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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

Eligible, commercially insured patients whose insurance does not yet cover Adbry® may receive up to 6 free monthly doses—periodically, within a 2-year time frame, or until commercial coverage is secured, whichever occurs earlier. 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

Eligible, commercially insured patients whose insurance does not yet cover Adbry® provides for a maximum of six (6) months of shipment of Product, on a periodic basis, within a twenty-four (24) month consecutive time period commencing on the initial date of dispense for such patient’s lifetime, or until such patient receives insurance coverage approval, whichever occurs earlier.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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