{"id":145,"date":"2022-12-01T17:35:31","date_gmt":"2022-12-01T17:35:31","guid":{"rendered":"https:\/\/vip-msd.com\/merckconnect\/?page_id=145"},"modified":"2026-03-30T10:05:24","modified_gmt":"2026-03-30T10:05:24","slug":"frequently-asked-questions","status":"publish","type":"page","link":"https:\/\/www.merckconnect.com\/verquvo\/frequently-asked-questions\/","title":{"rendered":"Frequently asked questions"},"content":{"rendered":"<link rel='stylesheet' id='vivid360-spacer-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/spacer\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-heading-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/heading\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"afe71a7d3-61b4-440c-8a3c-d6886bd6454f\"><h1 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h1FontSizeDesktop);--tabletFontSize:var(--h1FontSizeDesktop);--mobileFontSize:var(--h1FontSizeMobile);--desktopLineHeightSize:var(--h1LineHeightDesktop);--tabletLineHeightSize:var(--h1LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Frequently asked questions about VERQUVO\u00ae (vericiguat)<\/strong><\/h1><\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<p>For answers to questions you may have, select any of the topics below. To see a complete list of FAQs, scroll down.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-accordion-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/accordion\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion content-width\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\" aria-labelledby=\"vivid360-block-accordion-title-823eedf3-fcd1-44f3-ab64-511df8c57b58\"><h4 class=\"vivid360-block-accordion-title\" id=\"vivid360-block-accordion-title-823eedf3-fcd1-44f3-ab64-511df8c57b58\">What is the indication and usage for VERQUVO?<\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\">\n<p>VERQUVO\u00ae (vericiguat) tablets 2.5 mg, 5 mg, 10 mg is indicated to reduce the risk of cardiovascular death and heart failure (HF) hospitalization following a hospitalization for HF or need for outpatient IV diuretics, in adults with symptomatic chronic HF and ejection fraction less than 45%.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<p class=\"has-primary-color has-text-color\"><a aria-label=\"#\" href=\"https:\/\/www.merck.com\/product\/usa\/pi_circulars\/v\/verquvo\/verquvo_pi.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"> See Prescribing Information for VERQUVO<\/a><\/p>\n<\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion content-width\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\" aria-labelledby=\"vivid360-block-accordion-title-d90a14b2-1199-4064-95b0-8ba16370f4bf\"><h4 class=\"vivid360-block-accordion-title\" id=\"vivid360-block-accordion-title-d90a14b2-1199-4064-95b0-8ba16370f4bf\">What is the Selected Safety Information for VERQUVO?<\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\"><link rel='stylesheet' id='vivid360-row-module-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/row\/css\/style.min.css?ver=6.8.5' media='all' \/>\n\n<div style=\"border-width:0px;border-style:;border-radius:0;background-color: !important\" class=\"wp-block-vivid360-row vivid360-row hcp-wide-bg-width wide-bg-width\"><div class=\"cropped\" id=\"row4684a315-807f-4e6f-9c4b-172cc460e7a0\"><div style=\"padding-top:0px;padding-bottom:0px;padding-right:0px;padding-left:0px\" class=\"row-content wide-width hcp-wide-width\"><link rel='stylesheet' id='vivid360-card-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/card\/css\/style.min.css?ver=1773241827' media='all' \/>\n\n<div id=\"\" class=\"wp-block-vivid360-card a2c6e9982-ba52-4727-aa15-ea4c0c6fe234 vivid360-block-card has-text-align-center card-basic content-width\" style=\"border-width:2px;border-style:solid;border-radius:2px;color:#111 !important\"><div class=\"card-content\"><div class=\"card-content-wrap\"><h4 class=\"card-header fontWeightRegular\"><strong>WARNING: EMBRYO-FETAL TOXICITY <\/strong><\/h4><div class=\"card-desc has-regular-font-size\">\n<p class=\"has-text-align-left\"><strong>Females of reproductive potential: Exclude pregnancy before the start of treatment. To prevent pregnancy, females of reproductive potential must use effective forms of contraception during treatment and for one month after stopping treatment. Do not administer VERQUVO to a pregnant female because it may cause fetal harm.