Having great support throughout treatment is important

Savings and Financial Assistance

For people with commercial or private insurance

You may be eligible for a co-pay as low as $0 for ARIKAYCE.*^†

If you have commercial or private insurance, you may be able to save on out-of-pocket costs with the ARIKAYCE Co-pay Savings Program.

Your Arikares Coordinator and specialty pharmacy can provide you with financial assistance information.

Eligibility can be determined by calling the Arikares^® Support Program at 1-833-ARIKARE (1-833-274-5273) or 1-973-437-2376.

Not valid for prescriptions covered by or submitted for reimbursement under Medicaid, Medicare, Veterans Affairs (VA), Department of Defense (DoD), TRICARE or similar federal or state programs, including any state pharmaceutical assistance program.

See full terms and conditions.

For people with government insurance^‡

If you are enrolled in a Medicare Part D plan, recent changes in the Medicare Part D benefit may make your medications more affordable.

If you have Medicare Part D, you may be able to get “Extra Help” with prescription medicine costs through the Extra Help program.^§

Extra Help is designed to help people who are on Medicare with a limited income. The program provides a range of financial assistance for prescription drug costs. Benefits may include:

• Help with your monthly premiums
• Reduced or no annual deductible
• $0 or reduced costs on brand-name drugs
• No gap in coverage (“donut hole”)

To learn more:

Call 1-800-MEDICARE 1-800-633-4227; TTY users call (1-877-486-2048) or visit medicare.gov.

State-sponsored programs^‡

• Some states sponsor prescription financial assistance programs, each with their own eligibility requirements

Independent co-pay charity foundations^‡

• Financial support for those who have government insurance and need additional assistance may be available from independent co-pay charity foundations. These foundations operate independently outside of Insmed. Speak with your Specialty Pharmacy if you have questions regarding independent charitable foundations

These programs are not offered by Insmed.

Also known as the Low-Income Subsidy (LIS) program.

For any questions about cost or insurance coverage, call 1-833-ARIKARE (1-833-274-5273) or 1-973-437-2376 Monday through Friday from 8 AM to 8 PM Eastern Time

Co-pay Savings Program Terms and Conditions

Patients who are eligible may pay as little as a $0 co-pay every month. Patient will be responsible for any co-pay amounts exceeding program limits. Depending on the private or commercial health insurance plan, savings may apply toward co-pay, coinsurance, or deductible. Keep in mind that co-payments, coinsurance, and deductibles are all different types of out-of-pocket costs and you may still have out-of-pocket costs even if you are eligible for this program. Refer to your insurance plan documents if you have questions related to your total out-of-pocket costs for ARIKAYCE.

Who is eligible?

Patients who have been prescribed ARIKAYCE, are at least 18 years of age, a resident of the 50 United States, the District of Columbia, or Puerto Rico, and have commercial or private health insurance may be eligible for the ARIKAYCE Co-pay Savings Program. ARIKAYCE must be covered by your commercial or private insurance. This program is not valid for cash-paying customers. This offer is not valid for prescriptions covered by or submitted for reimbursement under Medicaid, Medicare, VA, DoD, TRICARE or similar federal or state programs, including any state pharmaceutical assistance program.

Patients who are currently ineligible for the ARIKAYCE Co-pay Savings Program may reapply if their circumstances change.

This is not an insurance benefit, and does not cover or provide support for supplies, procedures, or any physician-related services associated with ARIKAYCE. General, non-product specific insurance deductibles are also not covered by this program. Insmed reserves the right to rescind, revoke, terminate, or amend this offer, eligibility, and terms and conditions at any time without notice. Patients, pharmacists, and prescribers cannot seek reimbursement from health insurance or any third party for any part of the benefit received by the patient through this offer. This offer is not conditioned upon, or reward for, any past, present, or future purchase, including refills. The co-pay card is non-transferable, limited to one per person, and cannot be combined with any other offer or discount. This program is not valid where prohibited by law, taxed, or restricted. Offer has no cash value.

For Patients: If your prescription is covered by insurance, you may need to notify the insurance carrier of redemption of this co-pay card. By redeeming this co-pay card, you are certifying that (1) you are not a beneficiary of any government-funded program as previously noted; (2) should you begin receiving prescription benefits from any government-funded program, you will withdraw from this program; and (3) you understand that adherence to the terms and conditions of this offer is necessary to ensure compliance with laws pertaining to any government-funded program. For questions regarding your eligibility or benefits or if you wish to discontinue your participation, please call 1-833-ARIKARE (1-833-274-5273) or 1-973-437-2376.

BY PARTICIPATING IN THE ARIKAYCE CO-PAY SAVINGS PROGRAM, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE.