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CINQAIR® (RESLIZUMAB) INJECTION COST SUPPORT PROGRAM

Eligible, commercially insured patients can save on the out-of-pocket costs of CINQAIR® and its administration–including co-pays, co-insurance and deductibles.

If you are eligible, you will be automatically enrolled in the CINQAIR Cost Support Program when your doctor prescribes CINQAIR® for you.

Teva Support Solutions® will contact you to confirm your enrollment and send you a CINQAIR Cost Support Program Card to help pay your out-of-pocket costs at your treatment provider.

Remember to always bring your CINQAIR Cost Support Program Card to your treatment provider appointments.

If you are eligible, you will be automatically enrolled in the CINQAIR Cost Support Program when your doctor prescribes CINQAIR® for you.

Teva Support Solutions® will contact you to confirm your enrollment and send you a CINQAIR Cost Support Program Card to help pay your out-of-pocket costs at your treatment provider.

Remember to always bring your CINQAIR Cost Support Program Card to your treatment provider appointments.

WE ARE READY TO HELP

To find out more about the CINQAIR Cost Support Program or available financial assistance if you have government-funded insurance or are uninsured or underinsured, call 1-844-838-2211, Monday through Friday, 9 AM to 7 PM ET.

* Persons residing in the states of Massachusetts, Minnesotta, Michigan, and Rhode Island are eligible for financial assistance with their out-of-pocket costs for the drug only and are NOT eligible for other types of financial assistance (administration of the drug). See complete Terms and Conditions.

If you wish to discontinue your participation in the CINQAIR Cost Support Program, call Teva Support Solutions®.

FOR PRODUCT INFORMATION FOR CINQAIR® (RESLIZUMAB) INJECTION, VISIT CINQAIR.COM