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

• The USG Patient Assistance Program is not health insurance and is available for 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.
• 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.