<\/strong><\/p>\n<\/div><\/div><\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-list-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/list\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div class=\"vivid-block-list content-width  default-list block-7aae985c-7b97-470a-a8a3-b7db98cc2753 hyperlink-blue\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-7aae985c-7b97-470a-a8a3-b7db98cc2753\"><ul class=\"first-level\"><li>VERQUVO is contraindicated in patients with concomitant use of other soluble guanylate cyclase (sGC) stimulators.<\/li><li>VERQUVO is contraindicated in pregnancy.<\/li><li><strong>Embryo-Fetal Toxicity:<\/strong> Based on data from animal reproduction studies, VERQUVO may cause fetal harm when administered to a pregnant woman. Advise females of reproductive potential of the potential risk to a fetus. Obtain a pregnancy test before the start of treatment. Advise females of reproductive potential to use effective contraception during treatment with VERQUVO and for at least one month after the final dose.<\/li><li>There is a Pregnancy Surveillance Program that monitors pregnancy outcomes in women exposed to VERQUVO during pregnancy. Health care providers should report any prenatal exposure by calling <span class=\"no-wrap-text\">1-877-888-4231<\/span> or at <a style=\"color: #0000ee!important;\" href=\"https:\/\/pregnancyreporting.verquvo-us.com\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"interstitial-external-link\"><mark style=\"background-color:rgba(0, 0, 0, 0);color:#0000ff\" class=\"has-inline-color\">https:\/\/pregnancyreporting.verquvo-us.com<\/mark><\/span><\/a>.<\/li><li>In a clinical trial, the most commonly observed adverse events with VERQUVO vs placebo, occurring at a frequency \u22655%, were hypotension (16% vs 15%) and anemia (10% vs 7%).<\/li><li>Concomitant use of VERQUVO with PDE-5 inhibitors is not recommended due to the potential for hypotension.<\/li><li>There are no data on the presence of vericiguat in human milk, the effects on the breastfed infant, or effects on milk production. Because of the potential for serious adverse reactions in breastfed infants from VERQUVO, advise women not to breastfeed during treatment with VERQUVO.<\/li><\/ul><\/div>\n<\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion content-width\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\" aria-labelledby=\"vivid360-block-accordion-title-dc0af64e-32f7-4fc1-afdd-66517682b4fd\"><h4 class=\"vivid360-block-accordion-title\" id=\"vivid360-block-accordion-title-dc0af64e-32f7-4fc1-afdd-66517682b4fd\">What is the recommended dosing for VERQUVO?<\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\">\n<p>The recommended starting dose of VERQUVO is 5 mg orally once daily with food. For patients at risk of symptomatic hypotension, the recommended starting dose is 2.5 mg orally once daily with food. Double the dose approximately every 2 weeks to reach the target maintenance dose of 10 mg once daily, as tolerated by the patient. For patients who are unable to swallow whole tablets, VERQUVO may be crushed and mixed with water immediately before administration.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<p class=\"has-primary-color has-text-color\"><a href=\"https:\/\/www.merckconnect.com\/verquvo\/dosing-administration\/\" aria-label=\"#\">See dosing for VERQUVO.<\/a><\/p>\n<\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion content-width\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\" aria-labelledby=\"vivid360-block-accordion-title-5b280a63-d8d7-479f-9276-4d624bf30241\"><h4 class=\"vivid360-block-accordion-title\" id=\"vivid360-block-accordion-title-5b280a63-d8d7-479f-9276-4d624bf30241\">What are the contraindications for VERQUVO?