ADVATE Trial Program
The ADVATE Freedom of Choice program offers 6 free sample doses of ADVATE. Enrollees also receive an introduction to hemophilia resources from Baxter.
To find out if you are eligible and to learn what package you would receive, simply fill out the questions below and hit “Submit.”
I am:
You said that you are an adult with hemophilia A. Please choose one of the following:
You said you are the parent or caregiver of a child with hemophilia A. Is your child with hemophilia:
You said that you are the parent of an infant or toddler with hemophilia A. Could you describe your history using factor products?
You said that you are the parent of a pre-school, elementary school, or junior high school student with hemophilia A. Could you describe your history using factor products?
You said that your child is in high school or older and has hemophilia A. Could you describe your history using factor products?
You said that you are the caregiver or spouse of an adult with hemophilia A. Could you describe your history using factor products?
You may be eligible to receive 6 free sample vials of ADVATE!
If you qualify, you’ll also be receiving the following:
-
GoPack, a handy pack to carry all you need for infusions. Includes messenger bag, inner hard pack, sharps containers, and hot/cold pack.*
-
In Full Motion, an educational DVD which explains the importance of joint health for people with hemophilia.
-
TFY, the latest issue of our quarterly publication offering inspiring stories and news from Baxter and the hemophilia community.
Take the next step towards receiving your package! Complete this form with your physician, and send
or fax it to us.
We look forward to receiving your completed
enrollment form.
You may be eligible to receive 6 free sample vials of ADVATE!
If you qualify, you’ll also be receiving the following:
-
GoPack, a handy pack to carry all you need for infusions. Includes messenger bag, inner hard pack, sharps containers, and hot/cold pack.*
-
Hemophilia Starter Kit, which is full of valuable information and resources that introduce you to the basics of hemophilia care.
-
In Full Motion, an educational DVD which explains the importance of joint health for people with hemophilia.
Plus! A handy notebook that puts hemophilia care literally at your fingertips, where you can write your questions and the answers you get about your child’s hemophilia needs.
Take the next step towards receiving your package! Complete this form with your physician, and send
or fax it to us.
We look forward to receiving your completed
enrollment form.
You may be eligible to receive 6 free sample vials of ADVATE!
If you qualify, you’ll also be receiving the following:
-
GoPack, a handy pack to carry all you need for infusions. Includes messenger bag, inner hard pack, sharps containers, and hot/cold pack.*
-
Beginning Self Infusion Booklet, which is full of valuable information and resources to welcome you to the hemophilia community.
-
In Full Motion, an educational DVD which explains the importance of joint health for people with hemophilia.
Take the next step towards receiving your package! Complete this form with your physician, and send
or fax it to us.
We look forward to receiving your completed
enrollment form.
You may be eligible to receive 6 free sample vials of ADVATE!
If you qualify, you’ll also be receiving the following:
-
GoPack, a handy pack to carry all you need for infusions. Includes messenger bag, inner hard pack, sharps containers, and hot/cold pack.*
-
Heart Health & Hemophilia: A New Challenge, a booklet from Perspectives – Baxter’s unique program for adults with hemophilia.
-
TFY, the latest issue of our quarterly publication offering inspiring stories and news from Baxter and the hemophilia community.
Take the next step towards receiving your package! Complete this form with your physician, and send
or fax it to us.
We look forward to receiving your completed
enrollment form.
This program is only available to new ADVATE users. Based on your response, you do not appear to meet the eligibility requirements. However, we have lots of other resources that you may be interested in:
You have identified that you are a person with a bleeding disorder other than Hemophilia A. Based on your response you do not appear to meet the eligibility requirement. This program is only available for new ADVATE users. ADVATE is indicated for control and prevention of bleeding episodes in adults and children (0-16 years) with Hemophilia A.
We’re sorry. Based on your response, it does not appear that Freedom of Choice is the program for you.
To learn more about hemophilia, visit:
www.ThereForYou.com
* GoPack will be shipped seperately.
ADVATE [Antihemophilic Factor (Recombinant), Plasma/Albumin-Free Method] is a medicine used to replace clotting factor VIII that is missing in people with hemophilia A (also called “classic” hemophilia). ADVATE is used to prevent and control bleeding in people with hemophilia A. Your healthcare provider may give you ADVATE when you have surgery.
ADVATE is not used to treat von Willebrand Disease.
Detailed Important Risk Information for ADVATE
You should not use ADVATE if you are allergic to mice or hamsters or any ingredients in ADVATE.
You should tell your healthcare provider if you have or have had any medical problems, take any medicines, including prescription and non-prescription medicines and dietary supplements, have any allergies, including allergies to mice or hamsters, are nursing, are pregnant, or have been told that you have inhibitors to factor VIII.
You can have an allergic reaction to ADVATE. Call your healthcare provider right away and stop treatment if you get a rash or hives, itching, tightness of the throat, chest pain or tightness, difficulty breathing, lightheadedness, dizziness, nausea, or fainting.
Your body may form inhibitors to factor VIII. An inhibitor is part of the body’s normal defense system. If you form inhibitors, it may stop ADVATE from working properly. Consult with your healthcare provider to make sure you are carefully monitored with blood tests for the development of inhibitors to factor VIII.
Side effects that have been reported with ADVATE include: cough, sore throat, unusual taste, abdominal pain, diarrhea, nausea/vomiting, headache, fever, dizziness, hot flashes, chills, sweating, joint swelling/aching, itching, hematoma, swelling of legs, runny nose/congestion, and rash.
Call your healthcare provider right away about any side effects that bother you or if your bleeding does not stop after taking ADVATE.
Please see ADVATE full Prescribing Information.
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.
