NeedyMeds

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1 NeedyMeds Find help with the cost of medicine Thank you for downloading this patient assistance document from NeedyMeds. We hope this program will help you get the medicine you need. REMEMBER - Send your completed application to address on the form, NOT to NeedyMeds. Did you know that NeedyMeds has thousands of other free resources? Here s a look at more ways we can help you save money on medicine and healthcare costs. Each one can be found under the Patient Savings tab on our website: Diagnosis-Based Assistance NeedyMeds lists thousands of assistance programs for almost any health condition. If you are going through chemo treatment for cancer, there are programs that can help with wig costs and scalp-cooling products. We also list resources for free diabetes testing supplies, caregiver lodging support, and much more. Free, Low Cost, and Sliding Scale Clinics This popular collection contains information on 16,000+ free, low cost, and sliding scale medical and dental clinics across the U.S. It s a great resource if you need affordable medical treatment and don t know where to go. Coupons, Rebates & More You can use the NeedyMeds website to find nearly 2,000 cost-saving opportunities for both prescription and over-the-counter drugs and medical supplies. Medical Transportation Need help getting to the doctor s office or medical facility? You may be eligible for financial assistance if you meet certain requirements. Finally, I want to tell you about the NeedyMeds Drug Discount Card. Thousands of people use this free, anonymous, and easy-to-use tool to get the best price on their medications. To date, our drug discount card has saved patients over $244,000,000. Check out the next page to learn more. Feel free to call our toll-free helpline if you have any questions. You can reach us at Monday-Friday, 9am-5pm Eastern Time. Thanks for using NeedyMeds! Please let us know if we can do anything else to help you afford the costs of your healthcare. Rich Sagall, MD Richard J. Sagall, MD President, NeedyMeds NeedyMeds.org P.O. Box 219 Gloucester, MA Phone: info@needymeds.org

2 Clip the card and save NeedyMeds NeedyMeds.org DRUG DISCOUNT CARD BIN: RX PCN: NMEDS RX GRP: PDFPDF ID: NMNA This is a drug discount program, not an insurance plan. NeedyMeds Drug Discount Card Patient: Simply present this card to a participating pharmacy to receive a discount on your prescription. Patients who have Medicare, including Part D, Medicaid or any state or federal prescription insurance can only use this card if they choose not to use their government-sponsored drug plan for their purchase. The card is not valid in combination with those programs. For questions concerning the card, call or visit Pharmacist: Card must be presented to receive program benefits. Clear system of prior cardholder information associated with this universal cardholder ID. For processing questions, call Argus Health Systems at Save up to 80% Use at over 65,000 pharmacies nationwide including all major chains Share the card with friends and family Use the card as often as needed Free, no fees or registration Never expires What if I have insurance? Anyone can use the card, but it can t be combined with insurance. You can use the card instead of insurance if: A drug isn t covered by your insurance Your insurance has no drug coverage You have a high drug deductible You have met a low medicine cap The card offers a better price than your copay You are in the Medicare Part D donut hole What drugs are covered? The card is good for prescription drugs, over-the-counter medicines and medical supplies if written on a prescription blank, and pet prescription medicines purchased at a pharmacy. You ll save on most, but not all, prescriptions. To obtain a plastic drug discount card, send a self-addressed stamped envelope to: NeedyMeds-PAP PO Box 219 Gloucester, MA The card is not valid in combination with other insurance plans, including Medicare, Medicaid or any state or federal prescription insurance. The card can be used only if you decide not to use your government-sponsored drug plan for your purchases.

3 A unique way to treat MORNING MIGRAINE AS YOU TAKE ON YOUR DAY See the ONZETRA Xsail difference inside What is ONZETRA Xsail (sumatriptan nasal powder) used for? ONZETRA Xsail is a prescription medication approved for the acute treatment of migraine, with or without aura in adults. ONZETRA Xsail is used for people who have been told by a healthcare provider that they have migraine headaches. ONZETRA Xsail is not for the prevention of migraines or for other types of headaches, including cluster headache. What important information should I know about ONZETRA Xsail? ONZETRA Xsail may cause serious side effects, including: Heart attack and other heart problems, which may lead to death. Stop using ONZETRA Xsail and get emergency medical help right away if you have any symptoms of a heart attack Please see throughout this piece.

