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JANUVIA® (sitagliptin) tablets are widely available on most insurance plans.?
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JANUVIA works to lower blood sugar in 2 ways. Talk to your doctor about JANUVIA today.
Decreases
Increases Sugar Made
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JANUVIA (jah-NEW-vee-ah) should not be used in patients with type 1 diabetes
or with diabetic ketoacidosis (increased ketones in the blood or urine). If you have
had pancreatitis (inflammation of the pancreas), it is not known if you have a higher
chance of getting it while taking JANUVIA.
Selected Risk Information About JANUVIA
Serious side effects can happen in people who take JANUVIA, including pancreatitis,
which may be severe and lead to death. Before you start taking JANUVIA, tell your
doctor if you've ever had pancreatitis. Stop taking JANUVIA and call your doctor right
away if you have pain in your stomach area (abdomen) that is severe and will not go
away. The pain may be felt going from your abdomen through to your back. The pain
may happen with or without vomiting. These may be symptoms of pancreatitis.
Do not take JANUVIA if you are allergic to any of its ingredients, including sitagliptin.
Symptoms of serious allergic reactions to JANUVIA, including rash, hives, and swelling
of the face, lips, tongue, and throat that may cause difficulty breathing or swallowing,
can occur. If you have any symptoms of a serious allergic reaction, stop taking
JANUVIA and call your doctor right away.
Formulary data provided by Pinsonault Associates, LLC, April 2012
Please read the Medication Guide on the adjacent page for more detailed information.
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Copyright © 2012 Merck Sharp & Dohme Corp., & subsiciary of Merck & Co, Ine. Al rights reserved. DIAB-1033462-0002 08/12
sTerms and conditions apply. Please see next page. S
| Eligible patients may receive a free 30-day trial supply of JANUVIA® (sitagliptin) tablets. ~ Smogme oo
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' JANUVIA is a prescription medication. Only your health care provider can decide if JANUVIA is right for you.
I How this voucher works: : 2
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o There is no requiremen ase any or service o receive your free 30-day trial supply of JANUVIA.
| e Restrictions apply. Please see Terms and Conditions on the back of this voucher. i
i « Expiration Date: 06/30/2013 J (J/’
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! your panenw tri'mmnmu taking JANUVIA beyond the free trial period, please write a separate prescription based m’.fi"’
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© JANUVIA is a once-daily prescription pill that helps your body increase the insulin made in your
pancreas and decrease the sugar made in your liver.
* Along with diet and exercise, JANUVIA helps lower blood sugar levels in adults with type 2 diabetes.
* By itself, JANUVIA is not likely to cause weight gain or low blood sugar (hypoglycemia).
Kidney problems, sometimes requiring dialysis, have been reported.
If you take JANUVIA with another medicine that can cause low blood sugar
(hypoglycemia), such as a sulfonylurea or insulin, your risk of getting low blood
sugar is higher. The dose of your sulfonylurea medicine or insulin may need to be
lowered while you use JANUVIA. Signs and symptoms of low blood sugar may include
headache, drowsiness, weakness, dizziness, confusion, irritability, hunger, fast
heartbeat, sweating, and feeling jittery.
Your doctor may do blood tests before and during treatment with JANUVIA to see how
well your kidneys are working. Based on these results, your doctor may change your
dose of JANUVIA. The most common side effects of JANUVIA are upper respiratory
tract infection, stuffy or runny nose and sore throat, and headache.
Call 1-888-JANUVIA or visit www.jJanuvia.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.
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* Eligible mn take this voucher and the prescription to any participating eligible retail pharmacy to receive their free 1
30-day trial supply. !
* For additional copies of the Prescribing Information, call 800-672-6372, visit www.Januvia.com, or contact your Merck :
representative. .
Pharmacist i W
Only 1 voucher may be used per patient. Voucher may not be transferred to another patient. '
« There is no requirement for patient to purchase any product or service and refills are not required. 1
* Please ;:nuu that the medication and dosage strength selected match the medication and dosage strength on the :
prescription. =
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For all other prescriptions, please use the patient’s primary method of payment and a new Rx number, 1
*By processing this voucher, you agree that no claim for payment or reimbursement may be submitted for the free trial !
supply to any patient or any mird-pml saw inctuding federal or state health care prugiams (Medicaid, Meaicare :
fincluding true outof-pocket expense (TIOOP}, or any oher stae o federal medicalor pharmaceutica beneft or i)
?iurmnmmcll assistance m:,ylm), private insurers, and health or pharmacy m-fi;'z:ns. H
© For auditing purposes, a copy of this voucher must be attached'to the original prescription and retained by the pharmacy, 1
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By accepting this voucher, you agree to the terms hereof. :
oo dnm‘ claim forms will be processed. '
RBINNo: 610524 _ RxPCN: 1016 _ RxGroup: 40026500 _ Issuer: (80840) D 054636543 |
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Januviar
(sitagliptin) tablets