Welcome to the Lo Loestrin® Fe and Minastrin® 24 Fe Savings Programs

If you are eligible,* you may pay no more than $25 per prescription fill with a Lo Loestrin® Fe or Minastrin® 24 Fe Savings Card. Sign up now to save.


Already Have a Savings Card?


Don't Have a Savings Card Yet? SIGN UP NOW TO GET ONE

*Depending on insurance coverage, most eligible patients pay no more than $25 per 28-day supply for each of up to 12 prescription fills. Check with your pharmacist for your copay discount. Maximum savings limit applies; patient out-of-pocket expense may vary. Offer not valid for patients enrolled in Medicare, Medicaid, or other federal or state healthcare programs. Please see back of card or click here for Program Terms, Conditions, and Eligibility Criteria.

Most eligible patients pay no more than $25

What are Lo Loestrin® Fe and Minastrin® 24 Fe?

Lo Loestrin Fe and Minastrin 24 Fe are prescription birth control pills used for the prevention of pregnancy. If you are moderately obese, discuss with your healthcare provider whether Lo Loestrin Fe or Minastrin 24 Fe is the best choice for you.


IMPORTANT RISK INFORMATION

WARNING TO WOMEN WHO SMOKE

Do not use Lo Loestrin Fe or Minastrin 24 Fe if you smoke cigarettes and are over 35 years old. Smoking increases your risk of serious cardiovascular side effects (heart and blood vessel problems) from birth control pills, including death from heart attack, blood clots, or stroke. This risk increases with age and the number of cigarettes you smoke.


Who should not take Lo Loestrin Fe or Minastrin 24 Fe?

Do not use Lo Loestrin Fe or Minastrin 24 Fe if you have kidney, liver, or adrenal disease because this could cause serious heart and health problems, or if you have or have had blood clots, history of heart attack or stroke, high blood pressure that medicine cannot control, breast cancer or any cancer that is sensitive to female hormones, liver disease or liver tumors, unexplained bleeding from the vagina, or if you are or may be pregnant.


What else should I know about taking Lo Loestrin Fe or Minastrin 24 Fe?

Treatment with Lo Loestrin Fe or Minastrin 24 Fe should be stopped if you have a blood clot, and at least 4 weeks before and through 2 weeks after major surgery. You should not take Lo Loestrin Fe or Minastrin 24 Fe any earlier than 4 weeks after having a baby or if you are breastfeeding. If you experience yellowing of the skin or eyes due to problems with your liver, you should stop taking Lo Loestrin Fe or Minastrin 24 Fe. If you are pre-diabetic or diabetic, your doctor should monitor you while using Lo Loestrin Fe or Minastrin 24 Fe and should evaluate you if you have any significant change in headaches or irregular menstrual bleeding.


What are the most serious risks of taking Lo Loestrin Fe or Minastrin 24 Fe?

Lo Loestrin Fe or Minastrin 24 Fe increase the risk of serious conditions including blood clots, stroke, and heart attack. These can be life-threatening or lead to permanent disability.


What are the possible side effects of Lo Loestrin Fe or Minastrin 24 Fe?

The most common side effects reported by women taking Lo Loestrin Fe in a study were nausea/vomiting, headache, spotting or bleeding between menstrual periods, painful menstruation, weight change, breast tenderness, acne, abdominal pain, anxiety, and depression.

The most common side effects reported by women taking Minastrin 24 Fe were headache, vaginal infections, nausea, painful menstruation, breast tenderness, abnormal Pap smear, acne, mood swings, and weight gain.


Lo Loestrin Fe or Minastrin 24 Fe do not protect you against HIV infection (AIDS) or other sexually transmitted diseases.

