DILANTIN $4 Co-pay Card*

No membership fees. The Card is not health insurance. The Card is accepted only at participating pharmacies. For questions about the Card, please call 1-800-972-9226.

*Some exclusions apply. See Terms and Conditions below.

Indication

DILANTIN (extended phenytoin sodium capsules, USP) is a prescription medicine used to treat tonic-clonic (grand mal), complex partial (psychomotor or temporal lobe) seizures, and to prevent and treat seizures that happen during or after brain surgery.

Important Safety Information

Do not take DILANTIN if you are allergic to phenytoin or any of the ingredients in DILANTIN, CEREBYX (fosphenytoin), PEGANONE (ethotoin), or MESANTOIN (mephenytoin).

Do not stop taking DILANTIN without first talking to your healthcare provider. Stopping DILANTIN suddenly can cause serious problems. Stopping a seizure medicine suddenly in a patient who has epilepsy can cause seizures that will not stop (status epilepticus).

Like other antiepileptic drugs, DILANTIN may cause suicidal thoughts or actions in a very small number of people, about 1 in 500. Before you take DILANTIN, tell your healthcare provider if you have or have had depression, mood problems, or suicidal thoughts or behavior. Call a healthcare provider right away if you have thoughts about suicide or dying, attempts to commit suicide, new or worse depression, new or worse anxiety, feeling agitated or restless, panic attacks, trouble sleeping (insomnia), new or worse irritability, acting aggressive, being angry, or violent, acting on dangerous impulses, an extreme increase activity and talking (mania), other unusual changes in behavior or mood.

DILANTIN can cause swollen glands (lymph nodes).

Do not drink alcohol while you take DILANTIN without first talking to your healthcare provider. Drinking alcohol while taking DILANTIN may change your blood levels of DILANTIN which can cause serious problems.

Before you take DILANTIN, tell your healthcare provider if you have and had porphyria (por-FER-ee-ah).

If you take DILANTIN during pregnancy, your baby is also at risk for serious birth defects and bleeding problems right after birth. Your healthcare provider may give you and your baby medicine to prevent this.

DILANTIN can cause allergic reactions or serious problems, which may affect organs and other parts of your body like the liver or blood cells. You may or may not have a rash with these types of reactions.

If you experience a rash while taking DILANTIN, contact your doctor immediately. DILANTIN can cause a serious, life-threatening disorder called Stevens-Johnson syndrome.

Before you take DILANTIN, tell your healthcare provider if you have or had diabetes. Do not change your dose of DILANTIN without talking to your healthcare provider.

DILANTIN may cause softening of your bones (osteomalacia). This can cause broken bones.

Your healthcare provider may change your dose. Do not change your dose of DILANTIN without talking to your healthcare provider.

DILANTIN can cause overgrowth of your gums. Brushing and flossing your teeth and seeing a dentist regularly while taking DILANTIN can help prevent this.

Taking DILANTIN with certain other medicines can cause side effects or affect how well they work. Do not start or stop other medicines without talking to your healthcare provider.

The most common side effects of DILANTIN include problems with walking and coordination, slurred speech, confusion, dizziness, trouble sleeping, nervousness, tremor, headache, and nausea.

All brands are trademarks of their owners.

Please click here to see full Prescribing Information (30 mg/100 mg), including Medication Guide.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-332-1088.

Terms and Conditions

By using the DILANTIN $4 Co-pay Card, you acknowledge that you currently meet the eligibility criteria and will comply with the terms and conditions described below:

• The Card is not valid for prescriptions that are eligible to be reimbursed, in whole or in part, by Medicaid, Medicare, or other federal or state healthcare programs (including any state prescription drug assistance programs and the Government Health Insurance Plan available in Puerto Rico [formerly known as "La Reforma De Salud"])
• The Card is not valid for prescriptions that are eligible to be reimbursed by private insurance plans or other health or pharmacy benefit programs that reimburse you for the entire cost of your prescription drugs
• Patients must be 18 or older
• By using the Card, patients will pay a minimum of $4 per refill and receive savings of up to $50 per refill. The Card is good for a maximum savings of $700 per calendar year
• You must deduct the value received under this program from any reimbursement request submitted to your insurance plan, either directly by you or on your behalf
• The Card is not valid for Massachusetts residents whose prescriptions are covered in whole or in part by third-party insurance, or where otherwise prohibited by law
• The Card cannot be combined with any other rebate or coupon, free trial, or similar offer for the specified prescription
• The Card will be accepted only at participating pharmacies
• The Card is not health insurance
• This offer is good only in the United States and Puerto Rico
• The Card is limited to one per person during this offering period and is not transferable
• Pfizer reserves the right to rescind, revoke, or amend the Card without notice
• The Card expires on December 31, 2012

No membership fees apply. DILANTIN is available by prescription only.

For help with the DILANTIN $4 Co-pay Card, call 1-800-972-9226, or write:

Pfizer, Attn: DILANTIN
PO Box 2222
Morrisville, PA 19067-8022
www.pfizer.com