Long-Lasting SAVINGS

OFFER EXPIRES
12/31/19

Save each time you fill your Vyvanse prescription.*

SAVINGS CARD
Pay as little as
Tap into Your Savings Today!
1 Get your prescription and your Vyvanse Savings Card
2 Take them both to your pharmacy
$ 30
Per prescription each month*

3 Save! Powered by:

Change Healthcare
Offer Expires 12/31/19

*See below for eligibility and restrictions.

BIN# 600426
PCN# 54 See accompanying Medication Guide, including
GRP# EC31001393 Boxed WARNING regarding Potential for Abuse
ID# 49310828421 and Dependence, and discuss with your doctor.

*Program Details
• Commercially insured patients can pay as little as $30 for a prescription fill of Vyvanse until the end of the program
• For commercially insured patients and those paying with cash, this offer covers the amount above $30 up to a
maximum benefit of $60 on each fill
• Patient is responsible for any cost above $90 per prescription
• Offer valid for up to 30 capsules or chewable tablets of Vyvanse per fill
• Maximum savings of up to $720 during program period
*See below for eligibility and restrictions.

We’re here to help – email or call us! Shirehelp@connectiverx.com 1-800-583-2037 Monday to Friday, 8:30 AM - 8:00 PM ET (except holidays)

Terms and Conditions

Eligible patients will pay a minimum of $30 and receive up to a maximum of $60 off their co-pay or out-of-pocket expense. Patient is responsible for
first $30 plus any prescription costs in excess of $90. This offer can be used for up to 30 capsules or chewable tablets of Vyvanse (lisdexamfetamine
dimesylate) per use. Offer is valid for up to 12 uses through offer expiry. Patient may save up to $720 across all 12 uses. A valid Prescriber ID# is
required on each prescription.
Patient Instructions: In order to redeem this offer, you must have a valid prescription for Vyvanse. Follow the dosage instructions given by the prescribing
doctor. This offer may not be redeemed for cash. By using this offer, you are certifying that you meet the eligibility criteria and will comply with the terms
and conditions set forth in the “Restrictions” section below. Patients with questions about this offer should call 1-866-441-3469.
Pharmacist: When you apply this offer, you are certifying that you are not submitting the claim for this prescription for reimbursement under any
federal, state, or other governmental program. Participation in this offer must comply with all applicable laws and regulations as a pharmacy provider. By
participating in this offer, you are certifying that you will comply with the terms and conditions set forth in the “Restrictions” section below.
Pharmacist instructions for a patient paying with an Eligible Third Party Payer: Submit the claim to the primary Third Party Payer first, then submit the
balance due to Change Healthcare as a Secondary Payer COB [coordination of benefits] with patient responsibility amount and a valid Other Coverage
Code, (e.g. 8). The patient is responsible for the first $30 and the offer pays up to the next $60. Reimbursement will be received from Change Healthcare.
(Please scroll down to see additional Terms and Conditions.)

What is Vyvanse?
Vyvanse is a prescription medicine used for the treatment of Attention-Deficit/Hyperactivity Disorder (ADHD) in patients 6 years
and above, and for the treatment of moderate to severe binge eating disorder (B.E.D.) in adults. Vyvanse is not for weight loss. It
is not known if Vyvanse is safe and effective for the treatment of obesity.

IMPORTANT SAFETY INFORMATION

Vyvanse is a federally controlled substance (CII) because it can be abused or lead to dependence. Keep Vyvanse in a
safe place to prevent misuse and abuse. Selling or giving away Vyvanse may harm others and is against the law.

Vyvanse is a stimulant medicine. Tell the doctor if you or your child have ever abused or been dependent on alcohol,
prescription medicines, or street drugs.

