• Afrezza® is a man-made insulin that is breathed-in through your lungs (inhaled) and is used to control high blood sugar in adults with diabetes mellitus.
• Afrezza® is not for use in place of long-acting insulin. Afrezza® must be used with long-acting insulin in people who have type 1 diabetes mellitus.
• Afrezza® is not for use to treat diabetic ketoacidosis.
• It is not known if Afrezza® is safe and effective for use in people who smoke. Afrezza® is not for use in people who smoke or have recently stopped smoking (less than 6 months).
• It is not known if Afrezza® is safe and effective in children under 18 years of age.

Afrezza® is unique because it is the only ultra rapid-acting inhaled insulin available. It starts working quickly without the need for injections at mealtime. Once you breathe Afrezza® into your lungs using the inhaler, insulin appears in your bloodstream in less than 1 minute and it starts controlling blood sugar in about 12 minutes. Afrezza® stops lowering blood glucose after 1.5 to 3 hours, depending on the dose.*

*for the 4-unit and 12-unit cartridges, respectively.

If you have type 1 diabetes, you will still need to take a long-acting insulin, or use an insulin pump for your basal needs depending on what you and your healthcare provider decide. Your healthcare provider may prescribe Afrezza® to treat mealtime spikes in blood sugar. If you are living with type 2 diabetes, your healthcare provider may consider adjustments to your other diabetes medications if they prescribe Afrezza®.

Afrezza® can be taken with oral diabetes medicines. Be sure to tell your healthcare provider about all other medicines and supplements you are taking because they can affect the way your insulin works.

Do not use Afrezza® if you:
• Have chronic lung problems such as asthma or COPD.
• Are allergic to regular human insulin or any of the ingredients in Afrezza®. See the end of this Medication Guide for a complete list of ingredients in Afrezza®.

Before using Afrezza®, tell your healthcare provider about all your medical conditions, including if you:
• Have lung problems such as asthma or COPD
• Have or have had lung cancer
• Are using any inhaled medications
• Smoke or have recently stopped smoking
• Have kidney or liver problems
• Are pregnant, planning to become pregnant, or are breastfeeding. Afrezza® may harm your unborn or breastfeeding baby.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins or herbal supplements.

Before you start using Afrezza®, talk to your healthcare provider about low blood sugar and how to manage it.

The most common side effects of Afrezza® include low blood sugar (hypoglycemia), cough, and sore throat or throat irritation.

Before prescribing Afrezza®, your healthcare provider will perform a breathing test to establish a baseline reading of your lung function. Your healthcare provider may test again at 6 months and once a year after that. As a reminder, if you have had or have asthma, COPD, or chronic lung disease, please tell your healthcare provider because patients with lung issues should not use Afrezza®. There is no proven link between Afrezza® and the risk of lung cancer.

• Read the detailed Instructions for Use that comes with your Afrezza®.
• Take Afrezza® exactly as your healthcare provider tells you to. Your healthcare provider should tell you how much Afrezza® to use and when to use it.
• Know the strength of Afrezza® you use. Do not change the amount of Afrezza® you use unless your healthcare provider tells you to.
• Take Afrezza® at the beginning of your meal.
• Check your blood sugar levels. Ask your healthcare provider what your blood sugar should be and when you should check your blood sugar levels.
• Keep Afrezza® and all medicines out of the reach of children.

Change in level of physical activity or exercise, weight gain or loss, increased stress, illness, change in diet, or because of other medicines you take.

Active ingredient: human insulin

Inactive ingredients: fumaryl diketopiperazine, polysorbate 80

1. Register – Set up an account by providing your Name, Date of Birth, Email, and Password.
2. Complete Medical Questionnaire – Answer a few medical questions that the Doctor or Nurse Practitioner will review during your video or audio consultation.
3. Checkout – Provide Billing, Shipping, and Payment information.
4. Conduct Visit With a Doctor or Nurse Practitioner – Conduct a Video, Audio, or Digital Consultation to find out if a prescription is right for you. The consultation type depends on your state regulations.

After registering, you will be asked to complete an online medical assessment to provide more information about your medical history, medical conditions, and any medications you are currently taking.

Next, one of our Doctors or Nurse Practitioners will conduct a video, audio, or digital consultation. He or she will review the medical information you provide to determine whether a prescription is appropriate for you.

If approved, your prescription will be sent to the pharmacy for review. If necessary, our pharmacist will contact you before dispensing your medication. Otherwise, your order will be packaged and shipped directly to you.

All states require some interaction between a Doctor or Nurse Practitioner and patient in order to prescribe medication. However, regulations governing the type of interaction or consultation differ from state to state. Depending on your state, you will be required to have an audio, video, or digital visit with a Doctor or Nurse Practitioner.

In all cases, the process is simple and easy to follow. Once a prescription is approved, we process payment and your medication will be safely and discreetly shipped to you.

If your state requires an audio consultation, you will be directed to schedule an audio visit by choosing from a list of Doctors or Nurse Practitioners who are licensed in your state.

You will receive a confirmation email with a link to join the audio visit. On the scheduled date and time, click on the link directly in the confirmation email or log in to the Order History page of your account and click ‘Begin Scheduled Visit’. Once you have logged in, you will be in the waiting room until the Doctor or Nurse Practitioner initiates the visit. In some cases, you may receive a call from 480-707-4556. The Doctor or Nurse Practitioner will review the medical information you provided, verify important medical information, and address any specific questions you may have.

If you need to reschedule, you can do so by going to Order History and clicking ‘Reschedule’ to select a different date and time. If you have any questions or issues, please contact us.

OFFICE HOURS FOR AUDIO CONSULTS:

MON – FRI: 5 AM – 7 PM Pacific Time
SAT – SUN: 5 AM – 4 PM Pacific Time

The Doctor or Nurse Practitioner will attempt to reach you at least 3 times before declining your order.

If your state requires a video consultation, we will direct you to schedule a brief visit with one of our Doctors or Nurse Practitioners. Our site uses secure, private, high-quality streaming video between you and our licensed Doctors and Nurse Practitioners. After completing the checkout process, you will be directed to schedule a video visit by choosing from a list of Doctors and Nurse Practitioners who are licensed in your state.

You will receive a confirmation email with a link to join the video visit. On the scheduled date and time, click on the link directly in the confirmation email or log in to the Order History page of your account and click ‘Begin Scheduled Visit’. Once you have logged in, you will be in the waiting room until the Doctor or Nurse Practitioner initiates the visit. The Doctor or Nurse Practitioner will review the medical information you provided, verify important medical information, and address any specific questions you may have.

If you need to reschedule, you can do so by going to Order History and clicking ‘Reschedule’ to select a different date and time. If you have any questions or issues, please contact us.

OFFICE HOURS FOR VIDEO CONSULTS:

MON – FRI: 5 AM – 7 PM Pacific Time
SAT – SUN: 5 AM – 4 PM Pacific Time
What Technical Requirements Do I Need To Have A Video Consultation?
Use your PC, iPhone, Android, iPad, tablet, or another mobile device with a camera and microphone.

Note: If your state requires a video consultation, you must complete it for your prescription to be processed. If you have any questions or issues, please contact us.

Your visit with a Prescriber happens in a web browser. For the best experience possible, we recommend using the following browsers.
– MAC OS: Safari is recommended, Chrome and Firefox are also supported
– iOS: Safari is the only browser supported on iOS
– WINDOWS: Chrome is recommended, Firefox and Edge are also supported
– ANDROID: Chrome is recommended, Firefox is also supported

If you are trying to start a visit and you receive a notification that your camera and/or microphone are being blocked, here are some instructions for allowing or permitting the needed device settings. 

MAC OS

Safari is recommended

• Upper-left top menu > Safari > Preferences > Websites tab
• In the left pane, select Camera, then in the right pane, find this site, set to ‘Ask’ or ‘Allow’
• In the left pane, select Microphone, then in the right pane, find this site, set to ‘Ask’ or ‘Allow’
• Close the Preferences panel to save changes. 

Chrome

• Upper-left top menu > Chrome > Preferences > Privacy and Security > Site Settings > select this site…
• Camera: ‘Ask’ or ‘Allow’
• Microphone: ‘Ask’ or ‘Allow’

Firefox

• Menu icon in upper right of window > Preferences > Privacy and Security > Permissions…
• Camera: open dialog, find this website, ‘Allow’
• Microphone: open dialog, find this website, ‘Allow’

iOS

Safari is the only browser supported on iOS

• Settings App > Safari > scroll down to ‘Settings for Websites’…
• Camera: ‘Ask’ or ‘Allow’
• Microphone: ‘Ask’ or ‘Allow’

WINDOWS

Chrome is recommended

• Stacked dots menu in upper right > Settings > Advanced > Content Settings…
• Camera: ‘Ask before accessing’
• Microphone: ‘Ask before accessing’

