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https://www.relpax.com/Savings

html relpax.com collected 2026-09-26 13:59:17 UTC 94,270 bytes, 980 lines download raw bytes

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4<!DOCTYPE html>
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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    
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21
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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" />
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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"/>
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48
49<script src="/-/media/Themes/Common/Global/Scripts/jquery-351.js"></script>
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51<div class="component plain-html">
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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-">
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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&amp;iar=0&amp;w=125&amp;rev=e24c877074b948d39fd102ee10d3f497&amp;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&amp;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&amp;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&amp;iar=0&amp;w=256&amp;rev=7c2e337e29854d3cb8b26f9596ef62df&amp;hash=7C87E10C78070AFB8B6E810189EF2AEE" alt="RELPAX (eletriptan HBr) home" width="256" height="85" data-variantitemid="{C24DA1A6-14C9-4B20-A0B0-4E35424C9749}" data-variantfieldname="Logo Image" title="RELPAX &#40;eletriptan HBr&#41; 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&amp;iar=0&amp;w=1175&amp;rev=4dd9359b6de14640a4609a204ecb0ab5&amp;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&amp;iar=0&amp;w=100&amp;rev=cae3e65179d5451fbc86f9a21bbe9833&amp;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();
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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&amp;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&amp;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&amp;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&amp;iar=0&amp;w=239&amp;rev=fa9e9c930c5f45b5b12f94ad686a2c34&amp;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&amp;iar=0&amp;w=99&amp;rev=62656e6e742e4e20a667c5bae167b643&amp;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&amp;iar=0&amp;w=101&amp;rev=e780248cfd8044388ecb1e0bb336cfd1&amp;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&#39;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">™</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 &amp; Possible Side Effects">Safety &amp; 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>&reg;</sup> (ketoconazole), Sporanox<sup>&reg;</sup> (itraconazole), Serzone<sup>&reg;</sup> (nefazodone), TAO<sup>&reg;</sup> (troleandomycin), Biaxin<sup>&reg;</sup> (clarithromycin), Norvir<sup>&reg;</sup> (ritonavir), and Viracept<sup>&reg;</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&rsquo;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>&reg;</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">™</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>&reg;</sup> (ketoconazole), Sporanox<sup>&reg;</sup> (itraconazole), Serzone<sup>&reg;</sup> (nefazodone), TAO<sup>&reg;</sup> (troleandomycin), Biaxin<sup>&reg;</sup> (clarithromycin), Norvir<sup>&reg;</sup> (ritonavir), and Viracept<sup>&reg;</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&rsquo;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>&reg;</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>
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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>&reg;</sup> (ketoconazole), Sporanox<sup>&reg;</sup> (itraconazole), Serzone<sup>&reg;</sup> (nefazodone), TAO<sup>&reg;</sup> (troleandomycin), Biaxin<sup>&reg;</sup> (clarithromycin), Norvir<sup>&reg;</sup> (ritonavir), and Viracept<sup>&reg;</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&rsquo;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>&reg;</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&amp;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&amp;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>&reg;</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 &ldquo;La Reforma de Salud&rdquo;)</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 &ndash; $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&rsquo;s commercial health insurance plan or pharmacy benefit manager uses a co-pay adjustment program (often termed &ldquo;maximizer&rdquo; or &ldquo;accumulator&rdquo; program) that restricts any form of co-pay assistance from being counted toward the patient&rsquo;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&rsquo; 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>
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692    
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694    
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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>&copy; 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
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708.resize-isi-icon{
709  background:unset;
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753	html.minusOne header .top-menu-nav ul li a {
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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&amp;
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>&reg;</sup> (ketoconazole), Sporanox<sup>&reg;</sup> (itraconazole), Serzone<sup>&reg;</sup> (nefazodone), TAO<sup>&reg;</sup> (troleandomycin), Biaxin<sup>&reg;</sup> (clarithromycin), Norvir<sup>&reg;</sup> (ritonavir), and Viracept<sup>&reg;</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&rsquo;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>&reg;</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&amp;
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>&reg;</sup> (ketoconazole), Sporanox<sup>&reg;</sup> (itraconazole), Serzone<sup>&reg;</sup> (nefazodone), TAO<sup>&reg;</sup> (troleandomycin), Biaxin<sup>&reg;</sup> (clarithromycin), Norvir<sup>&reg;</sup> (ritonavir), and Viracept<sup>&reg;</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&rsquo;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>&reg;</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>
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979</body>
980</html>

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.