Once Daily Moxatag® amoxicillin extended-release tablets | Co-Pay Card

Patients

IMPORTANT SAFETY INFORMATION
Severe life-threatening reactions can occur with Moxatag^®. Do not take Moxatag^® if you have had a previous reaction to amoxicillin or penicillin.

The Moxatag^® Co-Pay Card helps you save!


	Click here for Important Eligibility Information

With the Moxatag^® Co-Pay Card, eligible patients pay only $20* on co-pays up to $60.
Click here to learn if you are eligible.

Here's how to take advantage of this offer:

Download the Moxatag^® Co-Pay Card (click here) and print it out. Be sure to print both pages.

Bring the card and your Moxatag^® prescription to your pharmacy.

It's that simple!

Attention patients: If your co-pay or pharmacy bill exceeds $20.00, present this certificate to the pharmacist for an instant rebate of "up to" a maximum of $40.00. If your total out-of-pocket pharmacy bill exceeds $60.00, you will be responsible for the additional balance. Not valid with any other offer. See eligibility rules below.

	Important Eligibility Rules
	This coupon is not valid for prescriptions reimbursed under Medicare, Medicaid, or any other federal, or state program, or where prohibited by law. Where third-party reimbursement covers a portion of your prescription, this coupon is valid only for the amount of your actual out-of-pocket expenses up to a maximum of $40.00 per product. Offer valid only for prescriptions filled in the United States. Shionogi Inc. reserves the right to discontinue this offer at any time. It is a violation of federal law to buy, sell, or counterfeit this certificate.

	Offer void in Massachusetts except for patients with no prescription drug insurance coverage.

	Offer expires: June 30, 2012

Indication

Moxatag^® is a penicillin-class antibacterial indicated for the treatment of tonsillitis and/or pharyngitis secondary to Streptococcus pyogenes (S. pyogenes) in adult and pediatric patients 12 years of age or older.

Important Safety Information

Severe life-threatening reactions can occur with Moxatag^®. Do not take Moxatag^® if you have had a previous reaction to amoxicillin or penicillin.

If you develop diarrhea that becomes severe and watery or does not go away, stop taking Moxatag^® and call your health care professional. This could be a sign of a serious medical problem.

Tell your health care professional right away if you develop other infections.

Do not take Moxatag^® if you have mononucleosis (mono).

Oral contraceptives may be less effective if you are taking Moxatag^®.

Before taking Moxatag^®, tell your health care professional if you are pregnant, plan to become pregnant or are breast-feeding. If you become pregnant while taking Moxatag^®, call your health care professional.

The most common side effects of Moxatag^® are yeast infection, diarrhea, nausea, vomiting, and headache.

You are encouraged to report negative side effects of prescription drugs to the FDA. Call 1-800-FDA-1088 or visit http://www.fda.gov/medwatch.

Click here for full Prescribing Information

Shionogi Inc.