Important Safety Information

Indication: CLOBEX® Spray 0.05% is indicated for the topical treatment of moderate to severe plaque psoriasis affecting up to 20% body surface area in adults 18 years of age or older.

Adverse Events: In controlled clinical studies, the most common adverse reactions (> 2%) were burning, pruritus, nasopharyngitis and upper respiratory tract infection. Local adverse reactions may occur more frequently with the use of occlusive dressings.

Warnings/Precautions: Clobetasol propionate has been shown to suppress the HPA axis at the lowest doses tested. Treatment should be limited to 4 weeks. The total dosage should not exceed 50 g (59 mL or 2 fl oz) per week. Do not use more than 26 sprays for each application or more than 52 sprays in 1 day.

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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Clobex® Spray Savings Program

With the online savings program, you may be eligible to pay a $0 copay for Clobex® Spray in 2.0 fl oz and 4.25 fl oz bottles. This offer is also good for refills. Maximum savings on 2.0 fl oz bottles is $125. Maximum savings on 4.25 fl oz bottles is $250. You must present a valid prescription to your pharmacist along with your card. Payment will be dependent upon actual insurance coverage.

Note: Cash payers are not eligible for this program.

THIS OFFER IS AVAILABLE FOR A LIMITED TIME ONLY AND GALDERMA LABORATORIES RESERVES THE RIGHT TO RESCIND, REVOKE, AMEND, OR TERMINATE THIS OFFER AT ANY TIME WITHOUT NOTICE.

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Terms & Conditions

Eligibility Requirements: Only patients who reside in the 50 states can participate in the CLOBEX® Spray PNMT $0 NELS Program, except where prohibited by law. Cash-paying customers are not eligible for this program. There are restrictions to this program-patients must be 18 years or older. There are no gender restrictions to this program. Each patient is eligible for 12 benefits, each consisting of a $0 copay for the patient with a maximum cap of $250 for CLOBEX® Spray 4.25 fl oz and $125 for CLOBEX® Spray 2.0 fl oz.*

To the Patient: This offer is for insured patients only. You MAY pay $0 for your prescription. You must present this card to the pharmacist along with your prescription to participate in this program. You are not eligible if prescriptions are paid by any state or other federally funded programs, including, but not limited to Medicare or Medicaid, Medigap, VA, DOD or Tri-Care, or where prohibited by law. Your actual payment will be dependent upon your insurance coverage. Maximum benefits may apply. For complete terms and conditions visit www.clobex.com.

To the Pharmacist: When you use this card, you are certifying that you have not submitted and will not submit a claim for reimbursement under any federal, state or other governmental programs for this prescription.

  • Submit transaction to Opus Health using BIN# 601341
  • If primary coverage exists, input card information as secondary coverage and transmit using the COB segment of the NCPDP transaction. Applicable discounts will be displayed in the transaction response.
  • Acceptance of this card and your submission of claims for the Clobex® Spray Savings Program Terms and Conditions posted at www.opushealth.com/tnc
  • Patient is not eligible if prescriptions are paid in part or full by any state or federally funded programs, including but not limited to Medicare or Medicaid, Medigap, VA, DOD or TriCare and where prohibited by law.
  • For questions regarding setup, claim transmission, patient eligibility or other issues, call the Clobex® Spray Savings Program at 1-866-627-4985 (8:00 AM-9:30 PM EST, Monday-Friday)

THIS OFFER IS AVAILABLE FOR A LIMITED TIME ONLY AND GALDERMA LABORATORIES RESERVES THE RIGHT TO RESCIND, REVOKE, AMEND OR TERMINATE THIS OFFER AT ANY TIME WITHOUT NOTICE.

© 2014 Galderma Laboratories, L.P.   Opus Health


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