Savings & offers for ANORO ELLIPTA

Sign up to get a FREE Info Kit and to see if you're eligible to pay no more than $10 a month on your 30-day prescription for ANORO for 12 months.

If you have questions about ANORO, we have information that can help you and your doctor decide if ANORO is right for you. Fill out the form below to receive a FREE Info Kit and find out if you're eligible to pay no more than $10 a month on your prescription for ANORO for 12 months.

Things to know about this savings offer:

  • Read Full Requirements and Restrictions. Subject to eligibility. Restrictions apply.
    • Eligible commercially insured patients pay no more than $10 per 30-day supply of ANORO.
    • Eligible patients without insurance to cover the cost of their prescription will receive up to $100 in savings on each 30-day supply of ANORO. You will be responsible for any remaining out-of-pocket cost.
  • Subject to eligibility. Restrictions apply.
    • Eligible commercially insured patients pay no more than $10 per 30-day supply of ANORO.
    • Eligible patients without insurance to cover the cost of their prescription will receive up to $100 in savings on each 30-day supply of ANORO. You will be responsible for any remaining out-of-pocket cost.
  • This offer is valid for up to 12 uses, and each 30-day supply counts as 1 use.
  • This is NOT health insurance.
  • Keep this coupon. It can be used once per 30-day supply for up to 12 uses prior to the expiration date.
  • Coupon should be presented to your pharmacist for each refill.
Read Full Requirements and Restrictions.
Eligibility Requirements
To be eligible for the Free Trial Offer:

TO THE PATIENT: You may use this Free Trial Offer only for free product. That is, in order to be eligible for this offer, this Free Trial Offer must be accompanied by a valid, signed prescription. Further, you are NOT eligible for this offer if either: (a) this prescription will be submitted for reimbursement under any federal healthcare program, including Medicaid, Medicare (Part D or otherwise), or any similar federal or state programs, including any state pharmaceutical assistance program, or under any private insurance, HMO, or other third-party payment arrangement, or (b) any part of this prescription will be submitted to count toward your out-of-pocket cost under your prescription drug plan, such as the "True Out-Of-Pocket (TrOOP)" expenses under Medicare Part D. Only an original Free Trial Offer will be accepted and must be presented to your pharmacist at the time you have your prescription filled—not valid if reproduced.

By tendering this Free Trial Offer, I, the Patient, certify that: (i) I have read the above terms, (ii) I am not being reimbursed by, nor will I submit a claim for reimbursement by, nor will I seek to have any portion of this prescription counted toward my out-of-pocket cost (eg, TrOOP) under, any federal, state, or private programs for this prescription, and (iii) I will otherwise comply with the terms above.

TO THE PATIENT AND PHARMACIST: Offer good only in USA, including Puerto Rico. Void where prohibited by law, taxed, or restricted. Not valid in Massachusetts if AB-rated generic drug is available for the product. No purchase required. May not be used with any other discount, Free Trial Offer, or offer. GSK and McKesson (on GSK's behalf) reserve the right to rescind, revoke, or amend this Free Trial Offer without notice. This Free Trial Offer is nontransferable. Duplicates of this uniquely coded Free Trial Offer are invalid and not redeemable at the pharmacy.

Mail-order: If you use a mail-order pharmacy, please contact your pharmacy provider to ensure this offer will be accepted.

This Free Trial Offer is the property of GSK and must be returned upon request.

†Subject to eligibility. Restrictions apply.

Program Enrollment

GSK believes your privacy is important. By providing your name, address, e-mail address, and other information, you are giving GSK and companies working with GSK permission to market or advertise to you regarding the medical condition(s) in which you have expressed an interest, as well as other general health-related information from GSK. GSK will not sell or transfer your name or e-mail address to any other party for their own marketing use.

For additional information regarding how GSK handles your information, please see our Privacy Statement.

*Indicates Required Field; if you are less than 18 years of age, you are not eligible to enroll.

