uat.dol.omnitrope.com Open in urlscan Pro
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URL: https://uat.dol.omnitrope.com/
Submission: On June 17 via api from US — Scanned from DE

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UTILITY NAV

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E-Consent Form
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YOUR OMNISOURCE

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Why Omnitrope?



WHY OMNITROPE?

What is Omnitrope?

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YOUR GROWTH JOURNEY

Your OmniSource Journey, Step by Step

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What is a Growth-Related Disorder?

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E-Consent Form


MAIN NAVIGATION

Home

Your OmniSource



YOUR OMNISOURCE

Our Support Services

Your Team

Co-Pay Support

Insurance Support

Injection Training

Starter Kits

Self Pay Program

Why Omnitrope?



WHY OMNITROPE?

What is Omnitrope?

Your Treatment Options

FAQ

Your Growth Journey



YOUR GROWTH JOURNEY

Your OmniSource Journey, Step by Step

Your Supports

What is a Growth-Related Disorder?



UTILITY NAV

Contact Us
HCP Site
Important Safety Information
Prescribing Information
India | in


CHOOSE LOCATION

Asia Pacific
Europe Asia Pacific
   
 * Bahrain | ar
 * France | fr
 * Germany | de
 * India | en
 * Ireland | ga
 * Netherland | nl


EVERY MILESTONE COUNTS




PERSONALIZED SUPPORT, EACH STEP OF THE WAY

At OmniSource® weʼre here to support you throughout your growth journey. Our
personalized support program includes access to a range of tools and resources
for patients and families to help you start – and stay – on treatment. We look
forward to celebrating your growth milestones with you!



OMNISOURCE SUPPORT SERVICES TO FIT YOUR NEEDS

We understand that every growth journey is different. That is why our support
services are designed to offer personalized support for each patient. Take a
look through our range of services and see how we can support you from day-one.

WHAT SERVICES DOES OMNISOURCE INCLUDE?



YOUR OMNISOURCE JOURNEY

While every growth journey is unique, we’ve put together an outline of what you
and your family can expect along the way, right from your initial diagnosis to
getting treatment and your OmniSource support options.

WHAT TO EXPECT ON THE GROWTH JOURNEY



SAVE MONEY WITH OUR CO-PAY OFFER*

Our Co-Pay Savings Program allows eligible patients to pay as little as $0
out-of-pocket, with a maximum benefit of up to $5,000 to be used at any time
each year.*

FIND OUT ABOUT OUR CO-PAY OFFER





WHAT IS A GROWTH-RELATED DISORDER?

From routine check-up, to testing and treatment. What is a growth-related
disorder and how is it diagnosed?

Learn More


WHAT ARE MY TREATMENT OPTIONS?

Take the next steps by looking at your Omnitrope® treatment options and speak to
your doctor about which one may work for you.

Learn More


YOUR SUPPORTS

Thereʼs a whole community of support groups out there working with patients with
growth-related disorders.

Learn More


GET STARTED WITH OMNISOURCE TODAY




Personalized support, each step of the way. Click here to enroll.



*OMNITROPE CO-PAY SAVINGS PROGRAM ELIGIBILITY:

THE OMNITROPE CO-PAY SAVINGS PROGRAM PROVIDES UP TO $5,000 IN ANNUAL CO-PAY
SUPPORT FOR OMNITROPE PRESCRIPTIONS. WITH THE OMNITROPE CO-PAY SAVINGS PROGRAM,
ELIGIBLE PATIENTS MAY PAY $0 FOR THEIR CO-PAY. ELIGIBLE PATIENTS WHO
ARE COMMERCIALLY INSURED MAY RECEIVE CO-PAY SUPPORT IN THE AMOUNT OF UP TO
$5,000 ANNUALLY, AND PATIENTS WHO ARE UNINSURED MAY RECEIVE CO-PAY SUPPORT IN
THE AMOUNT OF UP TO $417 MONTHLY, WITH AN ANNUAL CAP OF $5,000. PRESCRIPTION
MUST BE FOR AN APPROVED INDICATION. THIS PROGRAM IS NOT HEALTH INSURANCE.
PATIENTS ARE NOT ELIGIBLE IF PRESCRIPTIONS ARE PAID, IN WHOLE OR IN PART, BY ANY
STATE OR FEDERALLY FUNDED PROGRAMS, INCLUDING BUT NOT LIMITED TO MEDICARE
(INCLUDING PART D, EVEN IN THE COVERAGE GAP) OR MEDICAID, MEDIGAP, VA, DOD, OR
TRICARE, OR PRIVATE INDEMNITY, OR HMO INSURANCE PLANS THAT REIMBURSE YOU FOR THE
ENTIRE COST OF YOUR PRESCRIPTION DRUGS, OR WHERE PROHIBITED BY LAW. PATIENTS CAN
PARTICIPATE FOR A MAXIMUM OF 12 MONTHS. ELIGIBLE PATIENTS MUST HAVE A FIRST USE
OF THE PROGRAM BY DECEMBER 31 OF THE CURRENT YEAR. OMNITROPE CO-PAY SAVINGS
PROGRAM MAY NOT BE COMBINED WITH ANY OTHER REBATE, COUPON, OR OFFER. OMNITROPE
CO-PAY SAVINGS PROGRAM HAS NO CASH VALUE. SANDOZ RESERVES THE RIGHT TO RESCIND,
REVOKE, OR AMEND THIS OFFER WITHOUT FURTHER NOTICE.



