Lialda Patient Support Program

Information is key to education and helping you feel more empowered to take charge of managing UC. The Lialda Patient Support Program offers tools and resources designed to help you learn more about Lialda and become more engaged in your treatment plan.

What would you like to sign up for?

  • Lialda Pharmacy
    Savings Card Program

  • Lialda Information
     

  • Eligible patients may be able to lower their out-of-pocket monthly prescription costs for Lialda, and will be automatically enrolled in the Lialda Patient Support Program.

     Text reminders for refills and savings*

    *Message and data rates may apply.

  • Information designed to help you learn more about Lialda will be delivered to your e-mail (and via postal mail, if selected below).

     E-mail

     Mail

With the Lialda® (mesalamine) Pharmacy Savings Card, eligible commercially insured and cash-paying patients can lower their out-of-pocket costs for Lialda prescriptions filled during the 2016 calendar year. After activation, commercially insured patients must pay the first $10 per monthly supply. After these patients pay the first $10, the maximum savings is up to $500 for the first three monthly fills and $120 per monthly fill for the remainder of the 2016 calendar year. Cash-paying patients will receive up to a $50 savings on the cost of their monthly prescription and will generally pay more than $10. This card is only valid on one prescription per month.

No discount will be allowed for prescription costs paid for entirely by insurance plans, or reimbursed, in whole or in part, under any federal or state health care programs, including Medicare or Medicaid, as well as any similar federal or state pharmaceutical assistance programs. Patient must be at least 18 years of age and a US resident to be eligible. Only valid at participating pharmacies. A valid Prescriber ID # is required on the prescription. Void where prohibited by law.

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Contact Information

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Lialda Pharmacy Savings Card Program Eligibility Check

We need to verify that you are eligible for the Lialda Pharmacy Savings Card. Please fill in the information below. Items marked with (*) are required.

  • Yes No
  • Yes No
  • Terms and Conditions and Additional Information

    To help you stay on top of your Lialda prescription, we’ll text confirmation of your out-of-pocket savings and refill reminders to your mobile phone. You can also receive your card ID information via text. We’ll also text you to see if you want us to send refill requests directly to your pharmacy.

    By providing your mobile phone number you are consenting to receive these periodic text messages. Shire’s partner(s) will use pharmacy claim information associated with your participation in the Lialda Pharmacy Savings Card Program in order to send you these messages. Message and data rates may apply. You may opt out of receiving messages by texting the keyword "STOP" at any time. For help, text the keyword “Help”. You represent that you are the authorized user of the wireless device you use to receive the messages and that you are authorized to approve any charges. Shire reserves the right to alter these terms and conditions or discontinue the messaging at any time and at its sole discretion, may add or delete a cellular carrier from this program at any time, without notice. Text messages you receive as part of this program are automated and your responses are not read by any person. This consent will be in effect until you opt out of receiving these communications from Shire. Please see our Privacy Policy for additional information.

Address Information

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Tell me more

We require this information in order to send you communications by US postal mail related to this program.

Mail-order pharmacy patients
Most mail-order pharmacies require patients to send a photocopy of their Lialda Pharmacy Savings Card along with their prescription. If the mail-order pharmacy does not accept the Lialda Pharmacy Savings Card, please call 1-866-250-8840 for assistance with reimbursement.

  • Yes No
  • By clicking "Submit" you are enrolling in the Lialda Pharmacy Savings Card Program and certifying that you are at least 18 years of age, are a resident of the US, and that your prescription is not covered, in whole or in part, under any state, federal, or government program, including but not limited to Medicare, Medigap, VA, DOD, or Tricare. If you are a commercially insured patient, you are responsible for reviewing the terms of your health insurance and/or prescription drug plan before using the Lialda Pharmacy Savings Card (a copay card), as some insurers may restrict your ability to use or require you to disclose your use of a pharmacy savings (copay) card.

    Being a part of this program allows Shire to send you periodic communications. Shire respects your personal information. Please note that Shire may use this information to contact you for market research and other information believed to be of interest to you. Shire will also send you periodic reminder e-mails and other information about refilling your Lialda prescription. Shire’s partners will use your pharmacy claim information associated with your participation in the Lialda Pharmacy Savings Card Program in order to send you these communications. If, in the future, you no longer want to receive information and communications from Shire, please call the patient customer service line printed on the back of your Lialda Pharmacy Savings Card. The toll-free number is 1-866-250-8840. Personal information provided and collected in connection with this program will be kept confidential and will not be shared except in accordance with Shire's Privacy Policy. We encourage you to click here to view Shire's Privacy Policy.

     

Lialda Pharmacy Savings Card
Have a Lialda Pharmacy Savings Card already?
Activate Savings Card

Important Safety Information

Do not take Lialda (mesalamine) if you are allergic to salicylates, such as aspirin, or medications that contain aspirin; aminosalicylates; mesalamine; or any other ingredients in Lialda.

Tell your doctor if you:

  • have or have had kidney problems. Kidney problems have been reported with medications that contain mesalamine, such as Lialda. Your doctor may check to see how your kidneys are working before starting Lialda and periodically while taking Lialda.
  • have symptoms including cramping, stomach ache, bloody diarrhea, fever, headache, and rash. Medications that contain mesalamine, such as Lialda, have been associated with a condition that may be hard to tell apart from a UC flare. Call your doctor right away if you have any of these symptoms. He or she may tell you to stop taking Lialda.
  • are allergic to sulfasalazine, as you may also be allergic to Lialda or medications that contain mesalamine.
  • have or have had heart-related allergic reactions, such as inflammation of the heart muscle (myocarditis) or the lining of the heart (pericarditis). These reactions have been seen in patients taking Lialda or medications that contain mesalamine. Your chance of having these types of reactions may increase when taking Lialda.
  • have or have had liver problems. Problems with liver function have been reported in patients who have or have had liver problems and were taking medications that contain mesalamine, such as Lialda.
  • have a stomach blockage. It may take longer for Lialda to start working.

The most common side effects reported in clinical studies of Lialda were:

  • ulcerative colitis
  • headache
  • passing gas
  • abnormal liver function test results
  • stomach ache

In clinical studies of Lialda, inflammation of the pancreas also occurred. If this happens to you, your doctor may tell you to stop taking Lialda.

Other side effects may occur.

Before starting Lialda, tell your doctor about all medications you are taking, including:

  • non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen. Taking these medications with Lialda may increase your chance of kidney problems.
  • azathioprine and 6-mercaptopurine. Taking these medications with Lialda may increase your chance of blood disorders.

Indication

Lialda is a prescription medication approved for the induction of remission in patients with active, mild to moderate ulcerative colitis (UC) and for the maintenance of remission of UC.

Please see Full Prescribing Information for Lialda (mesalamine)

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.



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