Ready to reduce excessive underarm sweating?

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1 Ready to reduce excessive underarm sweating? Here s a unique way to treat excessive underarm sweating, a real medical condition also known as primary axillary hyperhidrosis. What is QBREXZA? QBREXZA is a prescription anticholinergic medicine used on the skin (topical) to treat excessive underarm sweating (primary axillary hyperhidrosis) in adults and children 9 years of age and older. Important Side Effect Information QBREXZA can cause new or worsened urinary retention, problems with control of body temperature and blurred vision. The most common side effects of QBREXZA include: dry mouth; dilation of the pupils of your eyes (mydriasis); sore throat; skin redness; and burning/ stinging or itching in underarm area. Please see Patient Product Information inside back pocket and complete Important Safety Information on pages

2 What s the deal with this excessive underarm sweating? Sweating is a part of life, but if you fi nd that you re sweating regardless of body temperature or stress, you may be experiencing excessive underarm sweating. Excessive underarm sweating is a real medical condition. It s called primary axillary hyperhidrosis, and it s more common than you may think. 2

3 Excessive underarm sweating affects as many as 10 million people across the US Anyone can be affected regardless of gender, race, or ethnicity Many people don t know excessive underarm sweating is a real medical condition There s a treatment option that can help. 3

4 A unique way to treat excessive underarm sweating QBREXZA (glycopyrronium) cloth towelette is a topical treatment. It s also the fi rst in its class to be approved by the FDA to reduce sweat production caused by excessive underarm sweating (primary axillary hyperhidrosis). First and only medicated cloth towelette to treat excessive underarm sweating Targets sweat glands to reduce excessive underarm sweating Does not require a treatment procedure or injection 4 Apply QBREXZA once a day to reduce sweat production.

5 An aluminum-free treatment solution Al Tested and FDA approved in children 9 years of age and older CHECK OUT QBREXZA.COM to learn about the safety and effectiveness of QBREXZA Important Safety Information Who should not use QBREXZA? Do not use QBREXZA if you have certain medical conditions that can be made worse by taking an anticholinergic medicine such as glaucoma, severe ulcerative colitis or certain other serious bowel problems associated with severe ulcerative colitis, myasthenia gravis, and Sjogren s syndrome. Talk to your healthcare provider if you are not sure if you have a medical condition that can be made worse by taking an anticholinergic medicine. Please see Patient Product Information inside back pocket and complete Important Safety Information on pages

6 The cloth towelette that can help reduce excessive underarm sweating With QBREXZA (glycopyrronium) cloth towelette, you may not have to wait long to see results. In fact in clinical trials, many people started seeing the full results of QBREXZA in just 4 weeks. That could mean less time focusing on sweat and more time enjoying the little moments that matter the most. Just remember to keep using the towelette every day even after you see results. Make QBREXZA part of your daily routine. Talk to your doctor about what works best for you. 6

7 77 % 77% of people using QBREXZA said their excessive underarm sweating improved after 4 weeks VISIT QBREXZA.COM to fi nd out what else to expect after starting treatment Important Safety Information What should I tell my healthcare provider before using QBREXZA? Before using QBREXZA, tell your healthcare provider about all of your medical conditions, including if you: have prostate or bladder problems, or problems passing urine have kidney problems are pregnant or plan to become pregnant. It is not known if QBREXZA will harm your unborn baby. are breastfeeding or plan to breastfeed. It is not known if QBREXZA passes into your breast milk. Talk to your healthcare provider about the best way to feed your baby during treatment with QBREXZA. Please see Patient Product Information inside back pocket and complete Important Safety Information on pages

8 5 steps to less excessive sweating QBREXZA (glycopyrronium) cloth towelette is easy to apply and can fi t into just about any schedule. Make QBREXZA part of your daily routine, and always apply QBREXZA exactly as prescribed. 1 Make sure underarms are clean and dry before applying QBREXZA. 2 Tear open one single pouch using the notch at the top. 3 Using the same cloth towelette, wipe each underarm only once. 4 Discard towelette in garbage bin; do not reuse. 5 Wash hands immediately with soap and water. 8

9 Stick to the script Although QBREXZA is very easy to apply, remembering to use QBREXZA exactly as prescribed is extremely important. Here s a few tips to keep in mind. DO Apply QBREXZA to clean, dry, and unbroken skin of underarms Apply QBREXZA to both underarms using 1 cloth every 24 hours Throw away after use and wash your hands right away with soap and water DON T Wipe the QBREXZA towelette more than once on each underarm Cover the treated area with a plastic bandage Touch your eyes without washing your hands after use For a closer look at how to use QBREXZA, watch an instructional video at QBREXZA.com/howtouse. Important Safety Information Tell your healthcare provider about all the medicines you take, including prescription medicines, over-the-counter medicines, vitamins, and herbal supplements. QBREXZA may affect the way other medicines work causing side effects. Especially tell your healthcare provider if you take anticholinergic medicines. Know the medicines you take. Keep a list of your medicines with you and show it to your healthcare provider and pharmacist when you get a new medicine. Please see Patient Product Information inside back pocket and complete Important Safety Information on pages