<\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\">\n<div class=\"vivid-block-list content-width  default-list block-2f863ba3-24d1-4b4a-bb9c-9f4fc2c65e2b\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-2f863ba3-24d1-4b4a-bb9c-9f4fc2c65e2b\"><ul class=\"first-level\"><li>Patients with concomitant use of other soluble guanylate cyclase (sGC) stimulators.<\/li><li>Pregnancy<\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<p class=\"has-primary-color has-text-color\"><a aria-label=\"#\" href=\"https:\/\/www.merck.com\/product\/usa\/pi_circulars\/v\/verquvo\/verquvo_pi.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">See Prescribing Information for VERQUVO<\/a><\/p>\n<\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion content-width\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\" aria-labelledby=\"vivid360-block-accordion-title-329a4b61-93dc-4e25-a645-925ffb3842d7\"><h4 class=\"vivid360-block-accordion-title\" id=\"vivid360-block-accordion-title-329a4b61-93dc-4e25-a645-925ffb3842d7\">What are the drug interactions listed for VERQUVO?<\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\">\n<p>VERQUVO is contraindicated in patients with concomitant use of other soluble guanylate cyclase (sGC) stimulators [see Contraindications above]. <\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8 spacer-undefined\"><\/div>\n\n\n\n<p>Concomitant use of VERQUVO with PDE-5 inhibitors is not recommended because of the potential for hypotension. <\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<p class=\"has-primary-color has-text-color\"><a aria-label=\"#\" href=\"https:\/\/www.merck.com\/product\/usa\/pi_circulars\/v\/verquvo\/verquvo_pi.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">See Prescribing Information for VERQUVO<\/a><\/p>\n<\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion content-width\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\" aria-labelledby=\"vivid360-block-accordion-title-8226837e-8af9-4498-a1d6-caa0ce4e75b9\"><h4 class=\"vivid360-block-accordion-title\" id=\"vivid360-block-accordion-title-8226837e-8af9-4498-a1d6-caa0ce4e75b9\">What are the most common adverse reactions for VERQUVO?<\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\">\n<p>The most common adverse reactions reported in \u22655% are hypotension and anemia.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<p>Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<p>VERQUVO was evaluated in VICTORIA, which included 2,519 patients treated with VERQUVO (up to 10 mg once daily). The mean duration of VERQUVO exposure was 1 year, and the maximum duration was 2.6 years. <\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8 spacer-undefined\"><\/div>\n\n\n\n<p>Table 1 lists adverse drug reactions occurring more commonly with VERQUVO than placebo and in \u22655% of patients treated with VERQUVO in VICTORIA.<br><br><strong>Table 1: adverse drug reactions occurring with VERQUVO in VICTORIA<\/strong><\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-image-module-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/image-module\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div id=\"\" class=\"wp-block-vivid360-image-module ratio-50-50 content-above one-col full-page-width\"><div class=\"vivid360-block-image-module__content-wrapper content-align-left\" id=\"contentDiv\"><\/div><figure class=\"vivid360-block-image-module__image-container\"><picture><source media=\"(max-width: 767px)\" data-srcset=\"https:\/\/www.merckconnect.com\/verquvo\/wp-content\/uploads\/sites\/67\/2025\/12\/mob_new.png?w=767\"\/><source media=\"(min-width: 768px) and (max-width: 1440px)\" data-srcset=\"https:\/\/www.merckconnect.com\/verquvo\/wp-content\/uploads\/sites\/67\/2025\/12\/desk-new.png?w=1440\"\/><img decoding=\"async\" width=\"1584\" height=\"440\" data-src=\"https:\/\/www.merckconnect.com\/verquvo\/wp-content\/uploads\/sites\/67\/2025\/12\/desk-new.png\" loading=\"lazy\" src=\"https:\/\/www.merckconnect.com\/verquvo\/wp-content\/uploads\/sites\/67\/2025\/12\/desk-new.png\" alt=\"\"\/><\/picture><figcaption class=\"caption-align-left noCaptionText\" id=\"figcaption\"><p class=\"caption-title