1 2 3 4<!DOCTYPE html> 5<!--[if lt IE 7]> <html class="no-js lt-ie9 lt-ie8 lt-ie7"> <![endif]--> 6<!--[if IE 7]> <html class="no-js lt-ie9 lt-ie8"> <![endif]--> 7<!--[if IE 8]> <html class="no-js lt-ie9"> <![endif]--> 8<!--[if gt IE 8]><!--> 9<html class="no-js" lang="en"> 10<!--<![endif]--> 11<head> 12<link href="https://cdn.relpax.com/-/media/Feature/24Column-Custom-Grid/24Column-Custom-Grid/Styles/bootstrap-grid-24.css?rev=c6b9886dc8954c3491ec509b7a9fda72" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Base-Themes/Core-Libraries/styles/mediaelementplayer.css?rev=48d80d5597624188ad7ce93f135bf629" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Base-Themes/Core-Libraries/styles/mediaelementplayer-legacy.css?rev=72af485b4a7f40c58effab26a9730fd2" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Base-Themes/Core-Libraries/styles/font-awesomemin.css?rev=9fc5b7e15ee14858b7bd482213bbf1a4" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Base-Themes/Core-Libraries/styles/fullcalendar.css?rev=88e8658e1dd340548224a5c29298cbdc" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Base-Themes/Core-Libraries/styles/jquerymCustomScrollbar.css?rev=04da3381aa834525b87b802c63f5eba4" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Base-Themes/Core-Libraries/styles/jquery-ui.css?rev=c3ac5ba728124304ad3c6c2ee5e68818" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Base-Themes/Main-Theme/styles/author.css?rev=00afc172b8f44c19a29a75a806e0c50d" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Base-Themes/Main-Theme/styles/core.css?rev=49fe991acc2d48398a517f1c04ac2274" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Base-Themes/Main-Theme/styles/file-type-icons.css?rev=989fc01464d844479e85038d082d5809" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Base-Themes/Main-Theme/styles/grayscale-mode.css?rev=f6fe87e74ae4445bb474ceb8320d5104" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Base-Themes/Main-Theme/styles/reset.css?rev=5ff58f1a439048ddb88c56aba67a5789" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Themes/Common/RelpaxCom/RelpaxCom/styles/about.css?rev=b0140a6fc4484644b176904ae5a4c1e2" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Themes/Common/RelpaxCom/RelpaxCom/styles/ada-theme.css?rev=cb73dcedf9b64df2a39cf97e563f93d8" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Themes/Common/RelpaxCom/RelpaxCom/styles/forms.css?rev=a73c547b37604629b68438fedb0429b2" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Themes/Common/RelpaxCom/RelpaxCom/styles/scrollbar.css?rev=a5d0b508839e48d2af8ef4b42be7b9c6" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Themes/Common/RelpaxCom/RelpaxCom/styles/faq.css?rev=ab65bf0ed55e4edd98d268f7b44c6e39" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Themes/Common/RelpaxCom/RelpaxCom/styles/interstitials.css?rev=3bcca60f0a4d4969a90c6a758c896a94" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Themes/Common/RelpaxCom/RelpaxCom/styles/jquery-uimin.css?rev=3bb79ce799154739b9589073c6bb2354" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Themes/Common/RelpaxCom/RelpaxCom/styles/style.css?rev=02c31f283e30410481b820f01857e0a9" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Themes/Common/RelpaxCom/RelpaxCom/styles/relpax-mobile-isi.css?rev=2cf3f9c6e2a0417b93282e32536c48b4" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Themes/Common/RelpaxCom/RelpaxCom/styles/relpax_subpages.css?rev=b41c5746ecc641ed89099b6eeee64ace" rel="stylesheet" /><link href="https://cdn.relpax.com/-/media/Themes/Common/RelpaxCom/RelpaxCom/styles/relpax-responsive.css?rev=f602bb4ae0bb41cea8a71452addca306" rel="stylesheet" /> 13 14<!-- Google Tag Manager -->
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19 20<!-- End Google Tag Manager --> 21 22 23 24 <title>Savings Card | RELPAX® (eletriptan HBr) Card</title> 25 26 27<link rel="canonical" href="//www.relpax.com/Savings" /> 28 29 30 31 <link href="https://cdn.relpax.com/-/media/Project/Common/Viatris/favicon_32x32.jpg?rev=ac39339732b54a3eaa36bf3b7cdfe984" rel="shortcut icon" /> 32 33 34 35 36<meta property="og:title" content="Savings" /><meta property="og:url" content="https://www.relpax.com/Savings" /> 37 38 39 40<meta name="description" content="Request the RELPAX® (eletriptan HBr) Savings Card, for eligible patients to save on their next prescription. See the risks and benefits." /> 41 42 43 44<meta property="twitter:title" content="Savings" /><meta property="twitter:card" content="summary_large_image" /> 45 46 <meta name="viewport" content="width=device-width, initial-scale=1"/> 47 48
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50 51<div class="component plain-html"> 52 <div class="component-content"> 53 </div> 54</div> 55</head> 56<body class="savings default-device bodyclass"> 57 58<!-- Google Tag Manager (noscript) -->
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61<!-- End Google Tag Manager (noscript) --> 62 63<!-- #wrapper --> 64<div id="wrapper"> 65 <!-- #header --> 66 <header> 67 <div id="header" class="container-fluid"> 68 <div class="row"> 69 70 71 <div class="component header without-secondary-menu"> 72 <div class="component-content"> 73<div><div class="component accessibility headerStrip"> 74<div class="container"> 75<div class="row"> 76<div class="col24-24 col24-md-24"> 77<ul> 78<li><a href="#content" id="skiptocontent">Skip to Main Content</a> 79</li> 80<li class="fontResize"> 81<div class="textResizeWrapper" id="accessControl"> 82<input class="fontScaler smallFont" aria-label="Resize Text - Small" title="Resize Text - Small" type="submit" value="A-"> 83<input class="fontScaler normalFont current" aria-label="Resize Text - Medium" title="Resize Text - Medium" type="submit" value="A"> 84<input class="fontScaler largeFont" aria-label="Resize Text - Large" title="Resize Text - Large" type="submit" value="A+"> 85 86</div> 87</li> 88</ul> 89</div> 90</div> 91</div> 92</div></div><div class="top-menu-bar"><div class="container"><div class="row"><div class="col24-md-4"><a class="pfizer-logo" href="https://www.viatris.com/en" target="_blank"><img src="https://cdn.relpax.com/-/media/Project/Common/RelpaxCom/Images/viatris_logo_header.png?h=33&iar=0&w=125&rev=e24c877074b948d39fd102ee10d3f497&hash=6D3F0CD3A33995A008DD75ABA6343928" alt="" width="125" height="33" data-variantitemid="{E1328105-F4EF-4FC7-BF2B-80F8E3E561A5}" data-variantfieldname="Country Flag Image" /></a><div class="top-menu-arrow"></div></div><div class="col24-md-20"><div class="top-menu-nav"><ul><li><a class="indication-tooltip" href="javascript:relpaxEmptyFun();" id="indication-toot-tip">Indication</a><a class="tooltiptext field-url" id="tooltiptext" href="javascript:relpaxEmptyFun();">RELPAX<sup>®</sup> (eletriptan HBr) is indicated for the acute treatment of migraine with or without aura in adults. RELPAX should only be used where a clear diagnosis of migraine has been established. RELPAX is not for the prevention of migraines or other types of headaches, including cluster headache.</a></li><li><a href="/en/safety-info">Important Safety Information</a></li><li><a href="https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=2a501dbd-3ea8-47e4-9fcb-07035b8c8c9e&type=display" target="_blank">Prescribing Information</a></li><li><a href="https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=2a501dbd-3ea8-47e4-9fcb-07035b8c8c9e&type=display#PPI" target="_blank">Patient Information</a></li><li><a href="https://www.viatrisconnectus.com/en-US/Viatris-Prescription-Medicines/relpax" target="_blank" id="hcp_popup" class="relpax-external-link" aria-label="Switch to Healthcare professional website">Healthcare Professionals</a></li><li><a href="javascript:openpop();" aria-label="Sign up for more information">Sign Up</a></li></ul></div></div></div></div></div><div class="header-middle-section"><div class="container"><div class="row"><div class="col24-md-14"><div class="main-logo"><a class="logo" href="/en"><img src="https://cdn.relpax.com/-/media/Project/Common/RelpaxCom/Images/relpax_gen_40mg_4c_1.png?h=85&iar=0&w=256&rev=7c2e337e29854d3cb8b26f9596ef62df&hash=7C87E10C78070AFB8B6E810189EF2AEE" alt="RELPAX (eletriptan HBr) home" width="256" height="85" data-variantitemid="{C24DA1A6-14C9-4B20-A0B0-4E35424C9749}" data-variantfieldname="Logo Image" title="RELPAX (eletriptan HBr) home" /></a></div></div><div class="col24-md-6"><div class="offer-card"><div class="row"> 93 94<div class="component image file-type-icon-media-link" id="mobile-savings-image"> 95 <div class="component-content"> 96<a title="Relpax Savings card" href="/Savings"><img src="https://cdn.relpax.com/-/media/Project/Common/RelpaxCom/Images/relpax_savings_card_0.png?h=742&iar=0&w=1175&rev=4dd9359b6de14640a4609a204ecb0ab5&hash=A6FEBB23F300B4DB59A14C0C72DC7288" alt="RELPAX Savings Card" width="1175" height="742" data-variantitemid="{F418B3A7-2765-4E35-B4A2-D56CF7B4B10E}" data-variantfieldname="Image" title="RELPAX Savings Card" /></a><span class="image-caption field-imagecaption"></span> </div> 97</div> 98 99 100<div class="component image file-type-icon-media-link" id="mobile-savings-image"> 101 <div class="component-content">
