Eligible patients may save money with the UCERIS rectal foam Instant Savings Program

Most eligible commercially insured patients may

pay as little as

$25

for each prescription*

image of the UCERIS Instant Savings Card

Download and activate a UCERIS rectal foam Instant Savings Card.

Download Savings Card

*Patient is not eligible if he/she participates in or seeks reimbursement or submits a claim for reimbursement to any federal or state healthcare program with prescription drug coverage. Maximum benefits and other restrictions apply. Visit https://www.ucerisfoam.com/savings for full eligibility criteria and terms and conditions. Salix Pharmaceuticals reserves the right to modify or cancel these offerings at any time.

Through the UCERIS rectal foam Instant Savings Program, eligible patients with commercial insurance may pay as little as $25 co-pay for each UCERIS rectal foam prescription (maximum benefits apply).†

* = required

Enroll now in the UCERIS rectal foam Instant Savings Program

For eligible commercially insured patients, download or activate a UCERIS rectal foam Instant Savings Card

All personal information will be kept confidential and will not be shared with any parties other than Salix Pharmaceuticals and its designated partners. View our full Privacy Policy.

By clicking "Submit" and activating a UCERIS rectal foam Instant Savings Card, I confirm that I have read and understand the Eligibility Criteria and Terms and Conditions contained below, and that the patient who will use the savings card meets all eligibility criteria and will comply with all terms and conditions of the program.

Eligibility Criteria and Terms and Conditions

  • This offer is only valid for patients 18 years of age or older with commercial insurance, including commercially insured patients without coverage for UCERIS rectal foam. Patients without commercial insurance are not eligible
  • Eligible insured patients with coverage for UCERIS rectal foam must pay the first $25 of their co-pay, and eligible insured patients without coverage for UCERIS rectal foam must pay the first $25 of out-of-pocket expense and then Salix Pharmaceuticals will pay the remaining co-pay/out-of-pocket expense up to the maximum amount of $300 per fill
  • Maximum benefits are as follows: UCERIS rectal foam: $300/prescription, for up to 8 uses in a calendar year. Patient is responsible for all additional costs and expenses after the maximum limit is reached
  • This offer is not valid for any person eligible for reimbursement of prescriptions, in whole or in part, by any federal, state, or other governmental programs, including, but not limited to, Medicare (including Medicare Advantage and Part A, B, and D plans), Medicaid, TRICARE, Veterans Administration or Department of Defense health coverage, CHAMPUS, or the Puerto Rico Government Health Insurance Plan, or any other federal or state health care programs
  • This offer is only good in the USA at participating retail pharmacies, and cannot be redeemed at other locations, including government-subsidized clinics or facilities
  • This offer is not valid where otherwise prohibited, taxed, or otherwise restricted
  • Patient is responsible for reporting receipt of co-pay assistance to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the co-pay card, as may be required
  • This offer cannot be combined with other offers
  • This card has no cash value and no other purchase is necessary
  • This offer is nontransferable and no substitutions are permitted
  • This card is not health insurance
  • You understand and agree to comply with the terms and conditions of this offer as set forth above. Offer expires December 31, 2021
  • Salix Pharmaceuticals reserves the right to rescind, revoke, or amend this offer at any time without notice
  • The UCERIS rectal foam Instant Savings Card
    • Savings card must be activated prior to use by visiting www.ucerisfoam.com or by calling 855-558-1669
    • Participating patients must present their activated UCERIS rectal foam Instant Savings Card for every eligible prescription fill or refill

Mail Order

The UCERIS rectal foam Instant Savings Card may be used for mail-order prescriptions

  • Reimbursement:
    • Benefits that could not be processed through mail order may qualify for reimbursement. Please visit www.patientrebateonline.com for instructions on how to mail in your prescription receipt for reimbursement

†Restrictions apply. Please see 'Eligibility Criteria and Terms and Conditions' above.

INDICATION

UCERIS® (budesonide) rectal foam is a prescription corticosteroid medicine used to help get active, mild to moderate ulcerative colitis that extends from the rectum to the sigmoid colon under control (induce remission). It is not known if UCERIS rectal foam is safe and effective in children.

