Registering is easy

Complete the following steps to register and activate your Qsymia Engage account. This will give you access to all the program’s services, including the certified home delivery pharmacy powered by Medvantx.

1 Create your profile Provide your core contact information and set up your account login.

2 Complete the program’s authorizations and releases Review and complete necessary authorizations, consent and releases.

3 Activate your account We will send you an email to activate your account. Click on the link in the email and then login to activate your account.

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Step 1 of 3 : Create your profile

I am a:

Step 2 of 3 : Authorizations and Releases

Please review and complete the following:

By checking this box, I am acknowledging that I have read and agree to the Medvantx Terms of Use and Medvantx Privacy Policy for the Qsymia Engage Home Delivery Program.

By checking this box, I am acknowledging that I have read and agree to the VIVUS PRIVACY POLICY.

By checking this box, reviewing the following authorization and providing my electronic signature, I am authorizing Medvantx to share my personal health information, or the personal health information for the individual under my care with VIVUS.

 

By checking this box, I agree that I have read and understand the Risk of Birth Defects with Qsymia Patient Brochure and Qsymia Medication Guide. I confirm that I am not a patient who is pregnant or trying to become pregnant, or that I have explained the material to the individual under my care, and they are not pregnant or trying to become pregnant.

 

By checking this box, I agree that I MAY NOT SUBMIT any purchase made through the Home Delivery Pharmacy program for reimbursement to any state or federal government healthcare program, and it cannot be applied towards true out-of-pocket expenses.

Optional: Email Messages

By checking this box, I understand and agree to receive promotional and service announcement email messages in connection with the Qsymia Engage Program, as described in the TERMS OF USE, from the manufacturer or companies working on behalf of the manufacturer. I understand and agree that by unchecking this box, I am opting out of receiving these email messages and my Qsymia Engage account will remain active. I also acknowledge that by unchecking this box I may still receive system generated emails associated with the Medvantx Home Delivery Pharmacy, password management and profile security.

Optional: SMS/Text Messages
Please note that messages will be delivered from the sender QSYMIA (779642)

I agree to receive special offers from QSYMIA.

I agree to receive important updates and messages related to my account from QSYMIA.

 
By checking one or both of these boxes, I understand and agree to receive SMS/text messages from QSYMIA in connection with the Qsymia Engage Program, as described in the TERMS OF USE and PRIVACY POLICY, at the number I provide. Messages may include special offers, important program updates, and messages related to my account.

I acknowledge that I can choose to stop receiving text messages at any time by texting "STOP" to QSYMIA. To rejoin the SMS service, I can edit my profile to opt back into the program. If experiencing issues with the messaging program, I can reply with the keyword “HELP” for help. Message frequency varies. Message and data rates may apply. Participating carriers: all U.S. based carriers.

I understand that I am not required to agree to receive text messages as a condition of enrolling in the Qsymia Engage program.

By clicking on the Accept and Continue button below, you agree to the VIVUS TERMS OF USE, including its arbitration provisions, and PRIVACY POLICY.

 

*HOME DELIVERY PHARMACY

Additional shipping and handling costs will apply. $98 pricing includes 6-week New Patient Packs, 6-week Titration Packs and all 30-day prescriptions. This is a cash-only program — insurance claims will not be processed.

HOME DELIVERY PHARMACY ELIGIBILITY REQUIREMENTS

Qsymia is indicated for patients 12 years of age and older. However, you must be 18 years or older to register for the Qsymia Engage Home Delivery Program and receive the requested product. If you are between 12-17 years of age, a caregiver must sign up on your behalf.

You must have a valid email address.

The Qsymia Engage Home Delivery Pharmacy Program is a cash-only program and does not process insurance claims. Patients or caregivers MAY NOT SUBMIT any purchase made through the Home Delivery Pharmacy program for reimbursement to any state or federal government healthcare program, and it cannot be applied towards my true out-of-pocket expenses.

You must have a prescription for Qsymia submitted to Medvantx by your Healthcare Provider.

You must have a valid physical mailing address in the United States, Puerto Rico, Guam or the U.S. Virgin Islands.

The Qsymia Engage Home Delivery Pharmacy Program requires a valid method of payment, credit or debit card, at time of product shipment. Checks or cash are not acceptable means of payment.

FREE STANDARD SHIPPING ON 90-DAY WEB ORDERS

As of April 1, 2020 standard shipping and handling is now FREE on all 90-day web orders placed via the Qsymia Engage Home Delivery Pharmacy. 90-day prescriptions are not permitted in all states. Check with your healthcare provider.

What is Qsymia?

Qsymia is a prescription medicine that contains phentermine and topiramate extended-release. Qsymia may help adults and children 12 years and older with obesity, or some…

Important Safety Information

Do not take Qsymia if you are pregnant, planning to become pregnant, or become pregnant during Qsymia treatment; have glaucoma; have thyroid problems (hyperthyroidism); are taking certain medicines called monoamine oxidase inhibitors…

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