Savings and support designed
TO HELP YOU ON YOUR TREATMENT JOURNEY

Start saving now with the $4 FORTEO Co-pay Card*

You can download the FORTEO Co-pay Card now and pay just $4 per prescription. Click the box to see if you are eligible and get started.

*This offer is invalid for patients whose prescription claims are eligible to be reimbursed in whole or in part by any government program. See additional Rules and Restrictions below.

ADD SAVINGS CARD
SAVINGS CARD HAS BEEN ADDED
Join FORTEO Connect for free support throughout the full course of treatment

Joining FORTEO Connect pairs you with a Personal Support Specialist committed to helping you fight osteoporosis every day. FORTEO Connect offers:

  • Injection training
  • Ongoing support
  • Insurance investigation
ADD FORTEO CONNECT
FREE SUPPORT HAS BEEN ADDED

Select savings card and/or FORTEO Connect above to continue.


†You should not take FORTEO for more than 2 years over your lifetime.

Activate your FORTEO Co-pay Card and start saving

If you already have a FORTEO Co-pay Card, activate it here or call 1-866-568-8942 before going to the pharmacy.

  • Offer is subject to eligibility and valid for commercial plans only (not government plans/government funded programs)
  • Patients pay no more than a $4 co-pay on their FORTEO prescription costs each month
  • Patients are eligible for up to 24 months of therapy
  • This offer covers up to a maximum of $9,000 annually. Other restrictions or limitations may apply
  • Offer void where prohibited by law
  • This offer is invalid for patients whose prescription claims for FORTEO are reimbursed in part or full by any government funded program, including but not limited to Medicare, Medicare Part D, Medicaid, Medigap, VA, CHAMPUS, DOD, TriCare or any State Patient or Pharmaceutical Assistance Program
  • If you live in Massachusetts, the Card expires on the earlier of (i) the expiration date of this card (December 31, 2017); (ii) the date an AB-rated generic equivalent for FORTEO becomes available; or (iii) July 1, 2017 absent a change in Massachusetts state law
  • Available only in United States and Puerto Rico for residents of the United States and Puerto Rico
  • Patients must present the co-pay card along with a valid prescription from their physician to their pharmacy to be eligible for savings on their prescriptions. Prior to presenting the co-pay card to the pharmacy, the card must be activated
  • FORTEO Connect will automatically send the card to eligible patients and process the information with their pharmacy of choice
  • By accepting this offer, you agree that if you are required to do so under the terms of your insurance coverage for this prescription or are otherwise required to do so by law, you should notify your insurance carrier of your redemption of this FORTEO savings card
  • This offer is not valid with any other program, discount, or incentive involving FORTEO. It is illegal for any person to sell, purchase, or trade; or offer to sell, purchase, or trade, or to counterfeit this card. This offer may be terminated, rescinded, revoked, or amended by Lilly USA, LLC at any time without notice
  • The co-pay card has no cash value. Offer expires on 12/31/2017. Patients must first use their card at the pharmacy by 12/31/2017 and are eligible for savings for up to 24 months of therapy. You should not take FORTEO for more than 2 years of your lifetime
Sign up for the voluntary FORTEO Patient Registry and help others like you

You can help other FORTEO patients like you by joining the FORTEO Patient Registry. The FORTEO Patient Registry collects information about the long-term safety of FORTEO—including any potential risk of osteosarcoma. It's easy to join, and by doing so, you'll help Lilly continue to monitor the long-term safety of this medicine. To learn more about the FORTEO Patient Registry and download the pre-enrollment form, go to www.forteoregistry.org or call 1-866-382-6813.

Lilly Cares Foundation Patient Assistance Program

For eligible patients who need financial assistance with FORTEO, The Lilly Cares Foundation, a nonprofit organization, may be able to help. Go to www.LillyCares.com or call 1-800-545-6962 to learn more.

FORTEO is a prescription medication used in both men and postmenopausal women with osteoporosis who are at high risk for having broken bones, or fractures. FORTEO is used in both men and women with osteoporosis due to use of glucocorticoid medicines, such as prednisone, for several months, who are at high risk for having broken bones, or fractures. FORTEO can be used by people who have had a fracture related to osteoporosis, or who have several risk factors for fracture, or who cannot use other osteoporosis treatments.