102<a title="Relpax Savings card mobile" href="/Savings"><img src="https://cdn.relpax.com/-/media/Project/Common/RelpaxCom/Images/Savings.png?h=73&iar=0&w=100&rev=cae3e65179d5451fbc86f9a21bbe9833&hash=DB48A23F342EE94A83B1ED572C3381F3" alt="Savings mobile icon" width="100" height="73" data-variantitemid="{BB5F0CF5-EA6A-4069-9823-01A47229BD65}" data-variantfieldname="Image" /></a><span class="image-caption field-imagecaption"></span> </div> 103</div> 104</div></div></div><div class="col24-md-4"><div class="ada-block"><!--<div class="row"> 105 <div class="col24-md-12 ada-fonts"> 106 <span class="ada-text-small"><a href="">-A</a></span> <span class="ada-text-normal"><a href="">A</a></span> <span class="ada-text-big"><a href="">A+</a></span> 107 </div> 108 <div class="col24-md-12"><div class="lang"><a href="">French</a></div> </div> 109 </div>--></div><div class="savings-text-block"><div class="row"> 110<div class="component plain-html col24-xs-24"> 111 <div class="component-content"> 112<div class="savings-div"> 113 <div class="savings-left-links"> 114 <a aria-label="Relpax Savings " title="Relpax Savings " class="savings-link" href="/savings" 115 sc:linkname="SAVINGS">SAVINGS</a> 116 <a class="terms-link" href="/savings-terms" 117 aria-label="Click to know more about Savings card terms and conditions" 118 title="Click to know more about Savings card terms and conditions" 119 sc:linkname="Terms and conditions apply.">Terms and conditions apply.</a> 120 </div> 121 <div class="savings-right-links"> 122 <div class="icon-images-links"> 123 <a href="#" class="mobile-icon" aria-label="Mobile device text message" onclick="return false;"><img 124 src="~/media/Project/Common/RelpaxCom/Images/Savings Images/saving_mobile" 125 data-src="~/media/Project/Common/RelpaxCom/Images/Savings Images/savings-text-icon" 126 class="lazy-loaded" alt="Mobile device text message icon" 127 title="Mobile device text message"></a> 128 <a href="/savings#download-form" class="download-icon" aria-label="Download"><img 129 src="~/media/Project/Common/RelpaxCom/Images/Savings Images/saving_download" 130 data-src="~/media/Project/Common/RelpaxCom/Images/Savings Images/savings-download-icon" 131 class="lazy-loaded" alt="Download icon" title="Download"></a> 132 <a href="/savings#email-form" class="email-icon" aria-label="Email"><img 133 src="~/media/Project/Common/RelpaxCom/Images/Savings Images/saving_email" 134 data-src="~/media/Project/Common/RelpaxCom/Images/Savings Images/savings-email-icon" 135 class="lazy-loaded" alt="Email icon" title="Email"></a> 136 </div> 137 </div> 138</div> 139 140
141<script> 142 $(document).ready(function () { 143 $(".frm-skip-link").click(function () { 144 $("#signup-form-load").hide(); 145 $('#interstitial-overlay').hide(); 146 $('body').removeClass('open-popup'); 147 if (localStorage.getItem('popState') != 'shown') { 148 localStorage.setItem('popState', 'shown'); 149 } 150 }); 151 }); 152</script>
152 </div> 153</div></div></div></div></div></div></div><div class="main-menu-section"><div class="container"><div class="row"><div class="col24-24"><ul class="menu menu-4-links" id="rm-no-id-1"> 154 155 156 <li> 157 158 <a class="about-relpax" data-ga-location='MenuHead' href="/en/about-relpax"> 159ABOUT</a> 160 161 </li> 162 163 164 165 <li> 166 167 <a class="savings" data-ga-location='MenuHead' href="/en/savings"> 168SAVINGS</a> 169 170 </li> 171 172 173 174 <li> 175 176 <a class="faqs" data-ga-location='MenuHead' href="/en/faqs"> 177FAQs</a> 178 179 </li> 180 181 182 183 <li> 184 185 <a class="resources" data-ga-location='MenuHead' href="/en/resources"> 186RESOURCES</a> 187 188 </li> 189 190 191 192 193</ul><div class="nav-toggle"> 194 <span class="icon-bar"></span> 195 <span class="icon-bar"></span> 196 <span class="icon-bar"></span> 197 </div></div></div></div></div> </div> 198 </div> 199</div> 200 </div> 201 </header> 202 <!-- /#header --> 203 <!-- #content --> 204 <main> 205 <div id="content" class="container-fluid"> 206 <div class="row"> 207 208 209<div class="row component column-splitter"> 210 <div class=" col-md-8 col24-md-18 col24-xl-18"> 211 <div class="row"> 212 <div class="component content-detail sitecore-form col24-xs-24"> 213 <div class="component-content"> 214<div class="row"><div class="Saving-forms"><h1 class="form-title field-headline">SEE HOW TO SAVE ON RELPAX</h1><div class="saving-card-div-section"><p class="get-a-card-info field-body-copy"><div class="savings-hero"> 215 <div class="savings-img"> 216 <div> 217 <a href="##"" class="saving-links"> 218 <img alt="Mobile device text message" title="Mobile device text message" height="101" width="101" src="https://cdn.relpax.com/-/media/Project/Common/RelpaxCom/Images/Savings-Images/savings-text-icon.png?rev=e3dcb3b1a5844263a941d843a9bc99b3&hash=9FF372A6C2772E7873CE280CF7C5A5AA" /> 219 <div class="field-item even">Text</div> 220 </a> 221 </div> 222 <div> 223 <a href="/savings#download-form" class="saving-links"> 224 <img alt="Download" title="Download" height="99" width="99" src="https://cdn.relpax.com/-/media/Project/Common/RelpaxCom/Images/Savings-Images/savings-download-icon.png?rev=62656e6e742e4e20a667c5bae167b643&hash=C232B1B00D05469321BDABAF4FB140BC" /> 225 <div class="field-item even">Download</div> 226 </a> 227 </div> 228 <div> 229 <a href="/savings#email-form" class="saving-links"> 230 <img alt="Email" title="Email" height="101" width="101" src="https://cdn.relpax.com/-/media/Project/Common/RelpaxCom/Images/Savings-Images/savings-email-icon.png?rev=e780248cfd8044388ecb1e0bb336cfd1&hash=0A1A2CE5FD2C5C977AB39A52E2E589FC" /> 231 <div class="field-item even">Email</div> 232 </a> 233 </div> 234 </div> 235 236 237</div></p><p class="saving-card-img field-image"><img src="https://cdn.relpax.com/-/media/Project/Common/RelpaxCom/Images/relpaxsavingscard_angled_0.png?h=177&iar=0&w=239&rev=fa9e9c930c5f45b5b12f94ad686a2c34&hash=562CBC80CAE15D90A56DBC45B87C6C0D" alt="Relpax Savings card" width="239" height="177" data-variantitemid="{66B03B6D-0EC8-41A5-B38C-59245F726B1B}" data-variantfieldname="Image" title="Relpax Savings card" /></p></div><div class="field-highlight-text"><div class="saving-with-text"> 238<p class="get-a-card-info field-body-copy">With the RELPAX Savings Card, you may pay as little as $4 for each 30-day fill of brand-name RELPAX.<sup class="star">*</sup></p> 239 240</div> 241<p class="small"><sup class="star">*</sup>Eligible commercially insured patients may save up to $3,000 a year. Savings Card only works on brand-name RELPAX. <br /><a href="/savings-terms" sc:linkname="Terms and Conditions apply">Terms and Conditions apply</a>.</p> 242</div></div></div> </div> 243 </div> 244 245 <div class="component Content-Teaser" id="download-form"> 246 <div class="component-content"> 247<div class="main-content" id="content-wrapper"><div class="Image-title-wrapper"><div class="field-image"><img src="https://cdn.relpax.com/-/media/Project/Common/RelpaxCom/Images/Savings-Images/savings-download-icon.png?h=99&iar=0&w=99&rev=62656e6e742e4e20a667c5bae167b643&hash=1E0F189F84AC58E9B3063E6033335942" alt="" width="99" height="99" data-variantitemid="{AEE5CD21-32F4-4D41-A544-AA963F4CCEB0}" data-variantfieldname="Image" /></div><h2 class="field-headline">DOWNLOAD YOUR SAVINGS CARD</h2></div></div><div class="field-teaser-copy"></div> </div> 248 </div> 249 250 <div class="component Content-Teaser" id="email-form"> 251 <div class="component-content"> 252<div class="main-content" id="content-wrapper"><div class="Image-title-wrapper"><div class="field-image"><img src="https://cdn.relpax.com/-/media/Project/Common/RelpaxCom/Images/Savings-Images/savings-email-icon.png?h=101&iar=0&w=101&rev=e780248cfd8044388ecb1e0bb336cfd1&hash=22ED048744596028151BFB115B1B1F6C" alt="" width="101" height="101" data-variantitemid="{3AA94A80-9048-4C49-8F02-93FDC5C017CB}" data-variantfieldname="Image" /></div><h2 class="field-headline">EMAIL YOUR SAVINGS CARD</h2></div></div><div class="field-teaser-copy"></div> </div> 253 </div>
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253 254 255<script src="https://www.google.com/recaptcha/api.js" async defer></script>
