Get a $0 co-pay (or up to $2,500 per month) on ZYFLO CR® (zileuton), FREE shipping direct to your door, and support designed for you!
$0 monthly co-pay* (or up to $2,500 per month)
on your prescription. You pay nothing out of pocket!
FREE next-day delivery
direct to your door
Get refill reminder phone calls
so you can make sure you get the ZYFLO CR® you need
Talk to a pharmacist
anytime, 24/7 at 1-844-MY-ZYFLO (1-844-699-9356) if you have questions about your medication
Ask your doctor if ZYFLO CR® is right for you.
Once you're enrolled, a ZYFLO connect® representative will give you a welcome phone call and automatically apply the co-pay assistance to your initial shipment. They will also confirm your delivery location preference and go over the refill reminder options with you.
Download a PDF of the ZYFLO CR® (zileuton) patient brochure
Helps you identify the signs and symptoms of asthma
Provides important information about what to expect during treatment with ZYFLO CR®
If you are uninsured or have commercial insurance, including insurance purchased through the Affordable Care Act Exchange plans, Chiesi USA may help pay the out-of-pocket expenses (co-pay, co-insurance, deductibles) of your prescription. For patients taking ZYFLO CR® (zileuton) extended-release tablets or ZYFLO® (zileuton) tablets (collectively, "ZYFLO"), up to $2,500 per month will be provided, if you meet the eligibility requirements below. If the total costs of your out-of-pocket expenses are over $2,500 per month, you will be responsible for the outstanding balance.
Eligibility Requirements
You are either:
Uninsured, or
You are insured by commercial or private insurance and your insurance does not cover the full cost of ZYFLO or ZYFLO CR
Your prescriptions are not covered in full or in part by any state or federally funded insurance program, including but not limited to Medicare, Medicaid, Medigap, Veterans Affairs (VA) or Department of Defense (DOD) programs, or the Government Health Insurance Plan available in Puerto Rico (formerly known as “La Reforma de Salud”); patients who move from commercial to state or federally funded prescription insurance will no longer be eligible
You are at least 18 years of age
Void where prohibited by law
Terms of Use
By accepting this offer and participating in the ZYFLO connect program, you are representing and warranting to Chiesi that you currently meet the eligibility requirements described above and will comply with these Terms of Use.
Out-of-pocket benefit equals an amount up to $2,500 per month (maximum benefit of $30,000 per year) for ZYFLO or ZYFLO CR. Patient is responsible for applicable taxes, if any.
EXAMPLE: If your monthly ZYFLO or ZYFLO CR prescription co-pay or out-of-pocket cost is $3,000, eligible patients will only pay $500 per month for ZYFLO or ZYFLO CR, a savings of $2,500 off of their co-pay or total out-of-pocket costs. If your co-pay or out-of-pocket costs are no more than $2,500, you pay $0. For a mail-order 3-month prescription, your total maximum savings will be $7,500 ($2,500 x 3).
If a patient exceeds the maximum monthly benefit of $2,500, the patient will be responsible for the outstanding balance.
Patients, pharmacists, and prescribers cannot seek reimbursement from health insurance or any third party, for any part of the benefit received by the patient through this offer.
Your acceptance of this offer confirms that this offer is consistent with your insurance and that you will report the value received as may be required by your insurance provider.
Only valid in the United States or Puerto Rico; this offer is void where restricted or prohibited by law.
No membership fees.
The ZYFLO Connect program is not insurance.
The ZYFLO Connect program cannot be combined with any other rebate/coupon, free trial, or similar offer for the specified prescription.
The ZYFLO Connect program expires on December 31, 2016.
The ZYFLO Connect program is limited to one per person.
Chiesi USA reserves the right to rescind, revoke, or amend this offer at any time without notice.
The ZYFLO Connect program is only offered through distribution from Foundation Care, a full-service pharmacy serving patients in all 50 states and Puerto Rico.
Foundation Care, 4010 Wedgeway Court, Earth City, MO 63045 Phone: (844) 699-9356
About ZYFLO CR (zileuton)
ZYFLO CR is a medicine that is used to prevent asthma attacks and for long-term management of asthma in adults and children 12 years of age and older. ZYFLO CR blocks the production of leukotrienes. Leukotrienes are substances that may contribute to your asthma.
ZYFLO CR is not a rescue medicine (it is not a bronchodilator) and should not be used if you need relief right away for an asthma attack.
Important Patient Safety Information
Do not take ZYFLO CR if you have active liver disease, repeated blood tests showing elevated liver enzymes (substances released by the liver) or have ever had an allergic reaction to ZYFLO CR or any of the ingredients in ZYFLO CR.
ZYFLO CR may not be right for you. Tell your health care provider if you have ever had liver problems, including hepatitis, jaundice (yellow eyes or skin), or dark urine.
Tell your health care provider how much and how often you drink alcohol.
Tell your health care provider if you are pregnant or planning to become pregnant. It is not known if ZYFLO CR will harm your unborn baby. Do not take ZYFLO CR during pregnancy unless you and your health care provider decide that taking the medicine is more important than the possible risk to your unborn baby. It is not known if ZYFLO CR passes into your breast milk. You and your health care provider should decide if you will take ZYFLO CR or breastfeed. You should not do both.
Tell your health care provider if you have difficulty swallowing pills and about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements.
ZYFLO CR can cause serious side effects including liver problems. Liver function enzymes and bilirubin can increase while taking ZYFLO CR and severe liver injury can occur. Have your blood tests done as ordered to check your liver enzymes.
In addition, tell your healthcare provider if you have any sleep problems or changes in behavior while taking ZYFLO CR.
Tell your health care provider right away if you get any of the following signs or symptoms: pain on the right side of your abdomen (stomach area), nausea, tiredness, lack of energy, itching, yellow skin or yellow color in the whites of your eyes, dark urine, or “flu-like” symptoms.
Some of the most common side effects are nose and throat irritation, sinusitis, upper respiratory infection, throat pain, headache, muscle aches, nausea, and diarrhea.
Allergic reactions can happen while taking ZYFLO CR. Tell your health care provider right away if you get any of the following signs or symptoms: rash or hives.
Tell your health care provider if you have any new or unusual symptoms that bother you or do not go away while taking ZYFLO CR.
These are not all of the possible side effects of ZYFLO CR. For more information, ask your health care provider or pharmacist.
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.