Firefox

• Gear in the upper right of window > Privacy and Security > Permissions…
• Camera: open dialog, find this website, ‘Allow’
• Microphone: open dialog, find this website, ‘Allow’

ANDROID

Chrome is recommended

• Stacked dots menu icon > Settings > Site Settings… 
• Camera: ‘Ask first’
• Microphone: ‘Ask first’

Firefox

• Settings App > Apps and App Permissions > Firefox > Permissions
• Toggle on Camera and Microphone
• Restart Firefox

If your state requires a digital consultation, you’re able to interact with one of our online licensed Doctors or Nurse Practitioners without an audio or video interaction. If you are in a state that allows for this type of interaction, you will be asked to answer a number of questions about your medical history online and a Doctor or Nurse Practitioner licensed in your state will review your responses to determine whether or not a medication is appropriate for you.

After completing checkout, you will be directed to select a Doctor or Nurse Practitioner from the available list to review your information. Our Doctors and Nurse Practitioners generally review your medical file within 24 hours. If necessary, they will follow up by email or phone to determine if a prescription is right for you.

HOW ARE PRESCRIPTIONS SENT TO THE PHARMACY?
If your prescription is approved after the medical consultation, it is sent electronically to the pharmacy using HIPAA-compliant encrypted software.

DO I NEED AN EXISTING PRESCRIPTION TO PLACE AN ORDER?
You do not need an existing prescription. One of our US-licensed Doctors or Nurse Practitioners will review your medical history to determine whether the prescription you’re ordering is appropriate for you. Once approved, we will process payment and ship your prescription directly to you.

IS THERE A PROCESSING FEE OR CONSULTATION FEE?
Yes, there is a $45 consultation fee.

MAY I PLACE AN ORDER FOR SOMEONE ELSE?
No, the patient must complete the online diagnostic medical assessment. Our system collects a complete patient medical history for your Doctor or Nurse Practitioner to make a diagnosis and prescribe a treatment. We need to obtain this information directly from the patient.

MAY I HAVE MY PRESCRIPTION FILLED AT ANOTHER PHARMACY?
Yes, you may choose to have your prescription filled at another pharmacy at any time; however, there will be a $120.00 processing fee. In most cases at UpScript, the cost of the consultation and prescription processing by the pharmacy is built into the cost of the medicine. When a customer chooses to have their prescription filled elsewhere, we must separate those costs.

WHAT FORM OF PAYMENT CAN I USE? 

We accept credit cards, debit cards, prepaid cards, and flexible spending account (FSA) cards.

WHAT WILL DISPLAY ON MY CREDIT CARD STATEMENT? 

GetAfrezza or Bella Brands will appear on your credit card statement. If you have any questions please call 844-723-3103.

CAN I USE HEALTH INSURANCE FOR THIS ONLINE VISIT? 

No. At this time we require payment at the time of service. Forms of acceptable payment are listed in the answer above.

DO YOU ACCEPT FLEX SPENDING ACCOUNTS (FSA) OR HEALTH REIMBURSEMENT ARRANGEMENT (HSA) CARDS? 

Yes, we are registered as a SIGIS member for the 90% Rule. We accept FSA and HSA cards as forms of payments.

Per FDA regulations, prescription medication may not be returned once it is sent from the pharmacy. If you have any questions about the medicine you have received, please contact us. You may also email the pharmacy or the Doctor or Nurse Practitioner directly using our secure email system by logging in to your account. The secure email system assures your privacy.

If you believe you have received an incorrect medication, please do not take the medication and contact Customer Support immediately. 

WHAT IF MY PACKAGE IS DAMAGED OR COMPROMISED WHEN I RECEIVE IT?

In the event you have received your package damaged or compromised, please contact the pharmacy at the number provided on the prescription label.

GetAfrezza is available in all 50 states and the District of Columbia.

In case of a medical emergency, please contact your local Physician or hospital for immediate care. Do not rely on your online Doctor or Nurse Practitioner for emergency medical care.

Your privacy is important to us. Prescriptions are sent electronically to the pharmacy using HIPAA-compliant encrypted software. Prescriptions are processed by our licensed, closed-door pharmacy and are shipped in discreet packaging.

We ship using FedEx and USPS Express envelopes, and the return address on the envelope will display the name and address of the pharmacy that shipped your product. The label will not reference the contents of the package.

Because we sometimes require an adult signature upon delivery, many of our customers choose to ship their order to a work address where someone age 18 or over is available to sign for the package.