SAFETY INFORMATION AND BOXED WARNING

What is the most important information I should know about FORTEO?

Warning: Potential Risk of Osteosarcoma

Possible bone cancer. During drug testing, the medicine in FORTEO caused some rats to develop a bone cancer called osteosarcoma. In people, osteosarcoma is a serious but rare cancer. Osteosarcoma has rarely been reported in people who took FORTEO. It is not known if people who take FORTEO have a higher chance of getting osteosarcoma. Before you take FORTEO, you should tell your healthcare provider if you have Paget's disease of bone, are a child or young adult whose bones are still growing, or have had radiation therapy.

Who should not take FORTEO?

  • You should not take FORTEO for more than 2 years over your lifetime.
  • Do not use FORTEO if you are allergic to any of the ingredients in FORTEO. Serious allergic reactions have been reported.

What should I tell my healthcare provider before taking FORTEO?

  • Before you take FORTEO, you should tell your healthcare provider if you have a bone disease other than osteoporosis, have cancer in your bones, have trouble injecting yourself and do not have someone who can help you, have or have had kidney stones, have or have had too much calcium in your blood, take medications that contain digoxin (Digoxin, Lanoxicaps, Lanoxin), or have any other medical conditions.
  • You should also tell your healthcare provider, before you take FORTEO, if you are pregnant or thinking about becoming pregnant. It is not known if FORTEO will harm your unborn baby. If you are breastfeeding or plan to breastfeed, it is not known if FORTEO passes into your breast milk. You and your healthcare provider should decide if you will take FORTEO or breastfeed. You should not do both.

What are the possible side effects of FORTEO?

  • FORTEO can cause serious side effects including a decrease in blood pressure when you change positions. Some people feel dizzy, get a fast heartbeat, or feel faint right after the first few doses. This usually happens within 4 hours of taking FORTEO and goes away within a few hours. For the first few doses, take your injections of FORTEO in a place where you can sit or lie down right away if you get these symptoms. If your symptoms get worse or do not go away, stop taking FORTEO and call your healthcare provider. FORTEO may also cause increased calcium in your blood. Tell your healthcare provider if you have nausea, vomiting, constipation, low energy, or muscle weakness. These may be signs there is too much calcium in your blood.
  • Common side effects of FORTEO include nausea, joint aches, pain, leg cramps, and injection site reactions including injection site pain, swelling and bruising. These are not all the possible side effects of FORTEO. You are encouraged to report negative side effects of Prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Additional safety information about FORTEO

  • There is a voluntary patient registry for people who take FORTEO. The purpose of the registry is to collect information about the possible risk of osteosarcoma in people who take FORTEO. For information about how to sign up for this patient registry, call 1-866-382-6813 or go to www.forteoregistry.org.
  • The FORTEO Delivery Device has enough medicine for 28 days. It is set to give a 20-microgram dose of medicine each day. Before you try to inject FORTEO yourself, a healthcare provider should teach you how to use the FORTEO Delivery Device to give your injection the right way. Inject FORTEO one time each day in your thigh or abdomen (lower stomach area). Do not inject all the medicine in the FORTEO Delivery Device at any one time. Do not transfer the medicine from the FORTEO Delivery Device to a syringe. This can result in taking the wrong dose of FORTEO. If you take more FORTEO than prescribed, call your healthcare provider. If you take too much FORTEO, you may have nausea, vomiting, weakness, or dizziness.

How should I store FORTEO?

  • Keep your FORTEO Delivery Device in the refrigerator between 36°F to 46°F (2°C to 8°C). Do not freeze the FORTEO Delivery Device. Do not use FORTEO if it has been frozen. Do not use FORTEO after the expiration date printed on the delivery device and packaging. Throw away the FORTEO Delivery Device after 28 days even if it has medicine in it (see the User Manual).
TE Con ISI 09Sep2013

For more safety information, please see Medication Guide and Full Prescribing Information, including Boxed Warning regarding osteosarcoma. See Full User Manual that accompanies the delivery device.