10 10 Important Safety Information What is QBREXZA? QBREXZA is a prescription anticholinergic medicine used on the skin (topical) to treat excessive underarm sweating (primary axillary hyperhidrosis) in adults and children 9 years of age and older. It is not known if QBREXZA is safe and effective in children under 9 years of age. Who should not use QBREXZA? Do not use QBREXZA if you have certain medical conditions that can be made worse by taking an anticholinergic medicine such as glaucoma, severe ulcerative colitis or certain other serious bowel problems associated with severe ulcerative colitis, myasthenia gravis, and Sjogren s syndrome. Talk to your healthcare provider if you are not sure if you have a medical condition that can be made worse by taking an anticholinergic medicine. What should I tell my healthcare provider before using QBREXZA? Before using QBREXZA, tell your healthcare provider about all of your medical conditions, including if you: have prostate or bladder problems, or problems passing urine have kidney problems are pregnant or plan to become pregnant. It is not known if QBREXZA will harm your unborn baby. are breastfeeding or plan to breastfeed. It is not known if QBREXZA passes into your breast milk. Talk to your healthcare provider about the best way to feed your baby during treatment with QBREXZA. Tell your healthcare provider about all the medicines you take, including prescription medicines, over-the-counter medicines, vitamins, and herbal supplements. QBREXZA may affect the way other medicines work causing side effects. Especially tell your healthcare provider if you take anticholinergic medicines. Know the medicines you take. Keep a list of your medicines with you and show it to your healthcare provider and pharmacist when you get a new medicine. How should I use QBREXZA? Use QBREXZA exactly as your healthcare provider tells you to use it. QBREXZA comes as a single-use pre-moistened cloth in individual pouches. QBREXZA should be applied to the clean, dry, intact skin, of your underarm areas only. Do not apply QBREXZA to broken skin. Do not cover the treated area with a plastic (occlusive) dressing. Apply QBREXZA to both underarm areas using 1 cloth 1 time every 24 hours. Applying QBREXZA: Carefully tear open the pouch to avoid tearing the QBREXZA cloth. Unfold the QBREXZA cloth and apply QBREXZA by wiping across 1 entire underarm 1 time. Using the same QBREXZA cloth, wipe across the other underarm 1 time. Throw away (discard) the used QBREXZA cloth in the trash. Wash your hands right away after you apply QBREXZA and have thrown away the cloth. It is important that you wash your hands because the QBREXZA that is still on your hands can cause you to have blurred vision if you touch your eyes. Do not reuse the QBREXZA cloth.

11 What should I avoid while using QBREXZA? QBREXZA may cause you to have blurred vision that is temporary. If you develop blurred vision, call your healthcare provider, stop using QBREXZA and do not drive, operate machinery, or do hazardous work until your vision is clear. QBREXZA is flammable. Avoid heat and flame while applying QBREXZA to your skin. What are the possible side effects of QBREXZA? QBREXZA can cause serious side effects, including: New or worsened urinary retention. People who use QBREXZA may develop new or worse urinary retention. Urinary retention can be caused by a blockage in your bladder. Urinary retention can also happen in men who have a larger than normal prostate. Symptoms of urinary retention may include: difficulty urinating urinating frequently urination in a weak stream or drips full bladder or difficulty emptying your bladder (distended bladder) If you have these symptoms, stop using QBREXZA and call your healthcare provider right away. Problems with control of your body temperature. QBREXZA can cause you to have decreased sweating in areas other than the underarm area which could cause you to become overheated and to develop heat illness. When in hot or very warm temperatures, watch for lack of sweating on your body (generalized) and stop using QBREXZA if you develop lack of sweating on your body. Stop using QBREXZA and call your healthcare provider right away if you develop any of these symptoms of heat illness: hot, red skin decreased alertness or passing out (unconsciousness) fast, weak pulse fast, shallow breathing increased body temperature (fever) Blurred vision. If you develop blurred vision during treatment with QBREXZA, call your healthcare provider, stop using QBREXZA and do not drive, or operate machinery, or do hazardous work until your vision is clear. The most common side effects of QBREXZA include: dry mouth dilation of the pupils of your eyes (mydriasis) sore throat skin redness, burning/stinging headache problems with urination blurred vision nasal dryness throat, eye, and skin dryness or itching in underarm area constipation These are not all of the possible side effects of QBREXZA. Call your doctor for medical advice about side effects. You may report side effects to FDA at FDA-1088 or The FDA-approved patient product information can be found at pi.dermira.com/ QbrexzaPPI.pdf. Please see Patient Product Information inside back pocket. 11

