What is MYDAYIS®?


Mydayis (mixed salts of a single-entity amphetamine product) is a prescription medicine for Attention-Deficit/Hyperactivity Disorder (ADHD) in patients 13 years and older. Mydayis is not for children 12 years and younger.

IMPORTANT SAFETY INFORMATION

Abuse and dependence. Mydayis, other amphetamine containing medicines, and methylphenidate have a high chance for abuse and can cause physical and psychological dependence. Your healthcare provider should check you or your child for signs of abuse and dependence before and during treatment with Mydayis.

Tell your healthcare provider (HCP) if you or your child have ever abused or been dependent on alcohol, prescription medicines, or street drugs. Your HCP can tell you how physical and psychological dependence and drug addiction are different.

Mydayis is a federally controlled substance (CII) because it contains amphetamine that can be a target for people who abuse prescription medicines or street drugs. Keep Mydayis in a safe place to protect it from theft. Never give Mydayis to anyone else, because it may cause death or harm them. Selling or giving away Mydayis may harm others and is against the law.

Please see additional Important Safety Information below.

Eligibility Requirements

In order to redeem this offer, you must have a valid prescription for Mydayis. Follow the dosage instructions given by the prescribing doctor. This offer may not be redeemed for cash. By using this offer, you are certifying that you meet the eligibility criteria and will comply with the terms and conditions below. Patients with questions about this offer should call 1-844-492-9895.

Mobile Terms & Conditions

By agreeing to these Mobile Savings Program ("Program") text message terms and conditions, you agree to receive text messages on your mobile device subject to the Terms & Conditions described below. You understand that this consent is not a condition of purchase or use of MYDAYIS or of any Takeda product or service.

Terms & Conditions

Eligible patients will pay a minimum of $30 and receive up to a maximum of $60 off their co-pay or out-of-pocket expense on each prescription. Patient is responsible for the first $30 and any prescription costs in excess of $90. This offer can be used for up to 30 capsules of MYDAYIS® (mixed salts of a single-entity amphetamine product) Extended-Release Capsules. Offer is valid for up to 60 uses through offer expiry. A valid Prescriber ID# is required on each prescription.

Patient Instructions: In order to redeem this offer, you must have a valid prescription for Mydayis. Follow the dosage instructions given by the prescribing doctor. This offer may not be redeemed for cash. By using this offer, you are certifying that you meet the eligibility criteria and will comply with the terms and conditions set forth in the "Restrictions" section below. Patients with questions about this offer should call 1-844-492-9895.

Pharmacist: When you apply this offer, you are certifying that you are not submitting the claim for this prescription for reimbursement under any federal, state, or other governmental programs. Participation in this offer must comply with all applicable laws and regulations as a pharmacy provider. By participating in this offer, you are certifying that you will comply with the terms and conditions set forth in the "Restrictions" section below.

Pharmacist instructions for a patient paying with an Eligible Third Party Payer: Submit the claim to the primary Third Party Payer first, then submit the balance due to CHANGE HEALTHCARE as a Secondary Payer COB [coordination of benefits] with patient responsibility amount and a valid Other Coverage Code, (e.g. 8). The patient is responsible for the first $30 and the offer pays up to the next $60. Reimbursement will be received from CHANGE HEALTHCARE.

Pharmacist instructions for a cash paying patient: Submit this claim to CHANGE HEALTHCARE. A valid Other Coverage Code (e.g. 1) is required. The patient is responsible for the first $30 and the card pays up to the next $60. Reimbursement will be received from CHANGE HEALTHCARE.

Valid Other Coverage Code required.

For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk at 1-800-433-4893.

Restrictions: This offer is valid in the United States. Offer not valid for prescriptions covered by or submitted for reimbursement under Medicaid, a Medicare drug benefit plan, Tricare, or other federal or state health programs (including any state medical assistance program). Cash Discount Cards and other non-insurance plans are not valid as primary under this offer. If the patient is eligible for prescription drug benefits under any such program, the patient cannot use this offer. By using this offer, the patient certifies that he or she will comply with any terms of his or her health insurance contract requiring notification to his or her payer of the existence and/or value of this offer. It is illegal to (or offer to) sell, purchase, or trade this offer. This offer is not transferable and is limited to one offer per person. Offer expires 12/31/2024.

This offer is not valid if reproduced. Void where prohibited by law. Offer program managed by ConnectiveRx on behalf of Shire US Inc., a Takeda company, or its successor. The parties reserve the right to rescind, revoke, or amend this offer without notice at any time.

IMPORTANT SAFETY INFORMATION (continued)

Who should not take Mydayis?

Do not take Mydayis if you or your child is:

Serious problems can occur while taking Mydayis. Tell your HCP:

What should I avoid during Mydayis treatment?

What are possible side effects of Mydayis?

The most common side effects of Mydayis include:

For additional safety information, click for Medication Guide and discuss with your healthcare provider.

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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MYDAYIS and the MYDAYIS logo are registered trademarks of Shire LLC, a Takeda company. TAKEDA and the TAKEDA logo are trademarks or registered trademarks of Takeda Pharmaceutical Company Limited. Copyright © 2019 Takeda Pharmaceutical Company Limited. All rights reserved. 1-800-828-2088. S52526 11/19