SAFETY INFORMATION AND BOXED WARNING

MORE
LESS

What is the most important information I should know about FORTEO?

Warning: Potential Risk of Osteosarcoma

Possible bone cancer. During drug testing, the medicine in FORTEO caused some rats to develop a bone cancer called osteosarcoma. In people, osteosarcoma is a serious but rare cancer. Osteosarcoma has rarely been reported in people who took FORTEO. It is not known if people who take FORTEO have a higher chance of getting osteosarcoma. Before you take FORTEO, you should tell your healthcare provider if you have Paget's disease of bone, are a child or young adult whose bones are still growing, or have had radiation therapy.

Who should not take FORTEO?

  • You should not take FORTEO for more than 2 years over your lifetime.
  • Do not use FORTEO if you are allergic to any of the ingredients in FORTEO. Serious allergic reactions have been reported.

What should I tell my healthcare provider before taking FORTEO?

  • Before you take FORTEO, you should tell your healthcare provider if you have a bone disease other than osteoporosis, have cancer in your bones, have trouble injecting yourself and do not have someone who can help you, have or have had kidney stones, have or have had too much calcium in your blood, take medications that contain digoxin (Digoxin, Lanoxicaps, Lanoxin), or have any other medical conditions.
  • You should also tell your healthcare provider, before you take FORTEO, if you are pregnant or thinking about becoming pregnant. It is not known if FORTEO will harm your unborn baby. If you are breastfeeding or plan to breastfeed, it is not known if FORTEO passes into your breast milk. You and your healthcare provider should decide if you will take FORTEO or breastfeed. You should not do both.

What are the possible side effects of FORTEO?

  • FORTEO can cause serious side effects including a decrease in blood pressure when you change positions. Some people feel dizzy, get a fast heartbeat, or feel faint right after the first few doses. This usually happens within 4 hours of taking FORTEO and goes away within a few hours. For the first few doses, take your injections of FORTEO in a place where you can sit or lie down right away if you get these symptoms. If your symptoms get worse or do not go away, stop taking FORTEO and call your healthcare provider. FORTEO may also cause increased calcium in your blood. Tell your healthcare provider if you have nausea, vomiting, constipation, low energy, or muscle weakness. These may be signs there is too much calcium in your blood.
  • Common side effects of FORTEO include nausea, joint aches, pain, leg cramps, and injection site reactions including injection site pain, swelling and bruising. These are not all the possible side effects of FORTEO. You are encouraged to report negative side effects of Prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Additional safety information about FORTEO

  • There is a voluntary patient registry for people who take FORTEO. The purpose of the registry is to collect information about the possible risk of osteosarcoma in people who take FORTEO. For information about how to sign up for this patient registry, call 1-866-382-6813 or go to www.forteoregistry.org.
  • The FORTEO Delivery Device has enough medicine for 28 days. It is set to give a 20-microgram dose of medicine each day. Before you try to inject FORTEO yourself, a healthcare provider should teach you how to use the FORTEO Delivery Device to give your injection the right way. Inject FORTEO one time each day in your thigh or abdomen (lower stomach area). Do not inject all the medicine in the FORTEO Delivery Device at any one time. Do not transfer the medicine from the FORTEO Delivery Device to a syringe. This can result in taking the wrong dose of FORTEO. If you take more FORTEO than prescribed, call your healthcare provider. If you take too much FORTEO, you may have nausea, vomiting, weakness, or dizziness.

How should I store FORTEO?

  • Keep your FORTEO Delivery Device in the refrigerator between 36°F to 46°F (2°C to 8°C). Do not freeze the FORTEO Delivery Device. Do not use FORTEO if it has been frozen. Do not use FORTEO after the expiration date printed on the delivery device and packaging. Throw away the FORTEO Delivery Device after 28 days even if it has medicine in it (see the User Manual).

For more safety information, please see Medication Guide and Full Prescribing Information, including Boxed Warning regarding osteosarcoma. See Full User Manual that accompanies the delivery device.

TE Con ISI 09Sep2013