Momentum Savings Card for Eligible Patients

Get your first prescription at no cost!^† Plus, save up to $70 every month for a full year.*

The Momentum Program offers savings for eligible patients being treated with Myrbetriq^® (mirabegron) for their overactive bladder (OAB) symptoms. With the Momentum Savings Card, new patients may be able to receive their first month’s prescription at no cost^†, plus save a total maximum of $840 for 12 uses on their Myrbetriq prescription.*

Patient is responsible for the first $20 plus any differential over $90 for each individual prescription. Find out today if you are eligible. Please read the eligibility restrictions below.

Eligibility Restrictions

TO THE PATIENT: Patients paying cash are not eligible to receive first prescription at no cost. This offer is not valid for patients whose prescription claims are reimbursed, in whole or in part, by any state or federal government program, including, but not limited to, Medicaid, Medicare, Medigap, Department of Defense (DoD), Veterans Affairs (VA), TRICARE, CHAMPUS, Puerto Rico Government Health Insurance, or any State Patient or Pharmaceutical Assistance Program. This offer is void where prohibited by law. Certain rules and restrictions apply.

*Subject to eligibility. Restrictions may apply.
^†Subject to eligibility. Restrictions may apply. Not available to patients paying cash.

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Start Strong with The Momentum Program

The Momentum Program was designed to support and encourage those taking Myrbetriq® (mirabegron) with tips and tools – delivered right to your inbox or mailbox – that can help you start strong and stay on track, including:

Doctor Conversation Guide – To start a dialogue with your doctor about your overactive bladder (OAB) symptoms
A starter package – Complete with easy-to-use trackers to chart your progress and informative tips to help you stick with the plan your doctor prescribed
Bladder-friendly recipes – Including foods to avoid, as they may irritate your bladder^‡
Simple exercises – Tips on exercises you can do anytime, anywhere, to strengthen key muscles^‡
Daily medication reminders – These can help you make taking your medication part of your routine

Want help with managing your OAB symptoms?

If you're covered under a government plan (e.g., Medicaid or Medicare) and not eligible for savings, sign up to get helpful tips, tools, recipes and more!

^‡Always talk with your doctor before starting any diet or exercise program.

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Thank you for registering to receive emails from the Momentum Program. You can look forward to information, recipes, exercises, and tools to help you manage your OAB symptoms.

Patient Assistance

Myrbetriq Support Solutions^SM

If you are concerned about paying for Myrbetriq^® (mirabegron), we are here to help.

You may be eligible to receive Myrbetriq at no cost. The Astellas Patient Assistance Program can determine if you are eligible for enrollment based on your insurance status and other criteria. To learn more, visit www.astellaspharmasupportsolutions.com

Astellas Pharma Support Solutions seeks to help patients through the Astellas Patient Assistance Program, benefit verification, and the prior authorization process.

Contact Astellas Pharma Support Solutions℠ at:

www.astellaspharmasupportsolutions.com or 1‑800‑477‑6472

Monday – Friday
9 AM to 8 PM ET

Use of Myrbetriq

Myrbetriq® (mirabegron) is a prescription medicine for adults used to treat overactive bladder (OAB) with symptoms of urgency, frequency and leakage.

Important Safety Information

Myrbetriq is not for everyone. Do not use Myrbetriq if you have an allergy to mirabegron or any ingredients in Myrbetriq. Myrbetriq may cause your blood pressure to increase or make your blood pressure worse if you have a history of high blood pressure. It is recommended that your doctor check your blood pressure while you are taking Myrbetriq. Myrbetriq may increase your chances of not being able to empty your bladder. Tell your doctor right away if you have trouble emptying your bladder or you have a weak urine stream.

Myrbetriq may cause allergic reactions that may be serious. If you experience swelling of the face, lips, throat or tongue, with or without difficulty breathing, stop taking Myrbetriq and tell your doctor right away.

Tell your doctor about all the medicines you take including medications for overactive bladder or other medicines such as thioridazine (Mellaril™ and Mellaril-S™), flecainide (Tambocor®), propafenone (Rythmol®), digoxin (Lanoxin®). Myrbetriq may affect the way other medicines work, and other medicines may affect how Myrbetriq works.

Before taking Myrbetriq, tell your doctor if you have liver or kidney problems. The most common side effects of Myrbetriq include increased blood pressure, common cold symptoms (nasopharyngitis), urinary tract infection, constipation, diarrhea, dizziness, and headache.

For further information, please talk to your healthcare professional and see accompanying Patient Product Information and complete Prescribing Information for Myrbetriq^® (mirabegron).

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.

Myrbetriq® is a registered trademark of Astellas Pharma Inc. All other trademarks or registered trademarks are the property of their respective owners.

Momentum Savings Card for Eligible Patients

Get your first prescription at no cost!† Plus, save up to $70 every month for a full year.*

Start Strong with The Momentum Program

Want help with managing your OAB symptoms?

Thank you for registering

Patient Assistance

Myrbetriq Support SolutionsSM

Contact Astellas Pharma Support Solutions℠ at:

Want to share your experience?

Use of Myrbetriq and Important Safety Information

Use of Myrbetriq

Important Safety Information

Use of Myrbetriq

Important Safety Information

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Our Doctor Conversation Guide can help you start the overactive bladder conversation.

Get your first prescription at no cost!^† Plus, save up to $70 every month for a full year.*

Myrbetriq Support Solutions^SM

Want to share your
experience?

Use of Myrbetriq and
Important Safety Information