256<form id="MylaninRequest" enctype="multipart/form-data"> 257 <p class="error_engage" style="color:red;margin:10px;"></p> 258 259 <div class="savings-form-step1"> 260 <div class="form-check bmarginCS row align-items-center"> 261 <div class="col24-24 col24-md-24"> 262 <input type="checkbox" class="form-check-input" id="saving-checkbox"> 263 <label class="form-check-label" for="saving-checkbox">By checking this box, I confirm that:</label> 264 </div> 265 <span class="error paddingCS" id="errorchk">You must check this box to continue.</span> 266 </div> 267 <ul> 268 <li>I do not have insurance from any Federal Healthcare Program (including Medicare, Medicaid, TRICARE, or any other state or federal medical pharmaceutical benefit program or pharmaceutical assistance program)</li> 269 <li>Myself and my spouse/partner are not both over age 65 and retired</li> 270 <li>I do not receive Social Security Disability Insurance (SSDI) or any other Social Security Administration (SSA) benefits</li> 271 <!-- <li>Neither myself, my spouse nor my parents are on active military duty and if so, I am not covered by their military health insurance</li> 272 <li>I do not have End-Stage Renal Disease (ESRD)</li>--> 273 <li>I do not receive health insurance through the military</li> 274 <li>I am over the age of 18</li> 275 <li>I agree to the <a href="/Savings-terms">Terms and Conditions</a></li> 276</ul> 277 <p class="saving-allfields-required"> 278 <em>All fields are required.</em> 279 </p> 280 <div class="form-group row"> 281 <div class="col24-24 col24-md-12"> 282 <label for="FirstName">First Name</label> 283 <input Name="FirstName" class="form-control regkey-press QtAlpha" id="FirstName" maxlength="40" name="FirstName" type="text" value="" /> 284 <span class="error" id="errorf">Please enter your first name.</span> 285 </div> 286 <div class="col24-24 col24-md-12"> 287 <label for="LastName">Last Name</label> 288 <input Name="LastName" class="form-control regkey-press QtAlpha" id="LastName" maxlength="40" name="LastName" type="text" value="" /> 289 <span class="error" id="errorl">Please enter your last name.</span> 290 </div> 291 </div> 292 293 <div class="form-group"> 294 <label for="WebDigitalEmailID">Email Address</label> 295 <input Name="WebDigitalEmailID" autocomplete="username" class="form-control regkey-press" id="WebDigitalEmailID" name="WebDigitalEmailID" type="text" value="" /> 296 <span class="error" id="errore">Please enter your email address.</span> 297 <span class="error" id="erroreinvalid">Please enter a valid email address.</span> 298 </div> 299 300 <div class="form-group"> 301 <label for="ZIPCode">ZIP Code</label> 302 <input Name="ZIPCode" autocomplete="username" class="form-control regkey-press QtNo" id="ZIPCode" maxlength="5" name="ZIPCode" type="text" value="" /> 303 <input Name="ProductName" class="form-control hide" id="ProductName" name="ProductName" type="hidden" value="Relpa
303x" /> 304 <input Name="ProductCode" class="form-control hide" id="ProductCode" name="ProductCode" type="hidden" value="RE" /> 305 <input Name="CaptureSource" class="form-control hide" id="CaptureSource" name="CaptureSource" type="hidden" value="Web" /> 306 <input Name="MailingCountry" class="form-control hide" id="MailingCountry" name="MailingCountry" type="hidden" value="United States" /> 307 <input Name="ConsentCaptureDateFormat" class="form-control hide" id="ConsentCaptureDateFormat" name="ConsentCaptureDateFormat" type="hidden" value="yyyy-MM-dd" /> 308 <input Name="ConsentCaptureDateTimeZone" class="form-control hide" id="ConsentCaptureDateTimeZone" name="ConsentCaptureDateTimeZone" type="hidden" value="Eastern Standard Time" /> 309 <input Name="ProgramID" class="form-control hide" id="ProgramID" name="ProgramID" type="hidden" value="" /> 310 <input Name="MedCode" class="form-control hide" id="MedCode" name="MedCode" type="hidden" value="RPX" /> 311 <input Name="Trigger" class="form-control hide" id="Trigger" name="Trigger" type="hidden" value="RPXWEB4A" /> 312 313 <label for="AcxiomEnabled" class="hide">.</label> 314 <input Name="AcxiomEnabled" class="form-control hide" id="AcxiomEnabled" name="AcxiomEnabled" type="checkbox" value="true" /><input name="AcxiomEnabled" type="hidden" value="false" /> 315 <label for="EngagedMediaEnabled" class="hide">.</label> 316 <input Name="EngagedMediaEnabled" checked="checked" class="form-control hide" id="EngagedMediaEnabled" name="EngagedMediaEnabled" type="checkbox" value="true" /><input name="EngagedMediaEnabled" type="hidden" value="false" /> 317 <span class="error" id="errorz">
317Please enter a valid ZIP code.</span> 318 </div> 319 <div class="form-group"> 320 <div class="g-recaptcha" data-sitekey='6LeCbnYdAAAAAM4lVzGUqxtJNV_tEw2o3Lnz7rIc'></div> 321 <span class="error" id="erroreinvalidc">Please check the above box.</span> 322 </div> 323 <p class="privacy"> Privacy is important to us. To learn more about our use of your information and your rights, please consult our <a target="_blank" href="https://www.viatris.com/en-us/lm/countryhome/Privacy-Policy">Privacy Notice</a>. 324<div class="card-agreement-text"> 325<p>By signing up, you authorize Viatris Inc. and trusted parties acting on its behalf to send you the RELPAX materials you requested and other commercial communications from Viatris Inc. By enrolling, you confirm that you are a resident of the United States and over 18 years of age.</p> 326 327<p>Viatris Inc. understands that your personal and health information are private. To learn about how Viatris Inc. uses your information, please view our
327<a href="https://www.viatris.com/en/privacy-policy" target="_blank">Privacy Notice</a>.</p> 328</div></p> 329 330 <button type="button" onclick="return ValidateCardRegistration_FirstForm();" class="formbtn-primary">Finish</button> 331 </div> 332 <!--Second Form--> 333 <div class="savings-form-step2" style="display:none"> 334 <h2>SELECT HOW TO RECEIVE YOUR RELPAX SAVINGS CARD </h2> 335 336 <p class="second-page-header">Your Savings Card has been emailed to you. If you would like to receive it in additional formats, please choose from the options below.</p> 337 <span class="error" id="errorform2req">Please select how you would like to receive your Savings Card.</span> 338 <span class="error" id="errormailempty">Registration not complete. You must complete the required fields below.</span> 339 <div class="form-check row align-items-center mailchk_option"> 340 <div class="col24-24 col24-md-5 col24-lg-4"> 341 <input Name="MailConfirm" class="form-check-input" id="MailConfirm" name="Download" type="checkbox" value="true" /><input name="Download" type="hidden" value="false" /> 342 <label for="MailConfirm">Mail</label> 343 </div> 344 <div class="col24-24 col24-md-19 col24-lg-20"> 345 <div class="email-description">Receive a hard copy of your Savings Card and useful resources designed to assist you in managing your condition.</div> 346 </div> 347 <div class="col24-24 col24-md-24"> 348 <span class="error" id="errorchktxt">You must check this box to continue.</span> 349 </div> 350 </div> 351 352 <div class="on-select-mail-1"> 353 <div class="form-group row"> 354 <div class="col24-24 col24-md-12"> 355 <span class="error" id="errormailempty">Registration not complete. You must complete the required fields below.</span> 356 <label for="Address1">Address 1</label> 357 <input Name="Address1" class="form-control regkey-press" id="Address1" maxlength="130" name="Address1" type="text" value="" /> 358 </div> 359 <div class="col24-24 col24-md-12"> 360 <label for="Address2">Address 2 (optional)</label> 361 <input Name="Address2" class="form-control regkey-press" id="Address2" maxlength="130" name="Address2" type="text" value="" /> 362 </div> 363 <span class="error" id="erroraddr">Address2 is required.</span> 364 </div> 365 366 <div class="form-group row"> 367 <div class="col24-24 col24-md-9"> 368 <label for="City">City</label> 369 <input Name="City" class="form-control regkey-press" id="City" maxlength="130" name="City" type="text" value="" /> 370 </div> 371 <div class="col24-24 col24-md-6"> 372 <label for="State">State</label> 373 374 <select Name="State" class="form-control" id="State" name="State"><option value="">- None -</option> 375<option value="AL">Alabama</option> 376<option value="AK">Alaska</option> 377<option value="AR">Arkansas</option> 378<option value="AZ">Arizona</option> 379<option value="CA">California</option> 380<option value="CO">Colorado</option> 381<option value="CT">Connecticut</option> 382<option value="DC">District of Columbia</option> 383<option value="DE">Delaware</option> 384<option value="FL">Florida</option> 385<option value="GA">Georgia</option> 386<option value="GU">Guam</option> 387<option value="HI">Hawaii</option> 388<option value="IA">Iowa</option> 389<option value="ID">Idaho</option> 390<option value="IL">Illinois</option> 391<option value="IN">Indiana</option> 392<option value="KS">Kansas</option> 393<option value="KY">Kentucky</option> 394<option value="LA">Louisiana</option> 395<option value="MA">Massachusetts</option> 396<option value="MD">Maryland</option> 397<option value="ME">Maine</option> 398<option value="MI">Michigan</option> 399<option value="MN">Minnesota</option> 400<option value="MO">Missouri</option> 401<option value="MS">Mississippi</option> 402<option value="MT">Montana</option> 403<option value="NC">North Carolina</option> 404<option value="ND">North Dakota</option> 405<option value="NE">Nebraska</option> 406<option value="NH">New Hampshire</option> 407<option value="NJ">New Jersey</option> 408<option value="NM">New Mexico</option> 409<option value="NV">Nevada</option> 410<option value="NY">New York</option> 411<option value="OH">Ohio</option> 412<option value="OK">Oklahoma</option> 413<option value="OR">Oregon</option> 414<option value="PA">Pennsylvania</option> 415<option value="PR">Puerto Rico</option> 416<option value="RI">Rhode Island</option> 417<option value="SC">South Carolina</option> 418<option value="SD">South Dakota</option> 419<option value="TN">Tennessee</option> 420<option value="TX">Texas</option> 421<option value="UT">Utah</option> 422<option value="VA">Virginia</option> 423<option value="VI">US Virgin Islands</option> 424<option value="VT">Vermont</option> 425<option value="WA">Washington</option> 426<option value="WI">Wisconsin</option> 427<option value="WV">West Virginia</option> 428<option value="WY">Wyoming</option> 429</select> 430 </div> 431 <div class="col24-24 col24-md-9"> 432 <label for="ZIPCode1">ZIP Code</label> 433 <input Name="ZIPCode1" autocomplete="ZIPCode1" class="form-control regkey-press QtNo" id="ZIPCode1" maxlength="5" name="ZIPCode1" type="text" value="" /> 434 435 </div> 436 </div> 437 </div> 438 439 <div class="form-check downlaod"> 440 <input Name="savings-download-1" class="form-check-input" id="savings-download-1" name="Download" type="checkbox" value="true" /><input name="Download" type="hidden" value="false" /> 441 <label for="savings-download-1">Download</label> 442 </div> 443 444 <div class="form-check print"> 445 <input Name="savings-print-1" class="form-check-input" id="savings-print-1" name="Print" type="checkbox" value="true" /><input name="Print" type="hidden" value="false" /> 446 <label for="savings-print-1">Print </label> 447 </div> 448 449 <div class="form-check email"> 450 <input Name="savings-email-2" class="form-check-input" id="savings-email-2" name="EmailOption" type="checkbox" value="true" /><input name="EmailOption" type="hidden" value="false" /> 451 <label for="savings-email-2">Email </label> 452 </div> 453 454 <div class="form-check row align-items-center mobile_divchk"> 455 <div class="col24-24 col24-md-5 col24-lg-4"> 456 <label for="savings-Mobile1" class="hide">Mobile</label> 457 <input Name="savings-Mobile1" class="form-check-input" id="savings-Mobile1" name="Download" type="checkbox" value="true" /><input name="Download" type="hidden" value="false" /> 458 <label for="savings-text-1">Text</label> 459 </div> 460 <div class="col24-24 col24-md-19 col24-lg-20"> 461 <div class="text-description">With text, you'll receive reminders with the RELPAX Mobile Program.</div> 462 </div> 463 <div class="col24-24 col24-md-24"> 464 <div class="privacy-para" style="display:none;"> 465 <p>
465By providing your phone number and selecting "Text," you consent to receive autodialed marketing and other texts from VIATRIS<sup class="trade_cls">â¢</sup> and its service providers regarding your RELPAX Savings. You understand that providing this consent is not required or a condition of purchasing any products and services. You will receive a text asking you to confirm your receipt. Message frequency varies; approximately 5 messages/month. Message and data rates may apply. Privacy Policy at: <a rel="noopener noreferrer" class="blue" href="https://www.viatris.com/en-us/lm/countryhome/Privacy-Policy" target="_blank" sc:linkname="https://www.viatris.com/en-us/lm/countryhome/Privacy-Policy">https://www.viatris.com/en-us/lm/countryhome/Privacy-Policy</a>. Terms at: <a rel="noopener noreferrer" class="blue" href="mobile-terms" target="_blank" sc:linkname="www.relpax.com/mobile-terms">www.relpax.com/mobile-terms</a>. For help, text HELP to 37500. To opt out, text STOP to 37500 (a confirmation text will be sent). For questions, contact <nobr><span style="text-decoration: underline;">1-800-926-5334.</span></nobr></p> 466<label class="hide" for="saving-form-telephone-number">telephone</label> 467<div class="error-msg">You must complete the required field below.</div> 468 <label class="hide" for="Mobile">Mobile</label> 469 <input Name="Mobile" class="form-control QtNo" id="Mobile" maxlength="10" name="Mobile" placeholder="XXX-XXX-XXXX" type="text" value="" /> 470 471 <p class="text-mobile-terms-and-conditions"><a href="/Mobile-terms" sc:linkname="Message and data rates may apply">Message and data rates may apply</a></p> 472 <div class="error-msg hide"></div> 473 </div> 474 </div> 475 <input Name="DeliveryOption" autocomplete="DeliveryOption" class="form-control hide" id="DeliveryOption" name="DeliveryOption" type="hidden" value="" /> 476 </div> 477 478 <div class="form-group form-action"> 479 <button type="button" onclick="return ValidateCardRegistration();" class="formbtn-primary">Submit</button> 480 </div> 481 482 </div> 483</form> 484 485 <div class="component Content-Teaser Learn-more-about-brand"> 486 <div class="component-content"> 487<div class="main-content"><div class="Subheading-sections-icon"><div class="test"><h2 class="field-headline">LEARN MORE ABOUT RELPAX</h2></div></div><div class="about-celebrex-content learn-list"><div class="field-teaser-copy"><ul class="field-items"> 488 <li class="even"><a href="/faqs#taking-rel" sc:linkname="Taking RELPAX">Taking RELPAX</a></li> 489 <li class="odd"><a href="/faqs#how-to-get" sc:linkname="How to Get Brand-Name RELPAX">How to Get Brand-Name RELPAX</a></li> 490 <li class="even"><a href="/faqs#safety-p" sc:linkname="Safety & Possible Side Effects">Safety & Possible Side Effects</a></li> 491 </ul></div></div></div> </div> 492 </div> 493</div> 494 </div> 495 <div class=" col-md-8 col24-md-6 col24-xl-6 mobile-isi-stick"> 496 <div class="row"> 497 <div class="component content-detail sidebar-isi column sidebar fr visible-lg col24-xs-24 col24-md-24 col24-xs-24" id="sidebar-second"> 498 <div class="component-content"> 499<div class="section"><div class="block block-pfe-template-base" id="block-pfe-template-base-isi-block"><div class="right-sidebar-title"><span class="scroll-help-text"><b class="field-name"></b></span><h2 class="field-headline">IMPORTANT SAFETY INFORMATION AND INDICATION</h2><a class="resize-isi-icon" href="javascript:resizeIsi();"><img alt="collapse" src="/-/media/Project/Common/ViagraCom/expand-collapse-button.png"></a><a class="mobile-isi-popup-link mobile-isi-link" href="javascript:void(0);"><img alt="collapse" src="/-/media/Project/Common/ViagraCom/expand-collapse-button.png"></a><a class="mobile-isi-popup-link-close mobile-isi-link" href="javascript:void(0);"><img alt="collapse" src="/-/media/Project/Common/ViagraCom/expand-collapse-close-button.png"></a></div><div class=" sidebar-right-content"><div class="field-body-copy"><section id="sidebar-scroll-content"> 500 501<p><strong>Do <u>not</u> take RELPAX (eletriptan HBr) if you:</strong></p> 502<ul> 503 <li>Have heart disease or a history of heart disease</li> 504 <li>Have a history of stroke, transient ischemic attack</li> 505 <li>Have a history or current evidence of hemiplegic or basilar migraines (if you are not sure about this, ask your doctor)</li> 506 <li>Have peripheral vascular disease (eg, narrowing of blood vessels to the legs, arms, stomach, intestines, or kidneys)</li> 507 <li>Have ischemic bowel disease (inadequate blood supply to the intestine)</li> 508 <li>Have uncontrolled blood pressure</li> 509 <li>Have taken other migraine medications in the last 24 hours, including other triptans, ergots, or ergot-type medications</li> 510 <li>Are allergic to RELPAX or any of its ingredients</li> 511</ul> 512<ul class="replext-strong-point"> <li><strong>RELPAX should not be used within at least 72 hours of treatment with the following medicines: Nizoral<sup>®</sup> (ketoconazole), Sporanox<sup>®</sup> (itraconazole), Serzone<sup>®</sup> (nefazodone), TAO<sup>®</sup> (troleandomycin), Biaxin<sup>®</sup> (clarithromycin), Norvir<sup>®</sup> (ritonavir), and Viracept<sup>®</sup> (nelfinavir).</strong></li></ul> 513 514<p><strong>Patients taking RELPAX may experience serious side effects, including:</strong></p> 515<p><strong>Heart attacks and other heart problems. Heart problems may lead to death. Stop taking RELPAX and get emergency medical help right away if you have any symptoms of heart attack</strong> like discomfort in the center of your chest that lasts for more than a few minutes, or that goes away and comes back; chest pain or chest discomfort that feels like an uncomfortable heavy pressure; squeezing, fullness, or pain; pain or discomfort in your arms, back, neck, jaw, or stomach; shortness of breath with or without chest discomfort; breaking out in a cold sweat; nausea or vomiting; feeling lightheaded.</p> 516<p><strong>Medication overuse headaches</strong>. Some patients who take too many RELPAX may have worse headaches. If your headaches get worse, your doctor may decide to stop your treatment with RELPAX.</p> 517<p><strong>Serotonin syndrome</strong> is a serious and life-threatening problem that can happen when taking RELPAX, especially when used with certain medications commonly used to treat depression, such as selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs). Tell your doctor right away if you experience mental changes such as hallucinations, fast heartbeat, high body temperature, trouble walking, nausea, vomiting or diarrhea.