provided by each co-pay card are limited to $100 per 30 days. Each co-pay card may be used once every 30 days for up to twelve (12) uses within the program term
- Each patient is limited to one active co-pay card at a time during this offering period and the co-pay cards are not transferable
- 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 co-pay card cannot be combined with any other rebate or coupon, free trial, or similar offer for the specified prescription
- The co-pay card will be accepted only at participating pharmacies
- The co-pay card is not health insurance
- This offer is good only in the United States and Puerto Rico
- Pfizer reserves the right to rescind, revoke, or amend the co-pay card without notice
- Offer valid from 1/1/13 to 12/31/13. No membership fees apply
For help with the Quillivant XR $20 Co-pay Card, call 1-800-932-4371, or write:
Pfizer, ATTN: Quillivant XR
PO Box 2249
Morrisville, PA 19067-8049
www.pfizer.com
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Please see full Prescribing Information and Medication Guide, including BOXED WARNING regarding Abuse and Dependence.
Pfizer Helpful Answers® may be able to help, regardless of your insurance situation.
Learn how at www.PHAHelps.com
The health information contained herein is provided for educational purposes only and is not intended to replace discussions with a health care provider.
All decisions regarding patient care must be made with a health care provider, considering the unique characteristics of the patient.
The product information provided in this site is intended only for residents of the United States. The products discussed herein may have different product labeling in different countries.