TRADJENTA Savings Card Registration

If eligible, pay as little as $10 per month with savings of up to $150 per monthly prescription. Eligible patients must pay for any costs beyond the $150 maximum savings for each monthly prescription.*

Step 1 / Qualifying Questions
Step 2 / Personal Information

To see if you are eligible, answer the following questions:

1. Are you currently a resident of the United States or Puerto Rico and 18 years of age or older?

2. Are your prescriptions paid for in part or full by any state or federally funding
program, including but not limited to Medicare or Medicaid, Medigap, VA, DOD, or TriCare?

Here's how the card works:

Example 1: As an eligible commercially insured patient:
If your monthly co-pay is $200, you will save the maximum of $150, and only pay $50.
If your monthly co-pay is $150 or less you will only pay the minimum amount of $10.

Example 2: As an eligible cash-paying patient:
If your monthly drug cost is $250, you will save the maximum of $150, and only pay $100.

*Terms & Conditions: With a TRADJENTA savings card, eligible patients at least 18 years of age may pay as little as $10 per month with savings up to $150 per monthly prescription. Eligible patients must pay for any costs beyond the $150 maximum savings for each monthly prescription. Eligible patients enroll by activating card on or before May 31, 2015 and card is valid for 12 consecutive months from activation date. Until May 31, 2015, eligible patients may re-enroll in the program for additional 12 consecutive month periods by reactivating their expired card. If you live in Massachusetts, card expires on the earlier of: date card becomes invalid as described above or date AB rated generic equivalent becomes available. Limit one card per patient. Savings card not transferrable and may not be combined with any other offer. Only valid in the US, including DC and Puerto Rico. Program is not health insurance. Patients not eligible if prescriptions are paid for in part, or in whole, by a state or federally funded program, such as, Medicare Part D, Medicaid, Veterans Affairs, Dept of Defense, or Tricare. Boehringer Ingelheim Pharmaceuticals, Inc. and Eli Lilly and Company reserve the right to change this offer at any time, without notice.

What are Tradjenta® (linagliptin) tablets?

TRADJENTA is a prescription medicine that is used along with diet and exercise to lower blood sugar in adults with type 2 diabetes.

TRADJENTA is not for people with type 1 diabetes or for people with diabetic ketoacidosis (increased ketones in the blood or urine).

If you have had inflammation of the pancreas (pancreatitis) in the past, it is not known if you have a higher chance of getting pancreatitis while you take TRADJENTA.

IMPORTANT SAFETY INFORMATION

What is the most important information I should know about TRADJENTA?

Serious side effects can happen to people taking TRADJENTA, including inflammation of the pancreas (pancreatitis), which may be severe and lead to death. Before you start taking TRADJENTA, tell your doctor if you have ever had pancreatitis, gallstones, a history of alcoholism, or high triglyceride levels.

Stop taking TRADJENTA and call your doctor right away if you have pain in your stomach area (abdomen) that is severe and will not go away. The pain may be felt going from your abdomen through to your back. The pain may happen with or without vomiting. These may be symptoms of pancreatitis.

Who should not take TRADJENTA?

Do not take TRADJENTA if you are allergic to linagliptin or any of the ingredients in TRADJENTA.

Symptoms of a serious allergic reaction to TRADJENTA may include rash, itching, flaking or peeling; raised red patches on your skin (hives); swelling of your face, lips, tongue and throat that may cause difficulty breathing or swallowing. If you have any symptoms of a serious allergic reaction, stop taking TRADJENTA and call your doctor right away.

What should I tell my doctor before using TRADJENTA?

Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. TRADJENTA may affect the way other medicines work, and other medicines may affect how TRADJENTA works.

Especially tell your doctor if you take

Tell your doctor if you are pregnant or planning to become pregnant or are breastfeeding or plan to breastfeed.

What are the possible side effects of TRADJENTA?

The most common side effects of TRADJENTA include stuffy or runny nose, sore throat, cough and diarrhea.

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.

For more safety information, please see Medication Guide and full Prescribing Information.

TJ CONS ISI 19JUNE2013

*The brands listed are trademarks of their respective owners and are not trademarks of Boehringer Ingelheim Pharmaceuticals, Inc. The makers of these brands are not affiliated with and do not endorse Boehringer Ingelheim Pharmaceuticals, Inc., or its products.

Replacement Card

If you are already enrolled in the TRADJENTA Savings Card Program and need a replacement card, please call the TRADJENTA Savings Card Program at 1-877-512-4246. Our customer service representatives are available to assist you.