^aCRESEMBA Support Solutions is a component of Astellas Pharma Support Solutions^SM.

^bBy enrolling in the CRESEMBA Patient Savings Program ("Program"), the patient or the patient’s legal representative (e.g., parent or legal guardian) acting on behalf of the patient, attests that the patient currently meets the eligibility criteria and will comply with the following terms and conditions: The Program is for eligible patients with commercial prescription insurance and is good for use only with a valid prescription for CRESEMBA at the time the prescription is dispensed by the pharmacy. The Program has a maximum copay assistance limit of $4,000 per calendar year. After the annual maximum copay assistance is reached, patient will be responsible for the remaining monthly out-of-pocket costs for CRESEMBA. The Program is not valid for patients whose prescription claims are reimbursed, in whole or in part, by any state or federal government program, including, but not limited to, Medicaid, Medicare, Medigap, Department of Defense (DoD), Veterans Affairs (VA), TRICARE, or any state patient or pharmaceutical assistance program. Patients who move from commercial insurance to federal or state prescription health insurance will no longer be eligible, and agree to notify the Program of any such change. Patients agree not to seek reimbursement from any health insurance or third party for any part of the benefit received by the patient through the Program. This offer is not conditioned on any past, present, or future purchase of CRESEMBA. This offer is not transferrable, has no cash value, and cannot be combined with any other offer, free trial, prescription savings card, or discount (including any program offered by a third party payer or pharmacy benefit manager, or an agent of either, that adjusts patient cost-sharing obligations, through arrangements that may be referred to as "accumulator" or "maximizer" programs). The full value of the Program benefits is intended to pass entirely to the eligible patient. No other individual or entity (including, without limitation, third party payers, pharmacy benefit managers, or the agents of either) is entitled to receive any benefit, discount or other amount in connection with this Program. This offer is not health insurance and is only valid for patients in the 50 United States and Washington DC. This offer is not valid for cash paying patients. This Program is void where prohibited by law. No membership fees. It is illegal to sell, purchase, trade, counterfeit, duplicate, or reproduce, or offer to sell, purchase, trade, counterfeit, duplicate or reproduce the card. This offer will be accepted only at participating pharmacies. Certain rules and restrictions apply. Astellas reserves the right to revoke, rescind, or amend this offer without notice for any reason (including to ensure that the offer is utilized solely for the patient's benefit).

CRESEMBA® is a registered trademark of Astellas US LLC.