US GOVERNMENT PATIENT ASSISTANCE PROGRAM, OPERATED BY PFIZER—TERMS AND CONDITIONS

• The USG Patient Assistance Program is not health insurance and is available for eligible Medicare, Medicaid, TRICARE, VA Community Care Network and uninsured patients only. Commercially insured patients are not eligible.
• Patient must be 12 years of age or older to redeem the USG PAP voucher.
• The patient’s primary diagnosis must be for an FDA-approved or FDA-authorized indication.
• Patient must meet the income requirement at the time of program enrollment.
• This offer does not require, nor will it be made contingent on, purchase requirements of any kind.
• This program can be amended at any time without notification.
• Offer good only in the U.S. and U.S. Territories.
• Patient must reside in the U.S. or a U.S. Territory.
• Prescription must be provided by a healthcare provider licensed in the U.S. or a U.S. Territory.
• The USG PAP Voucher is not transferable.
• Data shared with Pfizer will be aggregated and de-identified; it will be combined with data related to other PAP voucher redemptions and will not identify you.
• Offer expires 12/31/2025