4 All migraines hurt Migraine is a neurological condition. During a migraine attack, your nerves release signals that cause the blood vessels in your brain to expand. This may result in: Painful throbbing Nausea and vomiting Sensitivity to light and noise Migraines are very common. More than 39 million people in the United States get migraine attacks But a MIGRAINE IN THE MORNING can be a real pain There s never a good time for a migraine, but a migraine in the morning can disrupt your day before it starts. ALMOST half of all migraine attacks start between 4 AM and 9 AM 7 10 out of PEOPLE surveyed have been awakened by a migraine Whether you re juggling work and family, or you re just someone who can t be slowed down, you need a treatment that will help you move past your migraine pain as you get on with your day. Migraines can last from 4 to 72 hours Please see throughout this piece. What important information should I know about ONZETRA Xsail? ONZETRA Xsail may cause serious side effects, including: Heart attack and other heart problems, which may lead to death. Stop using ONZETRA Xsail and get emergency medical help right away if you have any symptoms of a heart attack like shortness of breath or tightness, pain, pressure, or heaviness in your chest, throat, neck, or jaw that is severe or does not go away

5 A DIFFERENT WAY TO TREAT MORNING MIGRAINE A morning migraine can make it diffi cult to start your day. If you experience nausea and vomiting with the pain, taking an oral medication, like a pill, may be hard. That s why ONZETRA Xsail, a non-oral treatment that works fast, may be an option for you. ONZETRA Xsail isn t a pill, a nasal spray, or an injection. It s a unique way to treat morning migraine. Sumatriptan, the active ingredient in ONZETRA, is the most-prescribed migraine medication, and has been used safely and effectively for more than 20 years. ONZETRA Xsail may cause serious side effects, including: Changes in color or sensation in your fingers and toes (Raynaud s syndrome) Stomach and intestinal problems (gastrointestinal and colonic ischemic events) Problems with blood circulation to your legs and feet (peripheral vascular ischemia) Serious allergic reactions (symptoms include hives; tongue, mouth, lip, or throat swelling; problems breathing) Please see throughout this piece. ONZETRA Xsail can help you move past your morning migraine as you take on your day. Medication overuse headaches. Some people who use ONZETRA Xsail too many times may have worse headaches. If your headaches get worse your doctor may decide to stop your treatment with ONZETRA Xsail Serotonin syndrome, a rare but serious problem that can happen in people using ONZETRA Xsail, especially if ONZETRA Xsail is used with antidepressant medicines called SSRIs, SNRIs, or TCAs. Call your doctor right away if you have any of the following symptoms of serotonin syndrome: mental changes such as seeing things that are not there (hallucinations), agitation, or coma; fast heartbeat; changes in blood pressure; high body temperature; tight muscles; trouble walking; or nausea, vomiting, or diarrhea

6 The ONZETRA Xsail difference: Breath powered delivery You can treat your morning migraine with ONZETRA Xsail as soon as you wake up How it works ONZETRA Xsail allows you to control the delivery of your medication. The unique device uses the power of your own breath to deliver medicine directly to the back of your nose it s sumatriptan taken differently! ONZETRA Xsail may cause serious side effects, including: Seizures. Seizures have happened in people taking sumatriptan who have never had seizures before The most common side effects of ONZETRA Xsail are abnormal taste, discomfort of your nose or throat, runny nose, and stuffy nose. This is not a complete list of side effects. Tell your doctor about any side effect that bothers you or does not go away. Please see throughout this piece. Why it works The back of your nose is full of absorbent tissue and blood vessels, so the powder medication is quickly absorbed. Breath Powered delivery also limits medication from dripping into your throat or reaching your stomach or lungs.

