BLUJEPA savings

Fill out the questionnaire below to see if you're eligible to download a BLUJEPA Savings Coupon.

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* What prescription coverage do you have, if any?

 

TERMS AND CONDITIONS


 

ELIGIBILITY: Patients may be eligible for this offer if they have commercial insurance and insurance does not cover the full cost of the prescription. Patients are not eligible for this program if they are covered by any federal or state prescription insurance program. This includes patients enrolled in Medicare Part B, Medicare Part D, Medicaid, Medigap, Veterans Affairs (VA), Department of Defense (DoD) programs or TRICARE. This may also include state pharmaceutical assistance programs and other federal or state plans not listed. Patients are also ineligible for this program if they are Medicare eligible and enrolled in an employer-sponsored group waiver health plan or government-subsidized prescription drug benefit program for retirees. Patients enrolled in a state or federally funded prescription insurance program may not use this program even if they elect to be processed as an uninsured (cash-paying) patient. Patients enrolled in private indemnity or HMO insurance plans that reimburse them for the entire cost of their prescription drugs are also not eligible. This offer is not health insurance and is restricted to residents of the United States, Puerto Rico, and US territories. Void where prohibited by law, taxed, or restricted.

 

TERMS OF USE: Eligible commercially insured/covered patients with no restrictions (step-edit, prior authorization, or NDC block) and with a valid prescription for BLUJEPA who present this savings card at participating pharmacies will pay as little as $30, subject to a maximum savings limit of wholesale acquisition cost (WAC), less $30 per fill. Patients are responsible for any additional pharmacy fees and/or charges; patient’s out-of-pocket cost (the amount paid after insurance deductions) if any, may vary. This offer is valid for up to 1 use. Other restrictions may apply. Patient is responsible for applicable taxes, if any. This offer is limited to 1 per person and is nontransferable and cannot be combined with any other coupon, free trial, or similar offer. No substitutions are permitted. Patients, pharmacists, and prescribers cannot seek reimbursement from health insurance or any third party for any part of the amount received by the patient through this offer. Offer must be presented along with a valid prescription for BLUJEPA at the time of purchase. Your acceptance of this offer must be consistent with the terms of any drug benefit plan provided to you by your health insurer. You agree to report your use of this coupon to your health insurer if required. This savings offer may not be sold, purchased, traded, or counterfeited. Duplicates of this uniquely coded offer are invalid and not redeemable at the pharmacy. This savings offer is not conditioned on any past, present, or future purchase, including refills. This savings offer expires on 12/31/2025.

Approved Use & Safety Info

Approved Use

Important Safety Information

Approved Use

What Is BLUJEPA?

 

BLUJEPA is an antibiotic used to treat women and girls 12 years of age and older weighing at least 88 pounds who have an infection of the bladder (known as an uncomplicated urinary tract infection [uUTI]), caused by certain types of bacteria.​

It is not known if BLUJEPA is safe and effective in children under 12 years of age or weighing less than 88 pounds.​

Important Safety Information

What is the most important information I should know about BLUJEPA?

 

BLUJEPA, an antibiotic, can cause serious side effects, including:

• QTc prolongation. BLUJEPA can cause QTc prolongation (also called prolonged QTc interval) that can lead to serious heart rhythm problems, including torsade de pointes. There may be changes in your heartbeat (a fast or irregular heartbeat).

Before starting BLUJEPA, tell your healthcare provider if you:

•  or anyone in your family has ever had a heart rhythm problem (problem with heart rate or heartbeat) or QTc prolongation.

•  are taking any medicines to treat heart rhythm problems. Using these medicines with BLUJEPA may cause serious side effects. If you are not sure, ask your healthcare provider. 

Tell your healthcare provider right away if you have any of the following symptoms:

• fast, pounding, or uneven heartbeat

• feeling dizzy

• you lose consciousness (pass out)

• feeling lightheaded

• feeling faint 

• Cholinergic effects. BLUJEPA can cause an increase of a certain chemical in your nervous system, called acetylcholine. When acetylcholine is increased in your nervous system it may cause symptoms (cholinergic effects).

The following symptoms may be caused by an increase in acetylcholine:

• diarrhea

• vomiting

• feeling faint

• trouble saying words clearly

• muscle spasms

• nausea

• more saliva in the mouth

• more sweating

• stomach pain

Call your healthcare provider right away if you have trouble saying words clearly, have shortness of breath, or if you faint. These symptoms may be cholinergic effects of BLUJEPA. 

Increased acetylcholine can also be connected to other symptoms. Call your healthcare provider right away if you have any of these additional symptoms:

• irregular heartbeat (heart block)

• slow heartbeat (bradycardia)

• seizures

• fainting

• chest tightness, causing difficulty breathing

• Allergic reactions. Allergic reactions can happen in people who take BLUJEPA, including a severe allergic reaction called anaphylaxis. Stop taking BLUJEPA and get medical help right away if you have any symptoms of a severe allergic reaction, including:

• hives

• feeling faint or dizzy

• rash

• swelling of your lips, tongue, or throat

• Diarrhea. Diarrhea is a common side effect caused by antibiotics, including BLUJEPA. The diarrhea usually stops after the antibiotic is stopped. In some cases, diarrhea may be caused by Clostridioides difficile infection (CDI). CDI is a severe infection of the intestines (bowels) that can happen up to 2 months after finishing treatment with antibiotic medicines, including BLUJEPA. CDI can be life-threatening and can lead to death. Do not take medicines to treat diarrhea without first checking with your healthcare provider. Call your healthcare provider right away if you have the following symptoms:

•  stomach cramps

•  fever

•  watery diarrhea

•  diarrhea that does not go away

•  bloody stools 

 

Who should not take BLUJEPA?

 

Do not take BLUJEPA if: 

you have had a severe allergic reaction to BLUJEPA. 

 

Before taking BLUJEPA, tell your healthcare provider about all your medical conditions, including if you:

• have heart rhythm problems. See “What is the most important information I should know about BLUJEPA?”

• have a slow heartbeat (bradycardia)

• have recently had a heart attack

• have low potassium in your blood (hypokalemia)

• are planning to have a medical or surgical procedure that puts you to sleep (general anesthesia) that will use a type of medicine given through your veins (IV) that relaxes your muscles

• have liver problems

• have kidney problems, kidney failure, or are on dialysis

• are pregnant or plan to become pregnant. It is not known if BLUJEPA will harm your unborn baby. Tell your healthcare provider if you become pregnant or think you are pregnant during your treatment with BLUJEPA

• are breastfeeding or plan to breastfeed. It is not known if BLUJEPA passes into breast milk. Talk to your healthcare provider about the best way to feed your baby during your treatment with BLUJEPA

 

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. BLUJEPA and other medicines may affect each other, causing side effects.

 

Especially tell your healthcare provider if you take medicines to treat heart rhythm problems. Ask your healthcare provider or pharmacist if you are not sure if you are taking any of these medicines. Know the medicines you take. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine.

 

What are the possible side effects of BLUJEPA?

 

BLUJEPA can cause serious side effects, including:

• See the “What is the most important information I should know about BLUJEPA?”

The most common side effects of BLUJEPA include: 

• diarrhea

• nausea

• stomach pain

• gas

• headache

• soft stools

• dizziness

• vomiting

• yeast infections

 

These are not all the possible side effects of BLUJEPA. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

 

Please see the full Prescribing Information, including Medication Guide, for BLUJEPA.

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 may also report negative side effects to GSK at gsk.public.reportum.com or 1-888-825-5249.
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