vivid360-block-image-module__caption\" style=\"--captionFontSize:14px;--captionFontSizeTablet:14px;--captionFontSizeMobile:14px\"><\/p><\/figcaption><\/figure><\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<p class=\"has-primary-color has-text-color\"><a href=\"\/verquvo\/victoria-study\/\" aria-label=\"#\">See VICTORIA study for VERQUVO<\/a><\/p>\n<\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion content-width\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\" aria-labelledby=\"vivid360-block-accordion-title-c3ea6ab0-9fe8-4217-8f57-de90e1ecbc3e\"><h4 class=\"vivid360-block-accordion-title\" id=\"vivid360-block-accordion-title-c3ea6ab0-9fe8-4217-8f57-de90e1ecbc3e\">Is there a coupon for VERQUVO?<\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\">\n<p>Yes. Your eligible, privately insured patients may save on their out-of-pocket costs for their prescriptions for VERQUVO. <\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<p>Your patients can visit verquvo-us.com to request a coupon, and if eligible, activate and bring to their pharmacy along with their prescription. <\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<p>Not valid for patients who are uninsured or patients with Medicare or other Government Program insurance. Not all patients are eligible. Certain restrictions apply. Tell your eligible, privately insured patients to visit verquvo-us.com to review the Terms and Conditions. <\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n<\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion content-width\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\" aria-labelledby=\"vivid360-block-accordion-title-798e3cff-7870-48b0-ba35-af643003c292\"><h4 class=\"vivid360-block-accordion-title\" id=\"vivid360-block-accordion-title-798e3cff-7870-48b0-ba35-af643003c292\">What is the mechanism of action for VERQUVO?<\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\">\n<p>Vericiguat is a stimulator of soluble guanylate cyclase (sGC), an important enzyme in the nitric oxide (NO) signaling pathway. When NO binds to sGC, the enzyme catalyzes the synthesis of intracellular cyclic guanosine monophosphate (cGMP), a second messenger that plays a role in the regulation of vascular tone, cardiac contractility, and cardiac remodeling. Heart failure is associated with impaired synthesis of NO and decreased activity of sGC, which may contribute to myocardial and vascular dysfunction. By directly stimulating sGC, independently of and synergistically with NO, vericiguat augments levels of intracellular cGMP, leading to smooth muscle relaxation and vasodilation. <\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<p class=\"has-primary-color has-text-color\"><a href=\"\/verquvo\/mechanism-of-action\/\" aria-label=\"#\">See mechanism of action video for VERQUVO<\/a><\/p>\n<\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion content-width\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\" aria-labelledby=\"vivid360-block-accordion-title-163cf8e9-4c8f-4567-9b08-0fc52626c0b8\"><h4 class=\"vivid360-block-accordion-title\" id=\"vivid360-block-accordion-title-163cf8e9-4c8f-4567-9b08-0fc52626c0b8\">When did VERQUVO receive FDA approval?<\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\">\n<p>VERQUVO received FDA approval in January 2021.<\/p>\n<\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion content-width\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\" aria-labelledby=\"vivid360-block-accordion-title-53f6aa77-03a9-4704-b697-ac87b9923338\"><h4 class=\"vivid360-block-accordion-title\" id=\"vivid360-block-accordion-title-53f6aa77-03a9-4704-b697-ac87b9923338\">Where can patients get information on VERQUVO?<\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\">\n<p>Your patients can visit <a href=\"https:\/\/www.verquvo-us.com\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"#\">https:\/\/www.verquvo-us.com\/<\/a> to find product information and resources.