7 the power to take on your morning migraine FAST relief 30 minutes: Almost half of migraine sufferers had signifi cant pain relief in 30 minutes (42% vs 27% on placebo) AS YOU GET ON WITH YOUR DAY That can LAST 48 hours: More than 60% of people who used ONZETRA did not take additional medication through 48 hours (63% vs 48% on placebo) EFFECTIVE relief 2 hours: About 70% of migraine sufferers had signifi cant pain relief at 2 hours (68% vs 45% on placebo) Who should not take ONZETRA Xsail? Do not take ONZETRA Xsail or stop using ONZETRA Xsail if you: Have heart problems or a history of heart problems Have had a stroke, transient ischemic attacks (TIAs), or problems with your blood circulation Have uncontrolled high blood pressure Have hemiplegic migraines or basilar migraines. If you are not sure if you have these, ask your doctor Have peripheral vascular disease (narrowing of blood vessels to the legs, arms, stomach, intestines, or kidneys) Have taken other migraine medications in the last 24 hours, including other triptans, ergots, or ergot-type medications. Ask your doctor for a list of these medicines if you are not sure Are taking a medicine called a monoamine oxidase inhibitor (MAOI). MAOIs cannot be taken within 14 days before or after taking ONZETRA Xsail Have severe liver problems Have an allergy to sumatriptan, the medicine in ONZETRA Xsail, or any of the components in ONZETRA Xsail Please see throughout this piece.

8 ONZETRA is WELL TOLERATED The most common side effects reported by people using ONZETRA were: A mild metallic taste (no patient stopped taking ONZETRA due to taste) Nasal discomfort Runny or stuffy nose Less than 2% of migraine attacks treated with ONZETRA resulted in triptan sensations, the most common side effect of triptans, which include uncomfortable chest pressure and tightness Triptan sensations are usually not caused by a heart condition. They include: paraesthesias (tingling or numbness of the skin), fl ushing, neck pain, and mild, transient chest pressure. None of these events were serious or led people to discontinue ONZETRA. However, if you have heart problems or a history of heart problems, be sure to tell your doctor before using ONZETRA. These are not all the possible risks of ONZETRA. Tell your doctor about any side effect that bothers you or does not go away. For additional about ONZETRA Xsail, please see enclosed Patient Information including Instructions for Use. What should I tell my healthcare provider before taking ONZETRA Xsail? Before you take ONZETRA Xsail, tell your doctor about all your medical conditions and all the medicines you take, including prescription medicines, especially antidepressants, and all over-the-counter medicines, vitamins, and herbal supplements. Please see throughout this piece. How to take ONZETRA Xsail Get the medication ready Insert 1 nosepiece into the device. Fully press and release the white button to pierce the capsule. If you skip this step, you will not get any medication. POSITION IN NOSE AND MOUTH Insert the nosepiece deeply into your nose and rotate the device to place the mouthpiece into your mouth. blow steadily Blow into the device for 2-3 seconds. Take the nosepiece out of the device and throw it away. Repeat steps 1-3 with the second nosepiece in other nostril. Text ONZETRA to to view an instructional video These are not the complete Instructions for Use. Prior to using ONZETRA Xsail, carefully review the full Instructions for Use in the Patient Information.

9 It s easy to get started on ONZETRA Xsail nearly 90 % of PATIENTS studied found ONZETRA easy to use (N=108) Text ONZETRA to to view an instructional video Find the information you need at onzetra.com Learn how easy it is to use Try it yourself through a virtual demonstration Get answers about fi nancial assistance Stay up-to-date on current news and information What should I avoid while taking ONZETRA Xsail? ONZETRA Xsail can cause dizziness, weakness, or drowsiness. If you have these symptoms, do not drive a car, use machinery, or do anything where you need to be alert. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit or call 800-FDA For additional about ONZETRA Xsail, please see enclosed Patient Information including Instructions for Use.