</p> 518<p><strong>Changes in color or sensation in your fingers and toes (Raynaud’s syndrome).</strong></p> 519<p><strong>Stomach and intestinal problems</strong> like sudden or severe stomach pain, stomach pain after meals, weight loss, nausea or vomiting, constipation or diarrhea, bloody diarrhea, fever.</p> 520<p><strong>Problems with blood circulation to your legs and feet (cramping and pain in your legs or hips);</strong> like feeling of heaviness or tightness in your leg muscles, burning or aching in your feet or toes while resting, numbness, tingling, or weakness in your legs, cold feeling or color changes in 1 or both legs or feet.</p> 521<p>Most common side effects are dizziness, nausea, weakness, tiredness, and drowsiness. If you have these symptoms, do not drive a car or do anything where you need to be alert. Tell your doctor about any side effects you have.</p> 522<p>Before you take RELPAX, tell your doctor if you:</p> 523<ul> 524 <li>Are pregnant or plan to become pregnant. It is not known if RELPAX will harm your unborn baby</li> 525 <li>Are breastfeeding or plan to breastfeed. RELPAX passes into your breast milk and may harm your baby. Talk to your doctor about the best way to feed your baby if you take RELPAX</li> 526</ul> 527<p>All brands are trademarks of their owners.</p> 528<h5>INDICATION</h5> 529<p>RELPAX<sup>®</sup> (eletriptan HBr) is indicated for the acute treatment of migraine with or without aura in adults. RELPAX should only be used where a clear diagnosis of migraine has been established. RELPAX is not for the prevention of migraines or other types of headaches, including cluster headache.</p> 530<p><strong>Please see <a rel="noopener noreferrer" href="https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=2a501dbd-3ea8-47e4-9fcb-07035b8c8c9e&type=display" target="_blank">Full Prescribing Information</a> and <a rel="noopener noreferrer" href="https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=2a501dbd-3ea8-47e4-9fcb-07035b8c8c9e&type=display#PPI" target="_blank">Patient Information</a>.</strong></p> 531 532</section></div></div></div></div> </div> 533 </div> 534</div> 535 </div> 536</div> 537 538
538<script type="text/javascript"> 539 var __externalInterstitialWhitelist = ['labeling.pfizer.com','www.viatris.com','www.mhra.gov.uk','www.relpax.com','dailymed.nlm.nih.gov']; 540 </script>
540 541 <div class="component promo"> 542 <div class="component-content"> 543<div class="external-interstitial interstitial" style="display: none;"><div class="window"><div class="inner cf"><div class="right"><div class="caption"><p class="close"> 544 <button type="button" class="close-icon" title="Close Button" aria-label="Close">X</button> 545 </p> 546<h2>YOU ARE NOW LEAVING RELPAX.COM, A VIATRIS INC. COMPANY WEBSITE</h2> 547<p class="exist">The website you are about to access is not owned or controlled by VIATRIS<sup class="trade_cls">â¢</sup>. Links to other websites 548are provided as a convenience to users and the inclusion of any link does not imply the endorsement of the linked site by Viatris. 549Viatris accepts no responsibility for the content of any linked sites.</p> 550<p class="hcpexist">The information provided in RELPAXHCP.COM is intended only for healthcare professionals in the United States.</p> 551 552</div><div class="btn-v2 continue"><a class="interstitial-anchor" target="_blank"><span>CONTINUE</span></a></div><div class="cancel"><a href="#">Stay on this site</a></div></div></div><div class="stripes"><div class="bar"></div></div></div></div> </div> 553 </div> 554 555 556 <div class="component content-detail"> 557 <div class="component-content"> 558<div class="isi-interstitial interstitial" style="display: none;"><div class="window"><div class="inner cf"><div class="right"><h2 class="field-headline"><a class="collapse-resize-isi-icon">s</a> IMPORTANT SAFETY INFORMATION AND INDICATION</h2><div class="caption"><div class="isi-intersitial-content"> 559<p tabindex="0" class="isi-intersitial-content-text"><strong>Do <u>not</u> take RELPAX (eletriptan HBr) if you:</strong></p> 560<ul> 561 <li>Have heart disease or a history of heart disease</li> 562 <li>Have a history of stroke, transient ischemic attack</li> 563 <li>Have a history or current evidence of hemiplegic or basilar migraines (if you are not sure about this, ask your doctor)</li> 564 <li>Have peripheral vascular disease (eg, narrowing of blood vessels to the legs, arms, stomach, intestines, or kidneys)</li> 565 <li>Have ischemic bowel disease (inadequate blood supply to the intestine)</li> 566 <li>Have uncontrolled blood pressure</li> 567 <li>Have taken other migraine medications in the last 24 hours, including other triptans, ergots, or ergot-type medications</li> 568 <li>Are allergic to RELPAX or any of its ingredients</li> 569 570</ul> 571 <ul class="replext-strong-point"><li><strong>RELPAX should not be used within at least 72 hours of treatment with the following medicines: Nizoral<sup>®</sup> (ketoconazole), Sporanox<sup>®</sup> (itraconazole), Serzone<sup>®</sup> (nefazodone), TAO<sup>®</sup> (troleandomycin), Biaxin<sup>®</sup> (clarithromycin), Norvir<sup>®</sup> (ritonavir), and Viracept<sup>®</sup> (nelfinavir).</strong></li></ul> 572<p>All brands are trademarks of their owners.</p> 573<p><strong>Patients taking RELPAX may experience serious side effects, including:</strong></p> 574<p><strong>Heart attacks and other heart problems. Heart problems may lead to death. Stop taking RELPAX and get emergency medical help right away if you have any symptoms of heart attack</strong> like discomfort in the center of your chest that lasts for more than a few minutes, or that goes away and comes back; chest pain or chest discomfort that feels like an uncomfortable heavy pressure; squeezing, fullness, or pain; pain or discomfort in your arms, back, neck, jaw, or stomach; shortness of breath with or without chest discomfort; breaking out in a cold sweat; nausea or vomiting; feeling lightheaded.</p> 575<p><strong>Medication overuse headaches</strong>. Some patients who take too many RELPAX may have worse headaches. If your headaches get worse, your doctor may decide to stop your treatment with RELPAX.</p> 576<p><strong>Serotonin syndrome</strong> is a serious and life-threatening problem that can happen when taking RELPAX, especially when used with certain medications commonly used to treat depression, such as selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs). Tell your doctor right away if you experience mental changes such as hallucinations, fast heartbeat, high body temperature, trouble walking, nausea, vomiting or diarrhea.</p> 577<p><strong>Changes in color or sensation in your fingers and toes (Raynaud’s syndrome).</strong></p> 578<p><strong>Stomach and intestinal problems</strong> like sudden or severe stomach pain, stomach pain after meals, weight loss, nausea or vomiting, constipation or diarrhea, bloody diarrhea, fever.</p> 579<p><strong>Problems with blood circulation to your legs and feet (cramping and pain in your legs or hips);</strong> like feeling of heaviness or tightness in your leg muscles, burning or aching in your feet or toes while resting, numbness, tingling, or weakness in your legs, cold feeling or color changes in 1 or both legs or feet.</p> 580<p>Most common side effects are dizziness, nausea, weakness, tiredness, and drowsiness. If you have these symptoms, do not drive a car or do anything where you need to be alert. Tell your doctor about any side effects you have.</p> 581<p>Before you take RELPAX, tell your doctor if you:</p> 582<ul> 583 <li>Are pregnant or plan to become pregnant. It is not known if RELPAX will harm your unborn baby</li> 584 <li>Are breastfeeding or plan to breastfeed. RELPAX passes into your breast milk and may harm your baby. Talk to your doctor about the best way to feed your baby if you take RELPAX</li> 585</ul> 586 587<h5>INDICATION</h5> 588<p>RELPAX<sup>®</sup> (eletriptan HBr) is indicated for the acute treatment of migraine with or without aura in adults. RELPAX should only be used where a clear diagnosis of migraine has been established. RELPAX is not for the prevention of migraines or other types of headaches, including cluster headache.</p> 589<p><strong>Please see <a rel="noopener noreferrer" href="https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=2a501dbd-3ea8-47e4-9fcb-07035b8c8c9e&type=display" target="_blank" class="prescribingInformation">Full Prescribing Information</a> and <a rel="noopener noreferrer" href="https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=2a501dbd-3ea8-47e4-9fcb-07035b8c8c9e&type=display#PPI" target="_blank">Patient Information</a>.</strong></p> 590</div></div></div></div><div class="stripes"><div class="bar"></div></div></div></div> </div> 591 </div> 592</div> 593 </div> 594 </main> 595 <!-- /#content --> 596 <!