Tracleer - Bosentan Tablets
A Cornerstone of Oral Therapy 
For patients with pulmonary arterial hypertension (PAH) WHO Class II-IV 
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Patient Enrollment Form
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Healthcare Professionals - Prescribing Tracleer
The Tracleer Access Program® (T.A.P.®)
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Tracleer Access Program (T.A.P.)

Because of the risks associated with treatment, the use of Tracleer requires participation in the Tracleer Access Program (T.A.P.), a restricted distribution program. In order to receive Tracleer, prescribers and patients must enroll in T.A.P. and agree to comply with the requirements of this program. Enrollment in T.A.P. is accomplished by completing and submitting the Tracleer Enrollment and Renewal form to PAH Pathways, which administers T.A.P. You can reach PAH Pathways by calling toll-free at 1-866-ACTELION (1-866-228-3546).

What you need to prescribe Tracleer:




Tracleer Enrollment and Renewal form and HIPAA form
(English MS Word, Adobe PDF)
(Español MS Word, Adobe PDF)

Prescriber Essentials Guide
(English Adobe PDF)
(Español Adobe PDF)

Patient Essentials Guide
(English Adobe PDF)
(Español Adobe PDF)


For more information, you can visit www.pahpathways.com.


Tracleer is indicated for the treatment of pulmonary arterial hypertension (PAH) in patients with WHO Class II-IV symptoms, to improve exercise ability and decrease the rate of clinical worsening. Patients with WHO Class II symptoms showed reduction in the rate of clinical deterioration and a trend for improvement in walk distance. Physicians should consider whether these potential benefits are sufficient to offset the risk of liver injury in WHO Class II patients, which may preclude future use as their disease progresses.

IMPORTANT SAFETY INFORMATION

Because of the associated risks, Tracleer may be prescribed only through the Tracleer Access Program. Potential for serious liver injury (including, after prolonged treatment, rare cases of liver failure and unexplained hepatic cirrhosis in a setting of close monitoring)—Liver monitoring of all patients is essential prior to initiation of treatment and monthly thereafter. High potential for major birth defects—Pregnancy must be excluded and prevented through the use of reliable forms of birth control; monthly pregnancy tests should be obtained.
Contraindicated for use with cyclosporine A and glyburide.

Please see full prescribing information.

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Patient Assistance Programs

Patients who are uninsured or who need
help paying for their medication may be
eligible to receive financial assistance for
Tracleer. Call 1-866-ACTELION
(1-866-228-3546) for details.

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