10 Save on every prescription Pay as little as $30 for your ONZETRA prescription, including refi lls. Card missing? Visit ONZETRA.com to print your co-pay savings card. FOLLOW THESE EASY STEPS 1Activate your savings card by visiting onzetra.com/activate or calling Provide your savings card to the pharmacist. * Benefi t cap applies regardless of copay amount. Restrictions apply. Those eligible for Medicare, Medicaid, or any other government healthcare program are not eligible for this program. Patient: Present this card to the pharmacist along with your prescription for ONZETRA Xsail. Patients must activate this card by visiting onzetra.com/activate or by calling ONZETRA ( ). Card expires 12/31/2019. Benefi t cap applies regardless of copay amount. If you have questions, visit onzetra.com or call ONZETRA. By using this offer, you are certifying that you meet the eligibility criteria and will comply with the terms and conditions described in the Restrictions section below. Pharmacist: When you apply this offer, you are certifying that you have not submitted a claim for reimbursement under any federal, state, or other governmental programs for this prescription. Participation in this program must comply with all applicable laws and regulations as a pharmacy provider. By participating in this program, you are certifying that you will comply with the terms and conditions described in the Restrictions section below. Instructions for submitting a claim: Submit the claim to the primary third-party payer fi rst, then submit the balance due to Change Healthcare as a secondary-payer COB [coordination of benefi ts] with patient responsibility amount and a valid other coverage code (eg, 8). Applicable discounts will be applied. Reimbursement will be received from Change Healthcare. Valid other coverage code required. For any questions regarding Change Healthcare online processing, please call the pharmacy help desk at Restrictions: Offer not valid for prescriptions reimbursed under Medicaid, a Medicare drug benefi t plan, TRICARE, or other federal or state health programs (such as medical assistance programs). Under certain state laws, patients may need to disclose your acceptance of offers to their third-party payer (insurer). Other limitations may apply. Offer void where prohibited by law, taxed, or restricted. This offer cannot be combined with any other programs, offers, or discounts, and may not be redeemed for cash. Program managed by ConnectiveRx on behalf of Avanir Pharmaceuticals, Inc. The parties reserve the right to rescind, revoke or amend this offer without notice at any time. For general questions about ONZETRA, please call ONZETRA ( ).

11 Save on every prescription Pay as little as $30 for your ONZETRA prescription, including refi lls. Card missing? Visit ONZETRA.com to print your co-pay savings card. FOLLOW THESE EASY STEPS 1Activate your savings card by visiting onzetra.com/activate or calling Provide your savings card to the pharmacist. * Benefi t cap applies regardless of copay amount. Restrictions apply. Those eligible for Medicare, Medicaid, or any other government healthcare program are not eligible for this program. Patient: Present this card to the pharmacist along with your prescription for ONZETRA Xsail. Patients must activate this card by visiting onzetra.com/activate or by calling ONZETRA ( ). Card expires 12/31/2019. Benefi t cap applies regardless of copay amount. If you have questions, visit onzetra.com or call ONZETRA. By using this offer, you are certifying that you meet the eligibility criteria and will comply with the terms and conditions described in the Restrictions section below. Pharmacist: When you apply this offer, you are certifying that you have not submitted a claim for reimbursement under any federal, state, or other governmental programs for this prescription. Participation in this program must comply with all applicable laws and regulations as a pharmacy provider. By participating in this program, you are certifying that you will comply with the terms and conditions described in the Restrictions section below. Instructions for submitting a claim: Submit the claim to the primary third-party payer fi rst, then submit the balance due to Change Healthcare as a secondary-payer COB [coordination of benefi ts] with patient responsibility amount and a valid other coverage code (eg, 8). Applicable discounts will be applied. Reimbursement will be received from Change Healthcare. Valid other coverage code required. For any questions regarding Change Healthcare online processing, please call the pharmacy help desk at Restrictions: Offer not valid for prescriptions reimbursed under Medicaid, a Medicare drug benefi t plan, TRICARE, or other federal or state health programs (such as medical assistance programs). Under certain state laws, patients may need to disclose your acceptance of offers to their third-party payer (insurer). Other limitations may apply. Offer void where prohibited by law, taxed, or restricted. This offer cannot be combined with any other programs, offers, or discounts, and may not be redeemed for cash. Program managed by ConnectiveRx on behalf of Avanir Pharmaceuticals, Inc. The parties reserve the right to rescind, revoke or amend this offer without notice at any time. For general questions about ONZETRA, please call ONZETRA ( ).

12 Morning migraine, This is your wake-up call ONZETRA Xsail is a different way to treat morning migraine Breath Powered delivery Works fast and can last Well tolerated Easy to use Treat up to 8 migraines for as little as $ 30* Find out how inside! *Restrictions apply. Please see throughout this piece AVANIR Pharmaceuticals, Inc. All rights reserved. ONZETRA, Xsail, and AVANIR are trademarks or registered trademarks of AVANIR Pharmaceuticals, Inc. in the United States and other countries. Breath Powered is a registered trademark of OptiNose AS. ONZ-0438-BRO-0318