Co-Pay FAQs

What is the FOCALIN XR® Co-Pay Card Program?

If you are eligible, you may pay as little as $10 out of pocket for your prescription by using the FOCALIN XR
Co-Pay Card.

You can register and activate your co-pay card and present it along with a valid prescription for your medication at
any participating pharmacy.

Reimbursement limited to $60 for a 30-day supply. If you are eligible, you pay $10 towards your co-pay, and
Novartis will pay the next $60 of your co-pay for a 30-day supply. Patients are then responsible for any additional
remaining co-pay costs for that 30-day supply. The Novartis co-pay support of $60 per month cannot exceed an
annual maximum of $720. For example: If your co-pay for FOCALIN XR is $80, you pay the initial $10,
Novartis will then pay $60, and you will be responsible for the remaining co-pay balance of $10.

Novartis reserves the right to rescind, revoke, or amend the Program and discontinue support at any time without
notice.

Where can I get a FOCALIN XR Co-Pay Card?

You can get a co-pay card by clicking here. Fill out the registration form and if you are eligible, you can print a
co-pay card.

Is everyone eligible for the FOCALIN XR Co-Pay Card?

This offer is valid only for those with private insurance.

This offer is not valid for:

  • Patients using Medicare, Medicaid, TRICARE, VA, DoD, or any other federal or state health care program
  • Residents of Massachusetts or California
  • Patients whose insurance plan reimburses for the entire cost of their prescription drug

This offer is not valid where prohibited by law. This offer is valid only in the United States and Puerto Rico.

Are there any other program disclaimers I should be aware of?

This program is not health insurance. Program may not be combined with any third-party rebate, coupon, or offer.
Novartis reserves the right to rescind, revoke, or amend the Program and discontinue support at any time without
notice. The patient certifies responsibility for complying with any applicable limitations and requirements of their
health plan related to the use of the Program.

I filled my prescription at the pharmacy, but forgot to present my FOCALIN XR Co-Pay Card. Can I be reimbursed?

In order to be reimbursed for a past prescription, you need to use the reimbursement form. Please remember to
save your pharmacy receipt, as this will be needed to receive a refund. The form includes instructions on where to
send the completed information.

INDICATION

What is FOCALIN XR?

  • FOCALIN XR is a central nervous system (CNS) stimulant prescription medicine. It is used for the treatment of Attention-Deficit Hyperactivity Disorder (ADHD). FOCALIN XR may help increase attention and decrease impulsiveness and hyperactivity in patients with ADHD.
  • FOCALIN XR should be used as a part of a total treatment program for ADHD that may include counseling or other therapies.

IMPORTANT SAFETY INFORMATION

What is the most important information I should know about FOCALIN XR?

FOCALIN XR is a federal controlled substance (CII) because it can be abused or lead to dependence. Keep FOCALIN XR
in a safe place to prevent misuse and abuse. Selling or giving away FOCALIN XR may harm others, and is against the law.

Tell your doctor if you or your child have abused or been dependent on alcohol, prescription medicines, or street drugs.

Who should not take FOCALIN XR?


FOCALIN XR should not be taken if you or your child:

  • are allergic to methylphenidate hydrochloride, or any of the ingredients in FOCALIN XR.
  • are taking or have taken within the past 14 days an anti-depression medicine called a monoamine oxidase inhibitor or MAOI.

The following have been reported with use of methylphenidate hydrochloride and other stimulant medicines:

  • Heart-related problems: Sudden death in patients who have heart problems or heart defects, stroke and heart attack in adults,
    increased blood pressure and heart rate.
    Tell your doctor if you or your child have any heart problems, heart defects, high blood
    pressure, or a family history of these problems. Your doctor should check you or your child carefully for heart problems before starting
    FOCALIN XR and then check blood pressure and heart rate regularly during treatment with FOCALIN XR. Call your doctor right
    away if you or your child has any signs of heart problems such as chest pain, shortness of breath, or fainting while taking
    FOCALIN XR.

  • Mental (psychiatric) problems: New or worse behavior and thought problems, new or worse bipolar illness, new or worse
    aggressive behavior or hostility, new psychotic symptoms (such as hearing voices, believing things that are not true, are
    suspicious) or new manic symptoms.
    Tell your doctor about any mental problems you or your child have, or about a family history
    of suicide, bipolar illness, or depression. Call your doctor right away if you or your child have any new or worsening mental
    symptoms or problems while taking FOCALIN XR, especially seeing or hearing things that are not real, believing things that
    are not real, or are suspicious.

FOCALIN XR may not be right for you or your child.

Before starting FOCALIN XR, tell your or your child’s doctor about all health conditions (or family history) including:

  • if you are pregnant or plan to become pregnant. It is not known if FOCALIN XR will harm your unborn baby.
    • There is a pregnancy registry to collect information about the health of pregnant females exposed to FOCALIN XR and their baby.
      If you or your child becomes pregnant during treatment with FOCALIN XR, talk to your healthcare provider about registering with
      the National Pregnancy Registry of ADHD medications at 1-866-961-2388 or visit online at
      https://womensmentalhealth.org/adhd-medications/.
  • if you are breastfeeding or plan to breastfeed. FOCALIN XR passes into your breast milk. Talk to your healthcare provider about the
    best way to feed the baby during treatment with FOCALIN XR.

Tell your doctor about all of the medicines that you or your child takes, including prescription and over-the-counter medicines,
vitamins, and herbal supplements. Do not start any new medicine while taking FOCALIN XR without talking to your doctor first.

What are the possible side effects of FOCALIN XR?

FOCALIN XR may cause serious side effects, including:

  • painful and prolonged erections (priapism) have occurred with methylphenidate. If you or your child develops priapism, seek
    medical help right away. Because of the potential for lasting damage, priapism should be evaluated by a doctor immediately.
  • circulation problems in fingers and toes (peripheral vasculopathy, including Raynaud's phenomenon), where fingers or toes may
    feel numb, cool, painful, or may change color from pale, to blue, to red. Tell your doctor if you or your child have numbness, pain, skin
    color change, or sensitivity to temperature in the fingers or toes.
  • Call your doctor right away if you have or your child has any signs of unexplained wounds appearing on fingers or toes while taking FOCALIN XR.
  • slowing of growth (height and weight) in children. Children should have their height and weight checked often while taking
    FOCALIN XR. Treatment may be stopped if a problem is found during these check-ups.

Common side effects include:

  • Children (6–17 years): Dyspepsia, decreased appetite, headache, anxiety
  • Adults: Dry mouth, dyspepsia, headache, anxiety, pharyngolaryngeal pain

FOCALIN XR can be taken with or without food. Do not chew, crush, or divide the capsules or the beads in the capsule. If you or
your child cannot swallow the capsule, open it and sprinkle the small beads of medicine over a spoonful of applesauce and swallow it
right away without chewing.

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.

Please see full Prescribing Information, including Boxed WARNING, and Medication Guide.