Are you enrolled in any state-, federal-, or government-funded medical or prescription benefit program, including but not limited to Medicare, Medicaid, Medigap, VA, DOD, TRICARE®, or CHAMPUS?*

TRICARE® is a registered trademark of the Department of Defense.

Does the person who will use this coupon have health insurance that covers prescription drugs?*

Which of the following statements best describes you?

Has your doctor prescribed ANORO?

Are you currently treating your COPD with ANORO?

In order to join this program and be eligible for the savings offer, you must agree to the savings offer consent above. If you would like to see if you are eligible, please select "I agree to the savings offer consent."

IMPORTANT SAFETY INFORMATION FOR ANORO ELLIPTA

  • ANORO is only approved for use in COPD. ANORO is NOT approved for use in asthma.
  • People with asthma who take long-acting beta2-adrenergic agonist (LABA) medicines, such as vilanterol (one of the medicines in ANORO), have an increased risk of death from asthma problems. It is not known if LABA medicines increase the risk of death in people with COPD.

IMPORTANT SAFETY INFORMATION FOR ANORO ELLIPTA

  • ANORO is only approved for use in COPD. ANORO is NOT approved for use in asthma.
  • People with asthma who take long-acting beta2-adrenergic agonist (LABA) medicines, such as vilanterol (one of the medicines in ANORO), have an increased risk of death from asthma problems. It is not known if LABA medicines increase the risk of death in people with COPD.
  • Call your healthcare provider if breathing problems worsen over time while using ANORO.
  • Get emergency medical care if your breathing problems worsen quickly or if you use your rescue inhaler but it does not relieve your breathing problems.
  • Do not use ANORO to treat sudden breathing problems. Always have a rescue inhaler with you to treat sudden symptoms.
  • ANORO is not for the treatment of asthma. It is not known if ANORO is safe and effective in people with asthma.
  • Do not use ANORO if you have a severe allergy to milk proteins or any of the ingredients in ANORO. Ask your healthcare provider if you are not sure.
  • Do not use ANORO more often than prescribed.
  • Do not take ANORO with other medicines that contain a LABA or an anticholinergic for any reason. Tell your healthcare provider about all the medicines you take and about all of your health conditions. Especially tell your healthcare provider if you take anticholinergics, including tiotropium, ipratropium, aclidinium, or atropine.
  • ANORO can cause serious side effects, including:
    • sudden breathing problems immediately after inhaling your medicine. If you have sudden breathing problems immediately after inhaling your medicine, stop using ANORO and call your healthcare provider right away.
    • serious allergic reactions. Call your healthcare provider or get emergency medical care if you get any of the following symptoms of a serious allergic reaction:
      • rash
      • hives
      • swelling of your face, mouth, and tongue
      • breathing problems
    • effects on heart
      • increased blood pressure
      • a fast or irregular heartbeat, awareness of heartbeat
      • chest pain
    • effects on nervous system
      • tremor
      • nervousness
    • new or worsened eye problems, including acute narrow-angle glaucoma. Acute narrow-angle glaucoma can cause permanent loss of vision if not treated. Symptoms of acute narrow-angle glaucoma may include:
      • eye pain or discomfort
      • nausea or vomiting
      • blurred vision
      • seeing halos or bright colors around lights
      • red eyes

      If you have these symptoms, call your healthcare provider right away before taking another dose.
    • urinary retention. People who take ANORO may develop new or worse urinary retention. Symptoms of urinary retention may include:
      • difficulty urinating
      • painful urination
      • urinating frequently
      • urination in a weak stream or drips

      If you have these symptoms of urinary retention, stop taking ANORO and call your healthcare provider right away before taking another dose.
    • changes in laboratory blood levels, including high levels of blood sugar (hyperglycemia) and low levels of potassium (hypokalemia)
  • Common side effects of ANORO include:
    • sore throat
    • sinus infection
    • lower respiratory infection
    • common cold symptoms
    • constipation
    • diarrhea
    • pain in your arms or legs
    • muscle spasms
    • neck pain
    • chest pain
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.
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.