Teva Assistance Program
Teva Respiratory is committed to providing patients with high quality medicines for asthma, COPD, and EIB. You may qualify for assistance from Teva Respiratory if you meet the conditions below.
To qualify for assistance from this program, you must:
- Be a resident of the United States, Puerto Rico, or the Virgin Islands.
- Not be eligible for any prescription drug benefits through any private or public insurer/payer/program.
- Have a total family annual income no more than twice the poverty level for your state.
- Have a prescription for one or more of the Teva medicines listed on page 2 of the enclosed application.
To enroll:
- Download a copy of the Teva Assistance Program application with instructions to complete and return it to your healthcare provider. You will be notified by mail of program acceptance or denial.
- If you are approved for assistance, your healthcare provider will receive a form to complete and return. Your medicine(s) will be shipped to your healthcare provider’s office directly from the Teva pharmacy.
- Once you are approved for the program, you will be eligible to receive assistance for up to 6 months. Renewals will be handled on a per-patient basis.
If you have any questions, call the Teva Assistance Program toll-free number:
1-877-254-1039
Brought to you by the marketers of
ProAir
® HFA (albuterol sulfate) Inhalation Aerosol is indicated in patients 4 years of age and older for the treatment or prevention of bronchospasm with reversible obstructive airway disease and for the prevention of exercise-induced bronchospasm.
Important Safety Information
If your symptoms become significantly worse when you use ProAir
® HFA, contact your doctor immediately. This may indicate either a worsening of your asthma or a reaction to the medication, which may rarely occur with the first use of a new canister of ProAir
® HFA. Either of these could be life-threatening.
What to tell your doctor before using ProAir
® HFA: If you have a heart, blood, or seizure disorder, high blood pressure, diabetes, or an overactive thyroid, be sure to tell your doctor. Also make sure your doctor knows all the medications you are taking – especially heart medications and drugs that treat depression – because some medications may interfere with how well your asthma medications work. Do not exceed the recommended dose.
Side effects associated with ProAir
® HFA included headache, rapid heart beat, pain, dizziness, and irritation of the throat and nose.
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.