<\/p>\n<\/div><\/details><\/div>\n\n\n<link rel='stylesheet' id='vivid360-modal-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/modal\/css\/style.min.css?ver=1770643873' media='all' \/>\n\n<div class=\"wp-block-vivid360-modal\"><div><div class=\"vivid360-modal-block-container is-style-passive-modal\"><div class=\"vivid360-modal-trigger-container\"><span data-design-module=\"modal\" data-design-category=\"modal-page-load\" class=\"vivid360-modal-trigger-pageload\" data-page-load-parameter=\"safety_overlay\"><\/span><\/div><div class=\"vivid360-modal-container vivid360-modal-blurredBgBlack\"><div class=\"vivid360-modal larger_modal\" role=\"dialog\" aria-modal=\"true\" aria-labelledby=\"modal-title\"><div class=\"vivid360-modal-content-area\"><a class=\"vivid360-modal-close-modal-span\" role=\"button\" aria-label=\"modal popup close\"><i class=\"icon-close\"><\/i><\/a><div class=\"modal-flex-container\"><div class=\"vivid360-modal-label-container  title-left\" style=\"--titleColor:undefined\"><h2><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">Indication<\/mark><\/strong><\/h2><\/div><div class=\"vivid360-modal-content-container has-regular-font-size\">\n<p>VERQUVO\u00ae (vericiguat) tablets 2.5 mg, 5 mg, 10 mg is indicated to reduce the risk of cardiovascular death and heart failure (HF) hospitalization following a hospitalization for HF or need for outpatient IV diuretics, in adults with symptomatic chronic HF and ejection fraction less than 45%.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"ae9c29b1d-907e-4471-838a-6a311445716d\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">Selected Safety Information<\/mark><\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div style=\"border-width:2px;border-style:solid;border-radius:0;background-color: !important\" class=\"wp-block-vivid360-row vivid360-row hcp-wide-bg-width wide-bg-width\"><div class=\"cropped\" id=\"row792237e0-c716-46f4-87b9-66bd32c31e72\"><div style=\"padding-top:0px;padding-bottom:0px;padding-right:0px;padding-left:4px\" class=\"row-content wide-width hcp-wide-width\">\n<div class=\"vivid360-heading\" id=\"ac2e17d43-264b-4a66-bd60-ff7834e1e1f3\"><h4 class=\"has-text-align-center content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h4FontSizeDesktop);--tabletFontSize:var(--h4FontSizeDesktop);--mobileFontSize:var(--h4FontSizeMobile);--desktopLineHeightSize:var(--h4LineHeightDesktop);--tabletLineHeightSize:var(--h4LineHeightDesktop);--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\"><strong>WARNING: EMBRYO-FETAL TOXICITY<\/strong><\/h4><\/div>\n\n\n\n<p><strong>Females of reproductive potential: Exclude pregnancy before the start of treatment. To prevent pregnancy, females of reproductive potential must use effective forms of contraception during treatment and for one month after stopping treatment. Do not administer VERQUVO to a pregnant female because it may cause fetal harm.<\/strong><\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"vivid-block-list content-width  default-list block-b8e75d14-651b-446e-b8c1-08cc2db11a15 hyperlink-blue\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-b8e75d14-651b-446e-b8c1-08cc2db11a15\"><ul class=\"first-level\"><li>VERQUVO is contraindicated in patients with concomitant use of other soluble guanylate cyclase (sGC) stimulators.<\/li><li>VERQUVO is contraindicated in pregnancy.<\/li><li><strong>Embryo-Fetal Toxicity:<\/strong>&nbsp;Based on data from animal reproduction studies, VERQUVO may cause fetal harm when administered to a pregnant woman. Advise females of reproductive potential of the potential risk to a fetus. Obtain a pregnancy test before the start of treatment. Advise females of reproductive potential to use effective contraception during treatment with VERQUVO and for at least one month after the final dose.<\/li><li>There is a Pregnancy Surveillance Program that monitors pregnancy outcomes in women exposed to VERQUVO during pregnancy. Health care providers should report any prenatal exposure by calling&nbsp;<span class=\"no-wrap-text\">1-877-888-4231<\/span>&nbsp;or at&nbsp;<a href=\"https:\/\/pregnancyreporting.verquvo-us.com\/\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"interstitial-external-link\">https:\/\/pregnancyreporting.verquvo-us.com<\/span><\/a>.<\/li><li>In a clinical trial, the most commonly observed adverse events with VERQUVO vs placebo, occurring at a frequency \u22655%, were hypotension (16% vs 15%) and anemia (10% vs 7%).