Two Ways to Save on ULORIC

Pay either $15 or $0, depending on your ULORIC prescription*

*Eligibility requirements and maximum benefits apply.

ULORIC Savings Card Form

SIGN UP FOR SAVINGS, AND GET MORE

When you sign up to receive the ULORIC Savings Card, you will automatically be enrolled in GoutSmart, a personalized educational series of e-mails designed to make sure you have the information you need on your gout journey.

Fill out the form below to sign up for the ULORIC Savings Card and the GoutSmart program or to activate your ULORIC Savings Card.

Eligibility Requirements: This offer cannot be used if you are a beneficiary of, or any part of your prescription is covered by: (1) any federal or state healthcare program (Medicare, Medicaid, TRICARE, etc.), including a state pharmaceutical assistance program, (2) the Medicare Prescription Drug Program (Part D), or if you are currently in the coverage gap, or (3) insurance that is paying the entire cost of the prescription.


Please note that all information is required.

Date of Birth


Do you have a ULORIC Savings Card to activate?

Please enter the 9-digit ID# displayed on the front of your ULORIC Savings Card.


I have been prescribed ULORIC:


Important Safety Information
for ULORIC

Important Safety Information for ULORIC

Do not take ULORIC (febuxostat) if you are taking azathioprine or mercaptopurine.

Your gout may flare up when you start taking ULORIC; do not stop taking your ULORIC even if you have a flare. Your healthcare provider may give you other medicines to help prevent your gout flares.

A small number of heart attacks, strokes, and heart-related deaths were seen in clinical studies. It is not certain that ULORIC caused these events.

Tell your healthcare professional about liver or kidney problems or a history of heart disease or stroke.

Your healthcare professional may do blood tests to check your liver function while you are taking ULORIC.

Rarely, serious skin reactions can occur with ULORIC which may include rash, fever, swollen glands and other internal organ involvement such as liver, kidney, lung and heart. Tell your doctor immediately if you experience any of these signs.

The most common side effects of ULORIC are liver problems, nausea, gout flares, joint pain, and rash. Tell your healthcare provider if you have any side effect that bothers you, or that does not go away.

Use of ULORIC

ULORIC is a prescription medicine used to lower blood uric acid levels in adults with gout. ULORIC is not for the treatment of high uric acid without a history of gout.

Individual results may vary.

Please see the complete Prescribing Information and talk to your healthcare professional.

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.