TERMS AND CONDITIONS

By participating in the Brimonidine Instant Savings Program, you acknowledge that you meet the eligibility criteria and will comply with the terms and conditions described below:

  • You may not use the Brimonidine Instant Savings Program if you have prescription drug coverage under Medicaid, Medicare, TRICARE, the Federal Employee-Health Benefit Program, or other federal or state healthcare programs including any state prescription drug assistance programs and the Government Health Insurance Plan available in Puerto Rico (formerly known as "La Reforma de Salud"). You may not use the Brimonidine Instant Savings Program if you are uninsured or have no prescription drug coverage for Brimonidine.
  • The Brimonidine Instant Savings Program is not valid for prescriptions that are eligible to be reimbursed by private insurance plans or other health or pharmacy benefit programs, which reimburse you for the entire cost of your prescription drugs (i.e. you have no cost-sharing obligation).
  • Offer not available for residents of California or Massachusetts or where prohibited by law. Void if copied, transferred, purchased, altered, or traded. This is not an insurance program. This offer is restricted to residents of the United States and Puerto Rico. 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.
  • If eligible, patient receives up to $100 towards cost-sharing obligation for Brimonidine per 30-day fill - $150 per 60-day fill - $200 per 90 day fill, up to $1,200 per calendar year. In the event the patient's cost-sharing obligation for Brimonidine under their health insurance is more than $100 per 30-day supply - $150 per 60-day supply - $200 per 90-day supply, the patient will be responsible for any cost-sharing beyond $100 for each 30-day supply - $150 per 60-day supply - $200 per 90-day supply, up to $1,200 per calendar year. The Brimonidine Instant Savings Program cannot be combined with any other rebate/coupon, free trial, or similar offer for the specified prescription.
  • The Brimonidine Instant Savings Program will be accepted only at participating pharmacies.
  • The Brimonidine Instant Savings Program is not health insurance.
  • The offer is good only in the U.S. and Puerto Rico.
  • Apotex reserves the right, at its sole discretion, to amend, rescind, revoke, or terminate the offer at any time.
  • There are no membership fees for this savings program.
  • If you receive copayment assistance under the Brimonidine Instant Savings Program, your personal information will be used to process payment for your prescription under such program through an Apotex vendor.

INDICATIONS AND IMPORTANT SAFETY INFORMATION

What is Brimonidine Tartrate Ophthalmic Solution 0.1%?

Brimonidine tartrate ophthalmic solution is an eyedrop medication used to reduce intraocular pressure (IOP) in people with open-angle glaucoma or ocular hypertension (high pressure in the eye).

Who should not take Brimonidine Tartrate Ophthalmic Solution 0.1%?

Neonates and Infants (under the age of 2 years): Brimonidine tartrate ophthalmic solution should not be taken by neonates and infants (under the age of 2 years).

Hypersensitivity Reactions: Brimonidine tartrate ophthalmic solution should not be taken by people who have exhibited a hypersensitivity reaction to any component of this medication in the past.

 
 

INDICATIONS AND IMPORTANT SAFETY INFORMATION

What is Brimonidine Tartrate Ophthalmic Solution 0.1%?

Brimonidine tartrate ophthalmic solution is an eyedrop medication used to reduce intraocular pressure (IOP) in people with open-angle glaucoma or ocular hypertension (high pressure in the eye).


Who should not take Brimonidine Tartrate Ophthalmic Solution 0.1%?

Neonates and Infants (under the age of 2 years): Brimonidine tartrate ophthalmic solution should not be taken by neonates and infants (under the age of 2 years).

Hypersensitivity Reactions: Brimonidine tartrate ophthalmic solution should not be taken by people who have exhibited a hypersensitivity reaction to any component of this medication in the past.


What is the most important information I should know about Brimonidine Tartrate Ophthalmic Solution 0.1%?

Potentiation of Vascular Insufficiency: Brimonidine tartrate ophthalmic solution may increase the likelihood of syndromes associated with vascular insufficiency. Brimonidine tartrate ophthalmic solution should be used with caution in people with depression, cerebral or coronary insufficiency, Raynaud's phenomenon, orthostatic hypotension, or thromboangiitis obliterans.

Severe Cardiovascular Disease: Although brimonidine tartrate ophthalmic solution had minimal effect on the blood pressure of patients in clinical studies, caution should be exercised when using brimonidine tartrate ophthalmic solution in people with severe cardiovascular disease.

Contamination of Topical Ophthalmic Products After Use: There have been reports of bacterial keratitis (an infection in the cornea) associated with the use of multiple-dose containers of topical ophthalmic products. These containers had been inadvertently contaminated by people who, in most cases, had corneal disease at the same time or a disruption of the ocular epithelial surface (the protective surface of the eye).


What should I tell my healthcare provider before taking Brimonidine Tartrate Ophthalmic Solution 0.1%?

Tell your healthcare provider if you are taking any of the following medications:

Antihypertensives/Cardiac Glycosides: Because brimonidine tartrate ophthalmic solution may reduce blood pressure, caution in using drugs such as antihypertensives (high blood pressure medications) and/or cardiac glycosides (certain heart medications) with brimonidine tartrate ophthalmic solution is advised.

CNS Depressants: Although specific drug interaction studies have not been conducted with brimonidine tartrate ophthalmic solution, the possibility of an additive or potentiating effect with CNS depressants (alcohol, barbiturates, opiates, sedatives, or anesthetics) should be considered.

Tricyclic Antidepressants: Tricyclic antidepressants have been reported to blunt the hypotensive effect of systemic clonidine. It is not known whether using these medications with brimonidine tartrate ophthalmic solution in humans can lead to resulting interference with the IOP-lowering effect. Caution is advised in people taking tricyclic antidepressants, which can affect the metabolism and uptake of circulating amines.

Monoamine Oxidase Inhibitors: Monoamine oxidase (MAO) inhibitors may theoretically interfere with the metabolism of brimonidine and potentially result in an increased systemic side effect such as hypotension. Caution is advised in people taking MAO inhibitors, which can affect the metabolism and uptake of circulating amines.


What are the possible side effects of Brimonidine Tartrate Ophthalmic Solution 0.1%?

Adverse reactions occurring in approximately 10% to 20% of the subjects receiving brimonidine ophthalmic solution included: allergic conjunctivitis, conjunctival hyperemia, and eye pruritus. Adverse reactions occurring in approximately 5% to 9% included: burning sensation, conjunctival folliculosis, hypertension, ocular allergic reaction, oral dryness, and visual disturbance.

These are not all the possible side effects of Brimonidine Tartrate Ophthalmic Solution 0.1%. For more information, ask your healthcare provider or pharmacist. Call your doctor for medical advice about side effects.

You are encouraged to report side effects of prescription drugs to the Food and Drug Administration (FDA). Visit www.fda.gov/medwatch or call 1-800-FDA-1088.