-- #footer --> 597 <footer> 598 <div id="footer" class="container-fluid"> 599 <div class="row"> 600 601 602 <div class="component content-detail isi-footer"> 603 <div class="component-content"> 604<div class="contact-us-wrapper"><div class="row"><div class="contact-us-content container"></div></div></div><div class="foot-isiwrapper"><div class="row"><div class="footer-isi"><div class="footer-isi-title field-headline">IMPORTANT SAFETY INFORMATION AND INDICATION</div><div class="footer-isi-content field-body-copy"><div class="desktop-footer-isi"> 605<p><strong>Do <span style="text-decoration: underline;">not</span> take RELPAX (eletriptan HBr) if you:</strong></p> 606<ul class="pad-l-40"> 607 <li>Have heart disease or a history of heart disease</li> 608 <li>Have a history of stroke, transient ischemic attack</li> 609 <li>Have a history or current evidence of hemiplegic or basilar migraines (if you are not sure about this, ask your doctor)</li> 610 <li>Have peripheral vascular disease (eg, narrowing of blood vessels to the legs, arms, stomach, intestines, or kidneys)</li> 611 <li>Have ischemic bowel disease (inadequate blood supply to the intestine)</li> 612 <li>Have uncontrolled blood pressure</li> 613 <li>Have taken other migraine medications in the last 24 hours, including other triptans, ergots, or ergot-type medications</li> 614 <li>Are allergic to RELPAX or any of its ingredients</li> 615</ul> 616<ul class="replext-strong-point"> 617 <li><strong>RELPAX should not be used within at least 72 hours of treatment with the following medicines: Nizoral<sup>®</sup> (ketoconazole), Sporanox<sup>®</sup> (itraconazole), Serzone<sup>®</sup> (nefazodone), TAO<sup>®</sup> (troleandomycin), Biaxin<sup>®</sup> (clarithromycin), Norvir<sup>®</sup> (ritonavir), and Viracept<sup>®</sup> (nelfinavir).</strong></li> 618</ul> 619<p>All brands are trademarks of their owners.</p> 620<p><strong>Patients taking RELPAX may experience serious side effects, including:</strong></p> 621<p><strong>Heart attacks and other heart problems. Heart problems may lead to death. Stop taking RELPAX and get emergency medical help right away if you have any symptoms of heart attack</strong> like discomfort in the center of your chest that lasts for more than a few minutes, or that goes away and comes back; chest pain or chest discomfort that feels like an uncomfortable heavy pressure; squeezing, fullness, or pain; pain or discomfort in your arms, back, neck, jaw, or stomach; shortness of breath with or without chest discomfort; breaking out in a cold sweat; nausea or vomiting; feeling lightheaded.</p> 622<p><strong>Medication overuse headaches</strong>. Some patients who take too many RELPAX may have worse headaches. If your headaches get worse, your doctor may decide to stop your treatment with RELPAX.</p> 623<p><strong>Serotonin syndrome</strong> is a serious and life-threatening problem that can happen when taking RELPAX, especially when used with certain medications commonly used to treat depression, such as selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs). Tell your doctor right away if you experience mental changes such as hallucinations, fast heartbeat, high body temperature, trouble walking, nausea, vomiting or diarrhea.</p> 624<p><strong>Changes in color or sensation in your fingers and toes (Raynaud’s syndrome).</strong></p> 625<p><strong>Stomach and intestinal problems</strong> like sudden or severe stomach pain, stomach pain after meals, weight loss, nausea or vomiting, constipation or diarrhea, bloody diarrhea, fever.</p> 626<p><strong>Problems with blood circulation to your legs and feet (cramping and pain in your legs or hips);</strong> like feeling of heaviness or tightness in your leg muscles, burning or aching in your feet or toes while resting, numbness, tingling, or weakness in your legs, cold feeling or color changes in 1 or both legs or feet.</p> 627<p>Most common side effects are dizziness, nausea, weakness, tiredness, and drowsiness. If you have these symptoms, do not drive a car or do anything where you need to be alert. Tell your doctor about any side effects you have.</p> 628<p>Before you take RELPAX, tell your doctor if you:</p> 629<ul> 630 <li>Are pregnant or plan to become pregnant. It is not known if RELPAX will harm your unborn baby</li> 631 <li>Are breastfeeding or plan to breastfeed. RELPAX passes into your breast milk and may harm your baby. Talk to your doctor about the best way to feed your baby if you take RELPAX</li> 632</ul> 633<h5>INDICATION</h5> 634<p>RELPAX<sup>®</sup> (eletriptan HBr) is indicated for the acute treatment of migraine with or without aura in adults. RELPAX should only be used where a clear diagnosis of migraine has been established. RELPAX is not for the prevention of migraines or other types of headaches, including cluster headache.</p> 635<p><strong>Please see <a rel="noopener noreferrer" href="https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=2a501dbd-3ea8-47e4-9fcb-07035b8c8c9e&type=display 636" target="_blank">Full Prescribing Information</a> and <a rel="noopener noreferrer" href="https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=2a501dbd-3ea8-47e4-9fcb-07035b8c8c9e&type=display#PPI" target="_blank">Patient Information</a>.</strong></p> 637<h5>RELPAX SAVINGS CARD TERMS AND CONDITIONS</h5> 638<p><strong>By using the RELPAX<sup>®</sup> (eletriptan hydrobromide) $4 Savings Offer, you acknowledge that you currently meet the eligibility criteria and will comply with the terms and conditions described below each and every time you use this Savings Offer:</strong></p> 639<ul> 640 <li><strong>Patients are not eligible to use this Savings Offer if they are enrolled in a state or federally funded insurance program, including but not limited to Medicare, Medicaid, TRICARE, Veterans Affairs healthcare, a state prescription drug assistance program, or the Government Health Insurance Plan available in Puerto Rico (formerly known as “La Reforma de Salud”)</strong></li> 641 <li><strong>Patients must have private insurance. This Savings Offer is not val
641id for cash-paying patients</strong></li> 642 <li>The value of this Savings Offer is limited to $250 per use or the amount of your co-pay, whichever is less</li> 643 <li>This Savings Offer is not valid when the entire cost of your prescription drug is eligible to be reimbursed by your private insurance plans or other health or pharmacy benefit programs</li> 644 <li>You must deduct the savings received under this program from any reimbursement request submitted to your insurance plan, either directly by you or on your behalf</li> 645 <li>Use of this Savings Offer must be consistent with the terms of any drug benefit provided by a commercial health insurer, health plan or private third-party payer. You must have not submitted and will not submit a claim for reimbursement under any federal, state or other governmental programs for this prescription. You are responsible for reporting use of this Savings Offer to any private insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using this Savings Offer, as may be required. You should not use this Savings Offer if your insurer or health plan prohibits use of manufacturer Savings Offers</li> 646 <li>As long as the program is in effect, eligible patients may pay a minimum of $4 per monthly prescription fill. By using this Savings Offer, eligible patients may receive a savings of up to $250 per fill off their co-pay or out-of-pocket costs. This Savings Offer is available for up to a maximum savings cap of $3,000 per calendar year ($250 per month x 12 months). This Savings Offer may limit your prescription cost to $4, subject to a maximum $250 monthly benefit. Thus, if your co-pay or out-of-pocket cost is more than $250, you will save $250 off of your co-pay or total out-of-pocket costs. [Example: If your co-pay or out-of-pocket costs are $275, you will pay $25 ($275 – $250 = $25).] If your co-pay or out-of-pocket costs are no more than $250, you pay $4. For a mail-order 3-month prescription, your total maximum savings will be $750 ($250 x 3)</li> 647 <li>You must be 18 years of age or older to redeem this Savings Offer</li> 648 <li>This Savings Offer is not valid (i) for Massachusetts residents or (ii) for California residents whose prescriptions are covered, in whole or in part, by third-party insurance</li> 649 <li>This Savings Offer is not valid where prohibited by law</li> 650 <li>This Savings Offer is not valid for purchases of prescriptions discounted under the 340B drug pricing program. This Savings Offer is not valid if the patient’s commercial health insurance plan or pharmacy benefit manager uses a co-pay adjustment program (often termed “maximizer” or “accumulator” program) that restricts any form of co-pay assistance from being counted toward the patient’s cost-sharing limits</li> 651 <li>The Savings Offer cannot be combined with any other savings, cash discount card, free trial, or similar offer for the specified prescription. This Savings Offer is not redeemable for cash</li> 652 <li>The Savings Offer is not health insurance</li> 653 <li>This Savings Offer may not be redeemed more than