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COST SAVINGS PROGRAMS VIDEO TRANSCRIPT

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XIAFLEX® (collagenase clostridium histolyticum) COPAY ASSISTANCE PROGRAM

Your doctor has prescribed XIAFLEX® (collagenase clostridium histolyticum). Now what? Most insurance plans cover XIAFLEX, but you may have some out-of-pocket costs.

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Commercial Insurance

If you have commercial insurance, the Copay Assistance Program may help you save on these costs.

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Copay Assistance Program
~94% OF ELIGIBLE PATIENTS SHOULD PAY $0 OUT OF POCKET FOR XIAFLEX®
*Most eligible patients with commercial insurance plans should pay a $0 copay for XIAFLEX. Predictions based on historical analysis of claims filed September 2022 through August 2023.

Whether your doctor bills you…

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Doctor

…or CVS Specialty Pharmacy

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[CVS specialty®]
Pharmacy

...charges you for XIAFLEX, be sure to ask about these savings programs.

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Scan for Copay Assistance Program Reimbursement Form

If your doctor bills you for XIAFLEX, fill out this form to get out-of-pocket assistance.

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Reimbursement Form also available at XPDsavings.com

Most patients who use this program end up paying $0 out of pocket for XIAFLEX.

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Medicare or Other Government Insurance

If you have Medicare or other government insurance, you may apply…

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HEALTHWELL FOUNDATION®
www.healthwellfoundation.org

…for a grant from a charitable organization that may assist patients with out-of-pocket costs for XIAFLEX.

Scan this QR code to begin your application to the HealthWell Foundation.

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For Uninsured Patients

If you have no insurance, you may be eligible to receive XIAFLEX free of charge.

Ask your doctor’s office for help.

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endo ADVANTAGE
Committed to Access
1-800-743-2382

Remember, these programs are here to help you with the cost of XIAFLEX.

If you have any questions, call Endo Advantage™ at 1-800-743-2382. A case manager is always ready to help!