uat.dol.omnitrope.com
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Submission: On June 17 via api from US — Scanned from DE
Submission: On June 17 via api from US — Scanned from DE
Form analysis
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Text Content
Skip to main content It looks like you are using an older version of Internet Explorer which is not supported. We advise that you update your browser to the latest version of Microsoft Edge, or consider using other browsers such as Chrome, Firefox or Safari. UTILITY NAV * Contact Us * HCP Site * Important Safety Information * Prescribing Information Search E-Consent Form India | en CHOOSE LOCATION * Europe * Asia Pacific * France | fr * Germany | de * Ireland | ga * Netherland | nl * Bahrain | ar * India | en MENU 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? Search Close 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 We use cookies on this site to enhance your user experience. By clicking any link on this page you are giving your consent for us to set cookies. Yes, I agree