IMPORTANT SAFETY INFORMATION—UCERIS rectal foam
  • UCERIS rectal foam is not for everyone. Do not use UCERIS rectal foam if you are allergic to budesonide or any of the ingredients in UCERIS rectal foam
  • Before you use UCERIS rectal foam, tell your healthcare provider if you have liver problems; are planning to have surgery; have chickenpox or measles or have recently been near anyone with chickenpox or measles; have an infection; have or had a family history of diabetes, cataracts or glaucoma; have or had tuberculosis; have high blood pressure (hypertension); have decreased bone mineral density (osteoporosis); have stomach ulcers; or have any other medical condition
  • Before you take UCERIS rectal foam, tell your healthcare provider if you are pregnant or plan to become pregnant. It is not known if UCERIS rectal foam will harm your unborn baby
  • Tell your healthcare provider if you are breastfeeding or plan to breastfeed. UCERIS rectal foam can pass into your breast milk and may harm your baby. You and your healthcare provider should decide if you will use UCERIS rectal foam or breastfeed. You should not do both
  • Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. UCERIS rectal foam and other medicines may affect each other, causing side effects
  • Do not eat grapefruit or drink grapefruit juice while using UCERIS rectal foam. Eating grapefruit or drinking grapefruit juice can increase the level of this medicine in your blood
  • You should stop using UCERIS rectal foam before preparing for a colonoscopy. Call your healthcare provider before restarting UCERIS rectal foam after your colonoscopy
  • UCERIS rectal foam is flammable. Avoid fire, flame and smoking during and immediately after using UCERIS rectal foam
  • UCERIS rectal foam is a steroid. Long-time use of UCERIS rectal foam can cause you to have too much glucocorticosteroid medicine in your blood (hypercorticism). Tell your healthcare provider if you have any of the following signs and symptoms of hypercorticism: acne; bruise easily; rounding of your face (moon face); ankle swelling; thicker or more hair on your body and face; a fatty pad or hump between your shoulders (buffalo hump); or pink or purple stretch marks on the skin of your abdomen, thighs, breasts and arms
  • When UCERIS rectal foam is taken for a long period of time, the adrenal glands do not make enough steroid hormones. Tell your healthcare provider if you are under stress, have a persistent fever, or have any of the following symptoms: tiredness, weakness, nausea, vomiting, and/or low blood pressure
  • UCERIS rectal foam may weaken your immune system. Taking medicines that weaken your immune system makes you more likely to get infections. Avoid contact with people who have contagious diseases such as chickenpox or measles while using UCERIS rectal foam
  • If you take certain other steroid medicines to treat allergies, switching to UCERIS rectal foam may cause your allergies to come back. These allergies may include eczema (a skin disease) or rhinitis (inflammation inside your nose). Tell your healthcare provider if any of your allergies become worse while using UCERIS rectal foam
  • In clinical studies, the most common side effects of UCERIS rectal foam were decreased blood cortisol (a hormone made by the adrenal glands), adrenal insufficiency (when your adrenal glands don’t make enough steroid hormones), and nausea

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 product information, adverse event reports, and product complaint reports, please contact: Salix Product Information Call Center

Phone: 1-800-321-4576

Please click here for full Prescribing Information for UCERIS rectal foam.

The healthcare information contained herein is not intended to replace discussion with your healthcare provider. All decisions regarding patient care must be made with a healthcare provider, considering the unique characteristics of the patient.

The product information provided in this site is intended only for residents of the United States. The products discussed herein may have different product labeling in different countries.

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INDICATION

UCERIS® (budesonide) rectal foam is a prescription corticosteroid medicine used to help get active, mild to moderate ulcerative colitis that extends from the rectum to the sigmoid colon under control (induce remission). It is not known if UCERIS rectal foam is safe and effective in children.

IMPORTANT SAFETY INFORMATION—UCERIS rectal foam
  • UCERIS rectal foam is not for everyone. Do not use UCERIS rectal foam if you are allergic to budesonide or any of the ingredients in UCERIS rectal foam
  • Before you use UCERIS rectal foam, tell your healthcare provider if you have liver problems; are planning to have surgery; have chickenpox