Please see the full Prescribing Information for Lo Loestrin Fe or Minastrin 24 Fe, including Patient Information, available at www.loloestrin.com or www.minastrin24.com, respectively.
Information for Lo Loestrin® Fe Patients Program Terms, Conditions, and Eligibility Criteria: 1. This offer is good for use only with a valid prescription for Lo Loestrin® Fe (norethindrone acetate and ethinyl estradiol tablets, ethinyl estradiol tablets and ferrous fumarate tablets) at the time the prescription is filled by the pharmacist and dispensed to the patient. 2. Depending on your insurance coverage, most eligible patients pay no more than $25 for each of up to twelve (12) prescription fills. Check with your pharmacist for your copay discount. Maximum savings limit applies; patient out-of-pocket expense may vary. 3. This offer is not valid for use by patients enrolled in Medicare, Medicaid, or other federal or state programs (including any state pharmaceutical assistance programs), or private indemnity or HMO insurance plans that reimburse you for the entire cost of your prescription drugs. Patients may not use this offer if they are Medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. This offer is not valid for cash-paying patients. 4. This offer is valid for up to twelve (12) prescription fills of a 28-day supply each. Offer applies only to prescriptions filled before the program expires on 1/31/17. 5. Allergan reserves the right to rescind, revoke, or amend this offer without notice. 6. Offer good only in the USA, including Puerto Rico, at participating retail pharmacies. 7. Void if prohibited by law, taxed, or restricted. 8. This card is not transferable. The selling, purchasing, trading, or counterfeiting of this card is prohibited by law. 9. This card has no cash value and may not be used in combination with any other discount, coupon, rebate, free trial, or similar offer for the specified prescription. 10. This offer is not health insurance. 11. This card expires January 31, 2017. 12. By redeeming this card, you acknowledge that you are an eligible patient and that you understand and agree to comply with the terms and conditions of this offer.

For questions about the program, including savings on mail-order prescriptions, please call 1.855.439.2817.

Pharmacist Instructions for a Patient with an Eligible Third-party Payer: When you redeem this card, you certify that you have not submitted and will not submit a claim for reimbursement under any federal, state, or other government programs for this prescription.
Submit the claim to the primary Third-party Payer first, then submit the balance due to Therapy First Plus using BIN #004682 as a Secondary Payer COB with patient responsibility amount and a valid Other Coverage Code (eg, 8). If you receive a rejection due to PA, step-edit, or NDC block, submit Other Coverage Code of 3 (Secondary Claim). The patient’s out-of-pocket expense will be reduced up to the maximum savings limit for the program. Reimbursement will be received from Therapy First Plus. For any questions regarding Therapy First Plus online processing, call the Help Desk at 1.800.422.5604.

Program managed by PSKW, LLC on behalf of Allergan.


Information for Minastrin® 24 Fe Patients Program Terms, Conditions, and Eligibility Criteria: 1. This offer is good for use only with a valid prescription for Minastrin® 24 Fe (norethindrone acetate and ethinyl estradiol chewable tablets and ferrous fumarate tablets) at the time the prescription is filled by the pharmacist and dispensed to the patient. 2. Depending on your insurance coverage, most eligible patients pay no more than $25 for each of up to twelve (12) prescription fills. Check with your pharmacist for your copay discount. Maximum savings limit applies; patient out-of-pocket expense may vary. 3. This offer is not valid for use by patients enrolled in Medicare, Medicaid, or other federal or state programs (including any state pharmaceutical assistance programs), or private indemnity or HMO insurance plans that reimburse you for the entire cost of your prescription drugs. Patients may not use this offer if they are Medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. This offer is not valid for cash-paying patients. 4. This offer is valid for up to twelve (12) prescription fills of a 28-day supply each. Offer applies only to prescriptions filled before the program expires on 12/31/16. 5. Allergan reserves the right to rescind, revoke, or amend this offer without notice. 6. Offer good only in the USA, including Puerto Rico, at participating retail pharmacies. 7. Void if prohibited by law, taxed, or restricted. 8. This card is not transferable. The selling, purchasing, trading, or counterfeiting of this card is prohibited by law. 9. This card has no cash value and may not be used in combination with any other discount, coupon, rebate, free trial, or similar offer for the specified prescription. 10. This offer is not health insurance. 11. This card expires December 31, 2016. 12. By redeeming this card, you acknowledge that you are an eligible patient and that you understand and agree to comply with the terms and conditions of this offer.

For questions about the program, including savings on mail-order prescriptions, please call 1.855.439.2817.

Pharmacist Instructions for a Patient with an Eligible Third-party Payer: When you redeem this card, you certify that you have not submitted and will not submit a claim for reimbursement under any federal, state, or other government programs for this prescription.
Submit the claim to the primary Third-party Payer first, then submit the balance due to Therapy First Plus using BIN #004682 as a Secondary Payer COB with patient responsibility amount and a valid Other Coverage Code (eg, 8). If you receive a rejection due to PA, step-edit, or NDC block, submit Other Coverage Code of 3 (Secondary Claim). The patient’s out-of-pocket expense will be reduced up to the maximum savings limit for the program. Reimbursement will be received from Therapy First Plus. For any questions regarding Therapy First Plus online processing, call the Help Desk at 1.800.422.5604.

Program managed by PSKW, LLC on behalf of Allergan.

Lo Loestrin Minastrin 24 Fe
Lo Loestrin

Minastrin 24 Fe