![]() ![]() You must be 18 years of age or older to use this card. The selling, purchasing, trading, or counterfeiting of this card is prohibited by the law.Ĩ. Original card must be presented to the pharmacistĪt the time the prescription is filled. Offer good only in the USA at participating pharmacies. For patients with commercial health insurance, this card may reduce out-of-pocket expenses.Ĥ. Up to a maximum benefit of $6000 per year for Enstilar ® and up to a maximum benefit of $1200 per year for Finacea ® Foam.ģ. This card is valid for up to 12 prescription fills per calendar year, Terms and Conditions and Eligibility Requirements:ġ. This card is good for use only with a valid prescription for Enstilar ® (calcipotriene and betamethasone dipropionate)Īnd Finacea ® (azelaic acid) Foam 15%. Personal Information under the LEO Privacy Policy? from contacting you at any time by calling 1-87 or by ways outlined in the How to Contact Us section in the LEO Privacy Policy.ĭo you agree to the LEO Pharma ® CONNECT Co-Pay Savings Card Program Terms and Conditions and consent to use and disclosure of your You understand that you may stop LEO Pharma Inc. may also contact you through mail, email, phone, or text, and may use your information to evaluate and improve their services and program(s). to reach out to you by regular mail, email, and to call or text you at the mobile number you have provided to market its product(s),Ĭonduct market research and/or provide you with materials about products, disease education, or financial assistance. Enstilar ® orįinacea ® Foam will be shared with LEO Pharma Inc. Transaction was processed and the amount of your co-pay that will be paid for by LEO Pharma Inc. You understand that the personal information you supply and certain information pertaining to the use of your co-pay card, such as the date the
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