once per 30 days per patient</li> 654 <li>This Savings Offer is good only in the U.S. and Puerto Rico</li> 655 <li>The Savings Offer is limited to 1 per person during this offering period and is not transferable</li> 656 <li>No other purchase is necessary</li> 657 <li>Data related to your redemption of this Savings Offer may be collected, analyzed, and shared with Viatris for market research and other purposes related to assessing Viatris’ programs. Data shared with Viatris will be aggregated and de-identified; it will be combined with data related to other Savings Offer redemptions and will not identify you</li> 658 <li>Viatris reserves the right to rescind, revoke, or amend this Savings Offer without notice</li> 659 <li>No membership fees</li> 660 <li>For help with the RELPAX Savings Offer, call 1-800-926-5334, visit <a href="/">RELPAX.com</a>, or write: Viatris, 1000 Mylan Boulevard, Canonsburg, PA 15317</li> 661</ul> 662<p>This Savings Offer will be accepted only at participating pharmacies. For reimbursement when using a nonparticipating pharmacy/mail order: Pay for your RELPAX prescription and mail copy of original pharmacy receipt (cash register receipt NOT valid) with product name, date, and amount circled to: P.O. Box 6875, Bridgewater, NJ 08807. Be sure to include a copy of the front of your RELPAX Savings Card, your name, and mailing address. Please expect up to 4 to 6 weeks for reimbursement. 663</p> 664<p>RELPAX is available by prescription only.</p> 665<p>Patients should always ask their doctors for medical advice about adverse events.</p> 666<p><em>You are encouraged to report adverse events related to Viatris products by calling 1-877-446-3679 (U.S. only). If you prefer, you may contact the U.S. Food and Drug Administration (FDA) directly. Visit <a rel="noopener noreferrer" href="http://www.fda.gov/MedWatch" target="_blank" class="relpax-external-link">http://www.fda.gov/MedWatch</a> or call 1-800-FDA-1088.</em></p> 667<p>This site is intended only for U.S. residents. The products discussed in this site may have different product labeling in different c
667ountries. The information provided is for educational purposes only and is not intended to replace discussions with a healthcare provider.</p> 668</div></div></div><div class="footer-tandc"><div class="footer-tandc-title field-title"></div><div class="footer-tandc-content field-highlight-text"></div></div></div></div> </div> 669 </div> 670 671 <div class="component footer"> 672 <div class="component-content"> 673<div class="container"><div class="row"><div class="col24-md-24"><div class="footer-viatris-logo" href="https://www.viatris.com/en"><a href="https://www.viatris.com/en" target="_blank"><img src="https://cdn.relpax.com/-/media/Project/Common/RelpaxCom/Images/footer-viatris-logo.png?h=70&iar=0&w=263&rev=5d4b4994a080438bab768e64e9b75256&hash=3EE526253FC89B824D93BB07A8702AB2" alt="VIATRIS Logo" width="263" height="70" data-variantitemid="{FAF992B7-1002-411F-BFC1-343BFE2FF455}" data-variantfieldname="Footer Logo" title="VIATRIS Logo" /></a></div></div></div><div id="DivLoad" class="loader"></div><div class="row"><div class="col24-md-24"><div class="footer-link"><ul><li> 674 675 676 <a href="https://www.viatris.com/en/terms-of-use" rel="noopener noreferrer" target="_blank">Terms of Use</a> 677 678</li> <li> 679 680 681 <a href="https://www.viatris.com/en/privacy-policy" rel="noopener noreferrer" target="_blank">Privacy Notice</a> 682 683</li> <li> 684 685 686 <a href="https://www.viatris.com/en/supplemental-disclosure-for-california-residents" rel="noopener noreferrer" target="_blank">California Supplemental Disclosure</a> 687 688</li> <li> 689 690 691 <a href="/SiteMap">Site Map</a> 692 693</li> <li> 694 695 696 <a href="https://www.viatris.com/en/about-us/contact-us" rel="noopener noreferrer" target="_blank">Contact Viatris</a> 697 698</li> <li> 699 700 701 <a href="https://www.viatris.com/en/About-Us" rel="noopener noreferrer" target="_blank">About Viatris</a> 702 703</li> </ul></div></div></div><div class="row"><div class="col24-md-24"><div class="footer-copyrights field-copyright-content"><p>© 2024 Viatris Inc. All rights reserved.</p> 704<p>RELPAX is a registered trademark of Viatris Specialty LLC, a Viatris Company.</p> 705<p>VIATRIS and the Viatris Logo are trademarks of Mylan Inc., a Viatris Company.</p> 706 707<style> 708.resize-isi-icon{ 709 background:unset; 710} 711.sidebar-isi h2::after { 712 border-bottom: 5px solid #f57b20 !important; 713} 714#ot-sdk-btn:focus, #ot-sdk-btn:hover{ 715color: #fff !important; 716 background: #68b631 !important; 717} 718body{ 719height: auto !important; 720} 721@media only screen and (max-width:992px){ 722footer .footer-link ul li { 723 display: block !important; 724 width: 100% !important; 725} 726footer .footer-link ul li:after { 727 content: ""; 728} 729} 730@media only screen and (min-width:320px) and (max-width:1023px){ 731 .about-celebrex-content ul.field-items li{ 732 list-style:none !important; 733} 734.faqs #content .component-content .container > span.field-headline { 735 padding-right: 25px !important; 736} 737.sidebar-isi h2 { 738 padding: 10px 25px 10px 0px !important; 739} 740} 741p.close{ 742 z-index:9; 743} 744footer .footer-viatris-logo a, 745.resources .resource-sections .field-image a { 746 display:inline-block 747} 748footer .footer-viatris-logo img { 749 max-width: 180px !important; 750 height: auto; 751} 752 @media screen and (min-width: 999px) and (max-width: 1100px){ 753 html.minusOne header .top-menu-nav ul li a { 754 font-size: 11px !important; 755 } 756 html.plusOne .header .top-menu-nav ul li a { 757 font-size: 15px !important; 758 } 759} 760</style></div><div class="field-job-code">US-RELP-2024-00001</div></div></div></div> </div> 761 </div> 762 763 <div class="component content-detail sticky-isi-footer"> 764 <div class="component-content"> 765<div class="contact-us-wrapper"><div class="row"><div class="contact-us-content container"></div></div></div><div class="foot-isiwrapper"><div class="row"><div class="footer-isi"><div class="footer-isi-title field-headline">IMPORTANT SAFETY INFORMATION AND INDICATION</div><div class="footer-isi-content field-body-copy"><div class="mobile-isi-icons"><span class="plus">+</span><span class="minus">-</span></div> 766<div class="isi-visible-copy"> 767<div class="testing"> 768<!--<p><img alt="border-line" src="https://cdn.relpax.com/-/media/Project/Common/RelpaxCom/Images/green_underline.png?rev=2b62570355694388ae653aa8a09b5a25&
768hash=C3A14991456851BEBAD2A1FE9ECF52D9" /></p>--> 769<p><strong>Do <u>not</u> take RELPAX (eletriptan HBr) if you:</strong></p> 770<ul> 771 <li>Have heart disease or a history of heart disease</li> 772 <li>Have a history of stroke, transient ischemic attack</li> 773 <li>Have a history or current evidence of hemiplegic or basilar migraines (if you are not sure about this, ask your doctor)</li> 774 <li>Have peripheral vascular disease (eg, narrowing of blood vessels to the legs, arms, stomach, intestines, or kidneys)</li> 775 <li>Have ischemic bowel disease (inadequate blood supply to the intestine)</li> 776 <li>Have uncontrolled blood pressure</li> 777 <li>Have taken other migraine medications in the last 24 hours, including other triptans, ergots, or ergot-type medications</li> 778 <li>Are allergic to RELPAX or any of its ingredients</li> 779 <li><strong>RELPAX should not be used within at least 72 hours of treatment with the following medicines: Nizoral<sup>®</sup> (ketoconazole), Sporanox<sup>®</sup> (itraconazole), Serzone<sup>®</sup> (nefazodone), TAO<sup>®</sup> (troleandomycin), Biaxin<sup>®</sup> (clarithromycin), Norvir<sup>®</sup> (ritonavir), and Viracept<sup>®</sup> (nelfinavir).</strong></li> 780</ul> 781<p>All brands are trademarks of their owners.</p> 782<p><strong>Patients taking RELPAX may experience serious side effects, including:</strong></p> 783<p><strong>Heart attacks and other heart problems. Heart problems may lead to death. Stop taking RELPAX and get emergency medical help right away if you have any symptoms of heart attack</strong> like discomfort in the center of your chest that lasts for more than a few minutes, or that goes away and comes back; chest pain or chest discomfort that feels like an uncomfortable heavy pressure; squeezing, fullness, or pain; pain or discomfort in your arms, back, neck, jaw, or stomach; shortness of breath with or without chest discomfort; breaking out in a cold sweat; nausea or vomiting; feeling lightheaded.</p> 784<p><strong>Medication overuse headaches</strong>. Some patients who take too many RELPAX may have worse headaches. If your headaches get worse, your doctor may decide to stop your treatment with RELPAX.</p> 785<p><strong>Serotonin syndrome</strong> is a serious and life-threatening problem that can happen when taking RELPAX, especially when used with certain medications commonly used to treat depression, such as selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs). Tell your doctor right away if you experience mental changes such as hallucinations, fast heartbeat, high body temperature, trouble walking, nausea, vomiting or diarrhea.