INDICATIONS

Omnitrope is a prescription medicine that contains human growth hormone and is
used to treat:

 * Children with growth failure due to growth hormone deficiency (GHD),
   Prader-Willi Syndrome, Small for Gestational Age, Turner Syndrome, and
   Idiopathic Short Stature
 * Adults with either adult onset or childhood onset GHD

IMPORTANT SAFETY INFORMATION

Who should not take Omnitrope®?

Omnitrope should not be used by children or adults that have:

 * a critical illness caused by certain types of heart or stomach surgery,
   accidental trauma,  or a sudden and severe breathing problem (respiratory
   failure)
 * Prader-Willi syndrome who are severely overweight or have a history of
   breathing problems including sleep apnea
 * cancer or other tumors
 * allergies to growth hormone or any of the ingredients in the medicine
 * certain types of eye problems caused by diabetes
 * closed bone growth plates

What should patients tell their healthcare provider before taking Omnitrope?

Patients should tell their healthcare provider about all of their medical
conditions, including if they:

 * have had heart or stomach surgery, trauma, or serious breathing problems
 * have or have had cancer or any tumor
 * have diabetes
 * take any prescription and non-prescription medicines, steroids, vitamins, or
   herbal supplements
 * are pregnant or breastfeeding, or plan to become pregnant or breastfeed

What are the most common side effects of Omnitrope?

 * local reactions at the injection site (such as pain, numbness, redness and
   swelling)
 * headaches
 * swelling associated with fluid retention
 * pain in joints and muscle pain
 * carpal tunnel syndrome
 * tingling and numbness
 * high blood sugar (hyperglycemia/diabetes) and sugar in your urine
   (glucosuria)
 * unusual skin sensations
 * low levels of thyroid hormone (hypothyroidism)

Other possible side effects of Omnitrope are:

 * return of tumor or cancerous growths
 * headaches, changes in vision, nausea or vomiting (these may be symptoms of
   raised pressure in the brain which requires immediate medical attention)
 * hip and knee pain or a limp in children, that can be a sign of slipped
   capital femoral epiphysis
 * worsening of pre-existing curvature of the spine in children (scoliosis)
 * increased ear infections and ear disorders in children with Turner syndrome;
   check for cardiovascular disorders (hypertension, stroke)
 * intense pain and tenderness in the abdomen as consequence of an inflammation
   of the pancreas (pancreatitis)
 * gasping syndrome (decreased rate of breathing) in children from high levels
   of benzyl alcohol (an inactive ingredient)
 * Increased mortality in patients with Prader Willi and acute illness

Please see full Prescribing Information for Omnitrope

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. To report SUSPECTED
ADVERSE REACTIONS, contact Sandoz Inc. at 1-800-525-8747 or FDA at
1-800-FDA-1088 or www.fda.gov/medwatch





LEGAL

 * About Sandoz
 * Contact
 * Prescribing Information
 * Privacy Policy
 * Terms of Use

OMNITROPE AND OMNISOURCE ARE REGISTERED TRADEMARKS OF NOVARTIS AG.
© 2021 SANDOZ INC., 100 COLLEGE ROAD WEST, PRINCETON, NJ 08540.
ALL RIGHTS RESERVED.

S-OMN-1396518 11/20



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