Scroll for additional safety information, and click here for Medication Guide and discuss with your doctor.
IMPORTANT SAFETY INFORMATION (continued)
Who should not take Vyvanse?
Do not take Vyvanse if you or your child are:
• taking or have taken an anti-depression medicine called a monoamine oxidase inhibitor (MAOI) within the past 14 days.
• sensitive or allergic to, or had a reaction to other stimulant medicines.
Serious problems can occur while taking Vyvanse. Tell the doctor:
• if you or your child have heart problems, heart defects, high blood pressure, or a family history of these problems. Sudden death has occurred
in people with heart problems or defects taking stimulant medicines. Sudden death, stroke and heart attack have happened in adults taking
stimulant medicines. Your doctor should check you or your child carefully for heart problems before starting Vyvanse. Since increases in blood
pressure and heart rate may occur, the doctor should regularly check these during treatment. Call the doctor right away if you or your child
have any signs of heart problems such as chest pain, shortness of breath, or fainting while taking Vyvanse.
• if you or your child have mental (psychiatric) problems, or a family history of suicide, bipolar illness, or depression. New or worse behavior
and thought problems or new or worse bipolar illness may occur. New psychotic symptoms (such as seeing or hearing things that are not
real, believing things that are not true, being suspicious) or new manic symptoms may occur. Call the doctor right away if there are any
new or worsening mental symptoms or problems during treatment.
• if you or your child have circulation problems in fingers and toes (peripheral vasculopathy, including Raynaud’s phenomenon). Fingers or
toes may feel numb, cool, painful, sensitive to temperature and/or change color from pale, to blue, to red. Call the doctor right away if any
signs of unexplained wounds appear on fingers or toes while taking Vyvanse.
• if your child is having slowing of growth (height or weight). The doctor should check your child’s height and weight often while on Vyvanse,
and may stop treatment if a problem is found.
• if you or your child have symptoms of serotonin syndrome: agitation, hallucinations, coma, or changes in mental status; problems controlling
movements or muscle twitching, stiffness, or tightness; fast heartbeat; sweating or fever; nausea, vomiting or diarrhea. Call your doctor
or go to the emergency room if symptoms occur. Serotonin syndrome may occur if Vyvanse is taken with certain medicines and may be
life-threatening.
• if you or your child are pregnant or plan to become pregnant. It is not known if Vyvanse may harm your unborn baby.
• if you or your child are breastfeeding or plan to breastfeed. Do not breastfeed while taking Vyvanse. Talk to your doctor about the best way
to feed your baby if you take Vyvanse.
What are possible side effects of Vyvanse?
The most common side effects of Vyvanse in ADHD include:
• anxiety • dry mouth • trouble sleeping
• decreased appetite • irritability • upper stomach pain
• diarrhea • loss of appetite • vomiting
• dizziness • nausea • weight loss
The most common side effects of Vyvanse in adults with moderate to severe B.E.D. include:
• dry mouth • constipation
• trouble sleeping • feeling jittery
• decreased appetite • anxiety
• increased heart rate

For additional safety information, including Boxed WARNING regarding Potential for Abuse and Dependence, click here for
Medication Guide and discuss with your doctor.
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.

Terms and Conditions (continued)

Pharmacist instructions for a cash paying patient: Submit this claim to Change Healthcare. A valid Other Coverage Code (e.g. 1) is required. The patient
is responsible for the first $30 and the offer pays up to the next $60. Reimbursement will be received from Change Healthcare.
Valid Other Coverage Code required.
For any questions regarding Change Healthcare online processing, please call the Help Desk at 1-800-433-4893.
Restrictions: This offer is valid in the United States. Offer not valid for prescriptions covered by or submitted for reimbursement under Medicaid, a
Medicare drug benefit plan, Tricare, or other federal or state health programs (including any state medical assistance program). If the patient is eligible
for prescription drug benefits under any such program, the patient cannot use this offer. By using this offer, the patient certifies that he or she will comply
with any terms of his or her health insurance contract requiring notification to his or her payer of the existence and/or value of this offer. Cash Discount
Cards and other non-insurance plans are not valid as primary under this offer. It is illegal to (or offer to) sell, purchase, or trade this offer. This offer is not
transferable and is limited to one offer per person. Offer expires 12/31/2019.
This offer is not valid if reproduced. Void where prohibited by law. Offer program managed by ConnectiveRx, LLC on behalf of Shire US Inc. The parties
reserve the right to rescind, revoke, or amend this offer without notice at any time.

VYVANSE and the Vyvanse logo are registered trademarks of Shire LLC.
SHIRE and the Shire logo are registered trademarks of Shire Pharmaceutical Holdings Ireland Limited or its affiliates.
©2018 Shire US Inc., Lexington, MA 02421. All rights reserved. 1-800-828-2088. S43570 10/18