</p> 786<p><strong>Changes in color or sensation in your fingers and toes (Raynaud’s syndrome).</strong></p> 787<p><strong>Stomach and intestinal problems</strong> like sudden or severe stomach pain, stomach pain after meals, weight loss, nausea or vomiting, constipation or diarrhea, bloody diarrhea, fever.</p> 788<p><strong>Problems with blood circulation to your legs and feet (cramping and pain in your legs or hips);</strong> like feeling of heaviness or tightness in your leg muscles, burning or aching in your feet or toes while resting, numbness, tingling, or weakness in your legs, cold feeling or color changes in 1 or both legs or feet.</p> 789<p>Most common side effects are dizziness, nausea, weakness, tiredness, and drowsiness. If you have these symptoms, do not drive a car or do anything where you need to be alert. Tell your doctor about any side effects you have.</p> 790<p>Before you take RELPAX, tell your doctor if you:</p> 791<ul> 792 <li>Are pregnant or plan to become pregnant. It is not known if RELPAX will harm your unborn baby</li> 793 <li>Are breastfeeding or plan to breastfeed. RELPAX passes into your breast milk and may harm your baby. Talk to your doctor about the best way to feed your baby if you take RELPAX</li> 794</ul> 795 796<h5>INDICATION</h5> 797<p>RELPAX<sup>®</sup> (eletriptan HBr) is indicated for the acute treatment of migraine with or without aura in adults. RELPAX should only be used where a clear diagnosis of migraine has been established. RELPAX is not for the prevention of migraines or other types of headaches, including cluster headache.</p> 798<p><strong>Please see <a rel="noopener noreferrer" href="https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=2a501dbd-3ea8-47e4-9fcb-07035b8c8c9e&type=display" target="_blank">Full Prescribing Information</a> and <a rel="noopener noreferrer" href="https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=2a501dbd-3ea8-47e4-9fcb-07035b8c8c9e&type=display#PPI" target="_blank">Patient Information</a>.</strong></p> 799</div> 800</div> 801<!-- ISI Expanded Copy --> 802<div class="isi-expanded-copy"> 803 804<!--<p><img alt="border-line" src="https://cdn.relpax.com/-/media/Project/Common/RelpaxCom/Images/green_underline.png?rev=2b62570355694388ae653aa8a09b5a25&
804hash=C3A14991456851BEBAD2A1FE9ECF52D9" /></p>--> 805<p><strong>Do <u>not</u> take RELPAX (eletriptan HBr) if you:</strong></p> 806<ul> 807 <li>Have heart disease or a history of heart disease</li> 808 <li>Have a history of stroke, transient ischemic attack</li> 809 <li>Have a history or current evidence of hemiplegic or basilar migraines (if you are not sure about this, ask your doctor)</li> 810 <li>Have peripheral vascular disease (eg, narrowing of blood vessels to the legs, arms, stomach, intestines, or kidneys)</li> 811 <li>Have ischemic bowel disease (inadequate blood supply to the intestine)</li> 812 <li>Have uncontrolled blood pressure</li> 813 <li>Have taken other migraine medications in the last 24 hours, including other triptans, ergots, or ergot-type medications</li> 814 <li>Are allergic to RELPAX or any of its ingredients</li> 815 <li><strong>RELPAX should not be used within at least 72 hours of treatment with the following medicines: Nizoral<sup>®</sup> (ketoconazole), Sporanox<sup>®</sup> (itraconazole), Serzone<sup>®</sup> (nefazodone), TAO<sup>®</sup> (troleandomycin), Biaxin<sup>®</sup> (clarithromycin), Norvir<sup>®</sup> (ritonavir), and Viracept<sup>®</sup> (nelfinavir).</strong></li> 816</ul> 817<p><strong>Patients taking RELPAX may experience serious side effects, including:</strong></p> 818<p><strong>Heart attacks and other heart problems. Heart problems may lead to death. Stop taking RELPAX and get emergency medical help right away if you have any symptoms of heart attack</strong> like discomfort in the center of your chest that lasts for more than a few minutes, or that goes away and comes back; chest pain or chest discomfort that feels like an uncomfortable heavy pressure; squeezing, fullness, or pain; pain or discomfort in your arms, back, neck, jaw, or stomach; shortness of breath with or without chest discomfort; breaking out in a cold sweat; nausea or vomiting; feeling lightheaded.</p> 819<p><strong>Medication overuse headaches</strong>. Some patients who take too many RELPAX may have worse headaches. If your headaches get worse, your doctor may decide to stop your treatment with RELPAX.</p> 820<p><strong>Serotonin syndrome</strong> is a serious and life-threatening problem that can happen when taking RELPAX, especially when used with certain medications commonly used to treat depression, such as selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs). Tell your doctor right away if you experience mental changes such as hallucinations, fast heartbeat, high body temperature, trouble walking, nausea, vomiting or diarrhea.</p> 821<p><strong>Changes in color or sensation in your fingers and toes (Raynaud’s syndrome).</strong></p> 822<p><strong>Stomach and intestinal problems</strong> like sudden or severe stomach pain, stomach pain after meals, weight loss, nausea or vomiting, constipation or diarrhea, bloody diarrhea, fever.</p> 823<p><strong>Problems with blood circulation to your legs and feet (cramping and pain in your legs or hips);</strong> like feeling of heaviness or tightness in your leg muscles, burning or aching in your feet or toes while resting, numbness, tingling, or weakness in your legs, cold feeling or color changes in 1 or both legs or feet.</p> 824<p>Most common side effects are dizziness, nausea, weakness, tiredness, and drowsiness. If you have these symptoms, do not drive a car or do anything where you need to be alert. Tell your doctor about any side effects you have.</p> 825<p>Before you take RELPAX, tell your doctor if you:</p> 826<ul> 827 <li>Are pregnant or plan to become pregnant. It is not known if RELPAX will harm your unborn baby</li> 828 <li>Are breastfeeding or plan to breastfeed. RELPAX passes into your breast milk and may harm your baby. Talk to your doctor about the best way to feed your baby if you take RELPAX</li> 829</ul> 830<p>All brands are trademarks of their owners.</p> 831<h5>INDICATION</h5> 832<p>RELPAX<sup>®</sup> (eletriptan HBr) is indicated for the acute treatment of migraine with or without aura in adults. RELPAX should only be used where a clear diagnosis of migraine has been established. RELPAX is not for the prevention of migraines or other types of headaches, including cluster headache.</p> 833<p><strong>Please see <a rel="noopener noreferrer" href="https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=2a501dbd-3ea8-47e4-9fcb-07035b8c8c9e&type=display" target="_blank">Full Prescribing Information</a> and <a rel="noopener noreferrer" href="https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=2a501dbd-3ea8-47e4-9fcb-07035b8c8c9e&type=display#PPI" target="_blank">Patient Information</a>.</strong></p> 834 835 836</div></div></div><div class="footer-tandc"><div class="footer-tandc-title field-title"></div><div class="footer-tandc-content field-highlight-text"></div></div></div></div> </div> 837 </div> 838</div> 839 </div> 840 </footer> 841 <!-- /#footer --> 842</div> 843<!-- /#wrapper --> 844 845 846 847 848 849 850 851<div class="component sitecore-form" id="signup-form-load"> 852 <div class="component-content"> 853 <div class="row"><form class="form-horizontal singup-frm" id="PopUpFormRequest" enctype="multipart/form-data"> 854 <div class="modal"> 855 <div class="form_div"> 856 <p class="close"> 857 <button type="button" class="close-icon" title="Close Button" aria-label="Close">X</button> 858 </p> 859 <div class="row"> 860 <div class="col24-4 col24-md-4"><img src="https://cdn.relpax.com/-/media/Project/Common/RelpaxCom/Images/light-bulb.jpg?rev=2f4ccf829d26425ea8a00de89c8e0383&hash=2CA7A7152E3B3020EF2152AADD915760" alt="Light Bulb" title="Light Bulb" /></div> 861 <div class="col24-20 col24-md-20"><span class="title-blue">STAY IN THE KNOW</span><span class="title-gray"> with RELPAX<sup>®</sup> (eletriptan HBr)</span></div> 862 </div> 863 <div class="row"> 864 <div class="col24-md-24"> 865 <p>To keep up with the latest from RELPAX, enter your information below.</p> 866 </div> 867 </div> 868 <div class="row"> 869 <div class="col24-24 left-popup col24-md-12"> 870 <div class="form_data"> 871 <div class="row"> 872 <div class="col24-24"> 873 <label for="PFirstName">First Name</label> 874 <input Name="PFirstName" aria-label="First Name" class="form-control regkey-press" id="PFirstName" maxlength="40" name="PFirstName" type="text" value="" />
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Line numbers count LF bytes from the start of the resource, as the search results do. Vendor segments are library code the classifier recognised; they are stored but not indexed. Bytes are shown as Latin1 characters, one per byte.