The DELZICOL Savings Card

Eligible patients pay no more than $30* per prescription


If you have commercial prescription drug insurance, you may pay no more than $30* per prescription with a DELZICOL Savings Card. Sign up now to save.

  • Already Have a Savings Card?
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  • Step 1 of 3

    To activate your DELZICOL Savings Card, please enter the 9-digit ID # that is located on the front of your card.

    Please enter a valid card ID #

    Step 2 of 3

    Please correct the errors in the following fields

    Are you a resident of the United States or Puerto Rico?
    Do you have prescription drug insurance?

    By activating your card, you certify that no portion of your DELZICOL prescription cost will be submitted for reimbursement to a federal- or state-funded prescription drug benefit program, such as Medicare, Medicaid, Medigap, VA, DOD or Tricare, or any private indemnity or HMO insurance plan that reimburses you for the entire cost of your prescription drugs. You also certify that you are not Medicare eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. You further certify that should you begin receiving prescription benefits from one of these types of programs at any time, you will no longer be eligible to participate in this savings program.

    Step 3 of 3 * = required

    Please correct the errors in the following fields

    If you are under 18 years of age, you must have your parent or legal
    guardian (over the age of 18) enroll in the program for you. *

    You certify that the information provided above is true and correct. In addition, by providing your email address, you agree that you would like to receive information from Allergan related to DELZICOL® and the DELZICOL® Savings Program, including site updates, education, and other Allergan products and services. The information pertaining to you that we collect will be used in accordance with our Privacy Statement.

    You are not eligible to participate in this program. Thank you for your interest. If you would like to discuss further, please call 1-866-279-4379.

    We're sorry, but there was an error communicating with the server. Please try again later.

    We have experienced some technical difficulties generating your DELZICOL HD Savings Card. We apologize for the inconvenience. Please come back and try to register again later.

    If you have lost your savings card, have registered for a card before, or have previously unsubscribed, please call 1-866-279-4379 (8:00 AM - 8:00 PM EST, Monday - Friday and 9:30 AM - 6:00 PM EST, Saturday) for assistance.

  • Don't Have a Savings Card Yet?
    SIGN UP NOW TO GET ONE
  • Step 1 of 2

    Please correct the errors in the following fields

    Are you a resident of the United States or Puerto Rico?
    Do you have prescription drug insurance?

    By activating your card, you certify that no portion of your DELZICOL prescription cost will be submitted for reimbursement to a federal- or state-funded prescription drug benefit program, such as Medicare, Medicaid, Medigap, VA, DOD or Tricare, or any private indemnity or HMO insurance plan that reimburses you for the entire cost of your prescription drugs. You also certify that you are not Medicare eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. You further certify that should you begin receiving prescription benefits from one of these types of programs at any time, you will no longer be eligible to participate in this savings program.

    Step 2 of 2 * = required

    Please correct the errors in the following fields

    If you are under 18 years of age, you must have your parent or legal
    guardian (over the age of 18) enroll in the program for you. *

    You certify that the information provided above is true and correct. In addition, by providing your email address, you agree that you would like to receive information from Allergan related to DELZICOL® and the DELZICOL® Savings Program, including site updates, education, and other Allergan products and services. The information pertaining to you that we collect will be used in accordance with our Privacy Statement.

    You are not eligible to participate in this program. Thank you for your interest. If you would like to discuss further, please call 1-866-279-4379.

    We're sorry, but there was an error communicating with the server. Please try again later.

    [Call tech support message]

    If you have lost your savings card, have registered for a card before, or have previously unsubscribed, please call 1-866-279-4379 (8:00 AM - 8:00 PM EST, Monday - Friday and 9:30 AM - 6:00 PM EST, Saturday) for assistance.

*Depending on insurance coverage, eligible patients pay no more than $30 for each of up to 12 prescription fills. Other eligible patients should check with their pharmacist for their co-pay discount. Maximum reimbursement limits apply; patient out-of-pocket expense may vary. Offer not valid for patients enrolled in Medicare, Medicaid, Tricare or other federal or state healthcare programs. See full Terms, Conditions, and Eligibility Criteria here or on back of card.

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  • See More Important Risk Information

    IMPORTANT RISK INFORMATION

    Who should not take DELZICOL?

    • Do not take DELZICOL if you are allergic to:
      • salicylates, such as aspirin or medications that contain aspirin
      • aminosalicylates
      • any of the ingredients of DELZICOL

    What should I tell my healthcare provider before taking DELZICOL?

    Tell your healthcare provider if you:

    • Have or have had kidney problems
    • Are allergic to sulfasalazine
    • Have or have had heart-related allergic reactions, such as inflammation of the heart muscle (myocarditis) or inflammation of the lining of the heart (pericarditis)
    • Have or have had liver problems
    • Have or have had a stomach blockage
    • Have any other medical conditions

    What are the possible side effects of DELZICOL?

    DELZICOL may cause serious side effects, including:

    • Kidney problems: Your doctor may check to see how your kidneys are working before taking DELZICOL. It is important to complete all blood tests ordered by your doctor.
    • A condition that may be hard to tell apart from a UC flare: Symptoms include cramping, stomachache, bloody diarrhea, and sometimes fever, headache, and rash. If you experience any of these symptoms while on treatment, call your doctor right away. He or she may tell you to stop taking DELZICOL.
    • Hypersensitivity (allergic) reactions: If signs and symptoms of hypersensitivity occur, immediately call your doctor.
    • Liver failure: In patients that have or have had liver disease.
    • Blood Disorders: Elderly patients and patients taking azathioprine or 6-mercaptopurine need to monitor complete blood cell counts and platelet counts while taking DELZICOL.

    The most common side effects of DELZICOL include:

    • Adults: belching, stomachache, constipation, dizziness, runny nose, back pain, rash, upset stomach, and flu symptoms.
    • Children (5 to 17 years of age): inflammation of the nose and pharynx, headache, stomachache, dizziness, inflammation of the sinuses, rash, cough, diarrhea, tiredness, fever, and increased lipase.

    Tell your doctor if you have any side effect that bothers you or does not go away. These are not all the possible side effects of DELZICOL.

    Before starting DELZICOL, tell your doctor about all medications you are taking, including:

    • Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen. Taking these medications with DELZICOL may increase your risk of kidney problems.
    • Azathioprine or 6-mercaptopurine. Taking these medications with DELZICOL may increase your risk of blood disorders.

    What is DELZICOL?

    DELZICOL (mesalamine) delayed-release capsules is a prescription medication approved for the treatment of mildly to moderately active ulcerative colitis (UC) in patients 5 years of age and older and for the maintenance of remission of UC in adults.

    Please see full Prescribing Information for DELZICOL.

    To report a side effect from one of our products, please call the Allergan Drug Safety Department at 1-800-678-1605.

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    Terms, Conditions, and Eligibility Criteria: