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#GENVOYA COPAY CARD SKIN#

Provided by: Patient Access Network FoundationĮnglish, Spanish, Others By Translation Service Patient Access Network Foundation (PAN) This is a copay assistance program Good Days Program Enrollment Information Pages (pages 1 & 2) (Spanish)Ĭall for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly. Good Days Program Patient Enrollment Application (pages 3-5) (Spanish) Good Days Program Enrollment Information Pages (pages 1 & 2) Good Days Program Patient Enrollment Application (pages 3-5) Good Days Program This is a copay assistance program

*IMPORTANT: Send completed CPAPA to the corresponding addresses listed for each company.

This single common application allows uninsured HIV-positive individuals with low incomes to use one application to apply for multiple assistance programs. Must be residing in the US or Puerto RicoĬomplete section, sign, attach required documentsĬo-payment assistance, reimbursement support, and patient assistance programs are available for eligible patients. Medically appropriate condition/diagnosis Genvoya tablet (elvitegravir-cobicistat-emtricitabine-tenofovir alafenamide).HIV Common Application: Gilead Sciences Advancing Access Gilead Advancing Access Enrollment Form (Spanish)Īdvancing Access Uninsured 24/7 Support: Contact program change in level of physical activity or exercise, weight gain or loss, increased stress, illness, or change in diet.Advancing Access Program This program provides brand name medications at no or low cost.Your insulin dose may need to change because of:

#GENVOYA COPAY CARD SKIN#

injection site reactions, skin thickening or pits at the injection site (lipodystrophy), weight gain, swelling of your hands and feet, rash, and itching.Treatment with TZDs and Levemir ® may need to be changed or stopped by your healthcare provider if you have new or worse heart failure. Tell your healthcare provider if you have new or worse symptoms of heart failure including shortness of breath, swelling of ankles or feet, and sudden weight gain. If you already have heart failure, it may get worse while you take TZDs with Levemir ®. This can happen even if you have never had heart failure or heart problems before.

Taking certain diabetes pills called TZDs (thiazolidinediones) with Levemir ® may cause heart failure in some people.

low potassium in your blood (hypokalemia).

Get emergency medical help if you have trouble breathing, shortness of breath, fast heartbeat, swelling, swelling of your face, tongue, or throat, sweating, extreme drowsiness, dizziness, or confusion. Severe allergic reactions are a potential side effect of Levemir ®. Signs and symptoms that may indicate low blood sugar include dizziness, light-headedness, sweating, confusion, headache, blurred vision, slurred speech, shakiness, fast heartbeat, anxiety, irritability, mood changes, and hunger. Low blood sugar can be a serious, but common side effect of Levemir ®. Serious side effects can lead to death, including:

Do not inject where the skin is tender, bruised, scaly or hard, or into scars or damaged skin.

Do not inject where the skin has pits, is thickened, or has lumps.

Do not use the exact same spot for each injection.

Change (rotate) your injection sites within the area you choose with each injection to reduce your risk of getting lipodystrophy (pits in skin or thickened skin) and localized cutaneous amyloidosis (skin with lumps) at the injection sites.

Do not inject Levemir ® into a vein or muscle.

You may give other people a serious infection or get a serious infection from them.

Do not reuse or share your needles or syringes with other people.

Ask your health care provider what your blood sugar levels should be and when you should check your blood sugar levels.

Do not change your insulin type unless your health care provider tells you to. Know the type and strength of your insulin.Read the Instructions for Use and take exactly as directed.