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Coverage &
insurance
support

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Adbry® Rapid Access™ Program

If you have commercial health insurance, you may be able to receive your first dose of Adbry® (tralokinumab-ldrm) for free within 48 hours.a,b,c

For more information and to check if you qualify for the Adbry® Rapid Access™ Program, call 844-MY-ADBRY (844-692-3279). Restrictions Apply. See Full Terms, Conditions, and Eligibility Criteria.

Adbry® Bridge Care™ Program

If you have commercial insurance that does not yet cover Adbry, you may be able to receive Adbry for free for up to 2 years (or until Adbry is covered by your health insurance plan).b,c

For more information and to check if you qualify for the Adbry® Bridge Care™ Program, call 844-MY-ADBRY (844-692-3279). Restrictions Apply. See Full Terms, Conditions, and Eligibility Criteria.

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Adbry® Copay Program

If you have commercial health insurance, you may be able to pay as little as a $0 copay each time you fill Adbry. You do not need to be enrolled in Adbry® Advocate™ to get the Adbry digital copay card.b,c

For more information and to check if you qualify for the Adbry® Copay Program, call 844-MY-ADBRY (844-692-3279). Restrictions Apply. See Full Terms, Conditions, and Eligibility Criteria.

Adbry® Patient Assistance Program

If you have financial need and have limited or no prescription coverage, you may be able to receive Adbry at no cost.b,d

For more information and to check if you qualify for the Adbry® Patient Assistance Program, call 844-MY-ADBRY (844-692-3279). Restrictions Apply. See Full Terms, Conditions, and Eligibility Criteria.

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a

The initial dose of Adbry may be shipped either to your office or to the patient after submission of a completed Enrollment and Prescription Form or annual Healthcare Provider eRx Program Certification Form, as applicable, and Patient Authorization. A Case Manager must coordinate shipment to a patient, which may extend delivery time. Patients who have been initiated on therapy with samples are not eligible for Rapid Access™ Product.

b

Additional terms, conditions and eligibility rules apply. Enrollment in Adbry® Advocate™ is not required to obtain copay support. For all other patient support programs, enrollment in Adbry® Advocate™ is required. Patient or healthcare provider may not seek reimbursement for the benefit received from any party. LEO Pharma reserves the right to rescind, revoke or amend the Program and discontinue support at any time without notice.

c

Patient is not eligible for the Program if enrolled in any federally or state funded health care program, including but not limited to Medicare (including Medicare Part D), Medicaid, VA, DOD, TRICARE or CHIP.

*

Program has an annual cap. Program may not be combined with any third-party rebate, coupon or offer.

d

Income eligibility requirements apply. Patient may be required to submit documentation of income and insurance coverage status.

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