12 To the Patient: You must present this card to the pharmacist along with your prescription to participate in this program. If you have any questions regarding your eligibility or benefits, or if you wish to discontinue your participation, call the QBREXZA Savings Card program at Dermira ( ) (8:00 am-8:00 pm EST, Monday-Friday). Eligible patients with commercial insurance covering QBREXZA may pay as little as $35. If commercial insurance does not cover QBREXZA or if you have no insurance you may pay as little as $70. Maximum program benefit is limited to $2500. When you use this card, you are certifying that you understand the program rules, regulations, and terms and conditions. You are not eligible if prescriptions are paid by any state or other federally funded programs, including, but not limited to Medicare or Medicaid, Medigap, VA or DOD or TriCare, or where prohibited by law or the terms of your insurance policy; and you will otherwise comply with the terms above. To the Pharmacist: When you use this card, you are certifying that you have not submitted and will not submit a claim for reimbursement under any federal, state or other governmental programs for this prescription. Submit transaction to McKesson Corporation using BIN # If primary commercial prescription insurance exists, input card information as secondary coverage and transmit using the COB segment of the NCPDP transaction. Applicable discounts will be displayed in the transaction response. Acceptance of this card and your submission of claims for the QBREXZA program are subject to the LoyaltyScript program Terms and Conditions posted at Patient is not eligible if prescriptions are paid in part or full by any state or federally funded programs, including but not limited to Medicare or Medicaid, Medigap, VA, DOD or TriCare, or where prohibited by law or by the terms of the patient s insurance policy or your agreement with the patient s insurer. For questions regarding setup, claim transmission, patient eligibility or other issues, call the LoyaltyScript for QBREXZA program at (8:00 am-8:00 pm EST, Monday-Friday). Dermira, Inc., reserves the right to rescind, revoke or amend this offer at any time Dermira, Inc. PM-US-GPT /2018 Getting your QBREXZA Rx Once you ve received your QBREXZA prescription, talk to your doctor about different ways to access your treatment Get QBREXZA at your pharmacy of choice Have QBREXZA delivered by asking your doctor about Foundation Care What is Foundation Care? Foundation Care is the pharmacy partner of QBREXZA. They make getting your prescription easy by mailing QBREXZA straight to you. Once you have a prescription, they will call you directly to: Help you get started on QBREXZA Arrange a delivery Remind you about upcoming refills Please don t screen Foundation Care is located in St Louis, MO. If you decide to get QBREXZA through Foundation Care, you will receive a call from a 314 area code. Please answer to get started on QBREXZA. Have questions? Call DermiraConnect:

13 Tear here and keep your QBREXZA Savings Card. Your QBREXZA Savings Card Pay as little as $35 for your QBREXZA prescription* $35 $70 Patients with commercial insurance may pay as little as $35 per fill* Patients without insurance or with plans that do not cover QBREXZA may pay as little as $70 per fill* To activate your QBREXZA Savings Card: 1 2 Visit QBREXZA.com/activate Click the ACTIVATE NOW button Enter the ID number on this card *Eligible patients with commercial prescription drug insurance coverage for QBREXZA may pay as little as $35. Eligible patients with commercial prescription drug insurance coverage that does not cover QBREXZA or eligible patients without prescription drug insurance may pay as little as $70. Individual patient savings are limited to $2,500 in maximum total savings for the term of the program. The QBREXZA Savings Card can be used at any participating retail pharmacy and is available in print and via the web. Program expiration date: December 31, Please see back of Savings Card for full terms and conditions.

14 Your one stop for support with your QBREXZA (glycopyrronium) cloth towelette prescription Visit DermiraConnect.com for help with: FINANCIAL ASSISTANCE Activate your QBREXZA Savings Card For more information on savings, see inside back flap. GETTING STARTED ON QBREXZA Check your insurance coverage Arrange mail order delivery of your prescription KEEPING ON TRACK WITH QBREXZA Refi ll reminders Information about primary axillary hyperhidrosis Let s Connect! Live web chat with a DermiraConnect support specialist at DermiraConnect.com CALL US AT DERMIRA ( ) 2018 Dermira, Inc. All rights reserved. PM-US-QBR /2018

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