Important safety information prescribing information for healthcare professionals

ACZONE®
SAVINGS PROGRAM.

Our ACZONE® Savings Program can help you save on your ACZONE® (dapsone) Gel, 7.5% prescription.

You could pay no more than $35 for ACZONE®.*

*Valid for eligible patients with insurance coverage only.

Offer is available for 60- and 90-gram pumps. Limitations apply. See below IMPORTANT SAFETY INFORMATION for more details, terms and conditions, and eligibility.

Good for up to three (3) uses.

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You certify that the information provided above is true and correct. In addition, by providing your email address, you agree that you would like to receive information from Allergan related to Aczone® and the Aczone® Savings Program, including site updates, education, and other Allergan products and services. The information pertaining to you that we collect will be used in accordance with our Privacy Statement.
Yes, I agree. No, I do not agree.
By signing up for the Aczone® Savings Program, you certify that the information provided above is true and correct and that you are not enrolled in a federal- or state-funded prescription drug benefit program, such as Medicare or Medicaid, or any private indemnity or HMO insurance plan that reimburses you for the entire cost of your prescription drugs. You also certify that you are not Medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. You further certify that should you begin receiving prescription benefits from one of these types of programs at any time, you will no longer participate in this savings program.

I agree to this certification and I accept the Program Terms, Conditions, and Eligibility Criteria available here or on the back of the card.
Yes, I agree. No, I do not agree.
ACZONE® (dapsone) GEL, 7.5% IMPORTANT INFORMATION
APPROVED USE

ACZONE® (dapsone) Gel, 7.5% is a prescription medicine used on the skin (topical) to treat acne in people 12 years and older.

IMPORTANT SAFETY INFORMATION

Tell your doctor about all of your medical conditions, including if you have glucose-6-phosphate dehydrogenase deficiency (G6PD) or higher than normal levels of methemoglobin in your blood (methemoglobinemia).

Talk to your doctor about any medications you’re using, including topical benzoyl peroxide (BPO). Use of BPO with ACZONE® Gel may cause your skin and facial hair to temporarily turn yellow or orange at the site of application.

ACZONE® Gel 7.5% may cause serious side effects, including:

  • A decrease of oxygen in your blood caused by a certain type of abnormal red blood cell (methemoglobinemia). If your lips, nail beds, or the inside of your mouth turns gray or blue, stop using ACZONE® Gel 7.5% and get medical help right away.
  • A breakdown of red blood cells (hemolytic anemia) for some people with G6PD deficiency using ACZONE® Gel 7.5%. Stop using ACZONE® Gel 7.5%, and call your doctor right away if you get any of the following signs and symptoms: back pain, breathlessness, tiredness/weakness, dark‑brown urine, fever, or yellow or pale skin.

The most common side effects of ACZONE® Gel are dryness and itching of the skin being treated.

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.

Please click here for the full Product Information.

Program Terms, Conditions, and Eligibility Criteria:

1. This offer is valid only for eligible patients and is good for use only with a valid prescription for ACZONE® (dapsone) Gel 5% or 7.5% at the time the prescription is filled by the pharmacist and dispensed to the patient. 2. Depending on your insurance coverage, eligible patients may pay no more than $35 for up to 3 prescription fills of ACZONE® Gel 5% or 7.5%. Check with your pharmacist for your co-pay discount. Maximum savings limit applies; patient out-of-pocket expense may vary. The insured but not covered offer of $75 applies only to ACZONE® Gel 7.5%. 3. This offer is not valid for use by patients enrolled in Medicare, Medicaid, or other federal or state programs (including any state pharmaceutical assistance programs), or private indemnity or HMO insurance plans that reimburse you for the entire cost of your prescription drugs. Patients may not use this offer if they are Medicare eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. 4. Each card is valid for up to 3 prescription fills. Participating patients must have their first card use by 1/31/2017 and their final use by 3/31/2017. 5. Allergan reserves the right to rescind, revoke, or amend this offer without notice. 6. Offer good only in the USA, including Puerto Rico, at participating retail pharmacies. 7. Void if prohibited by law, taxed, or restricted. 8. This card is not transferable. The selling, purchasing, trading, or counterfeiting of this card is prohibited by law. 9. This card has no cash value and may not be used in combination with any other discount, coupon, discount card, rebate, free trial, or similar offer for the specified prescription. 10. This offer is not health insurance. 11. This card expires 1/31/2017. 12. By redeeming this card, you acknowledge that you are an eligible patient and that you understand and agree to comply with the terms and conditions of this offer.

For questions about this program, please call 1-855-821-4234.

ACZONE® (dapsone) Gel, 7.5% is a prescription medicine used on the skin (topical) to treat acne in people 12 years and older.
IMPORTANT SAFETY INFORMATION

Tell your doctor about all of your medical conditions, including if you have glucose-6-phosphate dehydrogenase deficiency (G6PD) or higher than normal levels of methemoglobin in your blood (methemoglobinemia).

Talk to your doctor about any medications you’re using, including topical benzoyl peroxide (BPO). Use of BPO with ACZONE ® Gel may cause your skin and facial hair to temporarily turn yellow or orange at the site of application.

ACZONE® Gel 7.5% may cause serious side effects, including:

  • A decrease of oxygen in your blood caused by a certain type of abnormal red blood cell (methemoglobinemia). If your lips, nail beds, or the inside of your mouth turns gray or blue, stop using ACZONE® Gel 7.5% and get medical help right away.
  • A breakdown of red blood cells (hemolytic anemia) for some people with G6PD deficiency using ACZONE® Gel 7.5%. Stop using ACZONE® Gel 7.5%, and call your doctor right away if you get any of the following signs and symptoms: back pain, breathlessness, tiredness/weakness, dark-brown urine, fever, or yellow or pale skin.

The most common side effects of ACZONE® Gel are dryness and itching of the skin being treated.

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.

Please click here for the full Product Information.

Program Terms, Conditions, and Eligibility Criteria:

1. This offer is valid only for eligible patients and is good for use only with a valid prescription for ACZONE® (dapsone) Gel 5% or 7.5% at the time the prescription is filled by the pharmacist and dispensed to the patient. 2. Depending on your insurance coverage, eligible patients may pay no more than $35 for up to 3 prescription fills of ACZONE® Gel 5% or 7.5%. Check with your pharmacist for your co-pay discount. Maximum savings limit applies; patient out-of-pocket expense may vary. The insured but not covered offer of $75 applies only to ACZONE® Gel 7.5%. 3. This offer is not valid for use by patients enrolled in Medicare, Medicaid, or other federal or state programs (including any state pharmaceutical assistance programs), or private indemnity or HMO insurance plans that reimburse you for the entire cost of your prescription drugs. Patients may not use this offer if they are Medicare eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. 4. Each card is valid for up to 3 prescription fills. Participating patients must have their first card use by 1/31/2017 and their final use by 3/31/2017. 5. Allergan reserves the right to rescind, revoke, or amend this offer without notice. 6. Offer good only in the USA, including Puerto Rico, at participating retail pharmacies. 7. Void if prohibited by law, taxed, or restricted. 8. This card is not transferable. The selling, purchasing, trading, or counterfeiting of this card is prohibited by law. 9. This card has no cash value and may not be used in combination with any other discount, coupon, discount card, rebate, free trial, or similar offer for the specified prescription. 10. This offer is not health insurance. 11. This card expires 1/31/2017. 12. By redeeming this card, you acknowledge that you are an eligible patient and that you understand and agree to comply with the terms and conditions of this offer.

For questions about this program, please call 1-855-821-4234.