<\/li><li>Concomitant use of VERQUVO with PDE-5 inhibitors is not recommended due to the potential for hypotension.<\/li><li>There are no data on the presence of vericiguat in human milk, the effects on the breastfed infant, or effects on milk production. Because of the potential for serious adverse reactions in breastfed infants from VERQUVO, advise women not to breastfeed during treatment with VERQUVO.<\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<p><strong>Before prescribing VERQUVO, please read the accompanying <a aria-label=\"#\" href=\"https:\/\/www.merck.com\/product\/usa\/pi_circulars\/v\/verquvo\/verquvo_pi.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Prescribing Information<\/a> including the Boxed Warning about embryo-fetal toxicity. The <a aria-label=\"#\" href=\"https:\/\/www.merck.com\/product\/usa\/pi_circulars\/v\/verquvo\/verquvo_mg.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Medication Guide<\/a> also is available.<\/strong><\/p>\n<\/div><div class=\"vivid360-modal-button-container desktop-container\"><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-confirm  vivid360-modal-dismiss-button\" role=\"button\" aria-label=\"Button 1\" style=\"font-size:14px\" href=\"#!\" title=\"Button 1\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Button 1\" data-design-module=\"element\">Button 1<\/a><\/div><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-dismissive  vivid360-modal-dismiss-button\" role=\"button\" aria-label=\"Button 2\" style=\"font-size:14px\" href=\"#!\" title=\"Button 2\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Button 2\" data-design-module=\"element\">Button 2<\/a><\/div><\/div><\/div><\/div><div class=\"vivid360-modal-button-container mobile-container \"><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-confirm  vivid360-modal-dismiss-button\" role=\"button\" aria-label=\"Button 1\" style=\"font-size:14px\" href=\"#!\" title=\"Button 1\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Button 1\" data-design-module=\"element\">Button 1<\/a><\/div><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-dismissive  vivid360-modal-dismiss-button\" role=\"button\" aria-label=\"Button 2\" style=\"font-size:14px\" href=\"#!\" title=\"Button 2\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Button 2\" data-design-module=\"element\">Button 2<\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>For answers to questions you may have, select any of the topics below. To see a complete list of FAQs, scroll down.<\/p>\n","protected":false},"author":708,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_trash_the_other_posts":false,"editor_notices":[],"footnotes":""},"ga4_page_audience":[],"ga4_page_birn_id":[],"ga4_page_branding":[272],"ga4_page_businessunit":[],"ga4_page_campaign":[],"ga4_page_content_purpose":[296],"ga4_page_customer_journey_stage":[],"ga4_page_customer_specialty":[335],"ga4_page_experience":[],"ga4_page_indication":[],"ga4_page_material_intent":[484],"ga4_page_product":[626],"ga4_page_region":[711],"ga4_page_therapeuticarea":[],"user_role":[],"mhh-area-of-interest":[],"access":[],"user_status":[],"class_list":["post-145","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Frequently Asked Questions for VERQUVO\u00ae (vericiguat)<\/title>\n<meta name=\"description\" content=\"View frequently asked questions for VERQUVO\u00ae (vericiguat), which include Selected Safety Information, recommended dosing, indications and usage, and common side effects of VERQUVO.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.merckconnect.com\/verquvo\/frequently-asked-questions\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Frequently Asked Questions for VERQUVO\u00ae (vericiguat)\" \/>\n<meta property=\"og:description\" content=\"View frequently asked questions for VERQUVO\u00ae (vericiguat), which include Selected Safety Information, recommended dosing, indications and usage, and common side effects of VERQUVO.\" \/>\n<meta property=\"og:url\" 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