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Frequently Asked Questions Obtaining AUVI-Q …

Frequently Asked Questions Obtaining AUVI-Q (epinephrine injection, USP)How do I get AUVI-Q ?If you and your doctor decide AUVI-Q is right for you, there are two ways you can get your prescription: I f you prefer to pick up your AUVI-Q at Walgreens, ask your doctor to send your prescription electronicallyto your chosen location, or bring a printed copy to the store instead. Or, if you prefer to have AUVI-Q sent to your home, download the enrollment form (found at ) and take it to your doctor. Have your doctorsubmit the enrollment form or electronically prescribe AUVI-Q . Once your prescription has been submitted,you ll get a call from ASPN pharmacy to confirm your prescription and shipping details so that AUVI-Q canbe mailed directly to your home.

Does Tricare cover AUVI-Q? We encourage you to discuss with your doctor and contact Tricare requesting coverage as AUVI-Q may be covered by Tricare with a patient co-pay.

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Transcription of Frequently Asked Questions Obtaining AUVI-Q …

1 Frequently Asked Questions Obtaining AUVI-Q (epinephrine injection, USP)How do I get AUVI-Q ?If you and your doctor decide AUVI-Q is right for you, there are two ways you can get your prescription: I f you prefer to pick up your AUVI-Q at Walgreens, ask your doctor to send your prescription electronicallyto your chosen location, or bring a printed copy to the store instead. Or, if you prefer to have AUVI-Q sent to your home, download the enrollment form (found at ) and take it to your doctor. Have your doctorsubmit the enrollment form or electronically prescribe AUVI-Q . Once your prescription has been submitted,you ll get a call from ASPN pharmacy to confirm your prescription and shipping details so that AUVI-Q canbe mailed directly to your home.

2 To avoid delay of your AUVI-Q prescription, please be sure to answer thecall from the pharmacy or call them directly at: much is AUVI-Q ? Eligible commercially insured patients may pay as little as $0 for AUVI-Q * through Walgreens or the direct delivery service. For those with government insurance, the cost will vary by plan. For those without commercial or government insurance, learn more about the kal o Cares Patient Assistance Program by visiting Medicaid patients may also be eligible for the kal o Cares is the wholesale price so high for AUVI-Q ? We believe that the most important price is the price to the patient. We also believe doctors should be able to choose what epinephrine auto-injector is right for their patients, including the option for AUVI-Q .

3 Is AUVI-Q available at Walgreens? All three doses of AUVI-Q are available for in-store pickup at any Walgreens store nationwide. You can visit to find store locations near you. If you would like to have your AUVI-Q prescription filled at your local Walgreens, ask your doctor to send your prescription electronically to your chosen Walgreens location, or you can bring a printed copy to the store. Similar to other prescription medications, if a particular Walgreens pharmacy does not have the prescribed dose in stock when the prescription is received, the Walgreens pharmacist will order that dose for you to pick up at your preferred you have any Questions : Call 1-877-30-AUVIQ to speak with someone on our team.*Please see full terms and conditions on page 2 or at FAQIf I have Medicare or Medicaid, can I get AUVI-Q ?

4 Some government-sponsored health plans will provide coverage for AUVI-Q . However, coverage for those patients may vary widely. Patients should contact their government insurance provider for the most up-to-date information regarding AUVI-Q coverage. Patients who are eligible for Medicaid coverage may be eligible for assistance to receive AUVI-Q at no cost. Learn more about the kal o Cares Patient Assistance Program by visiting Does Tricare cover AUVI-Q ? We encourage you to discuss with your doctor and contact Tricare regarding coverage as AUVI-Q may be covered by Tricare with a patient co-pay. How do I get a refill? To submit a refill, do I contact AUVI-Q or the pharmacy? The process for refills depends on the number of refills remaining on your AUVI-Q prescription as well as the coverage details of your insurance plan.

5 For more information about how to obtain AUVI-Q refills, please call 1-844-357-3968. I ve just received my AUVI-Q , but I need additional cartons. In order to inquire about receiving additional AUVI-Q cartons, please contact are the details of your AUVI-Q savings offer? Eligible commercially insured patients may pay as little as $0 for AUVI-Q * through Walgreens or thedirect delivery service. Support is available for eligible patients who can t afford their medicines and who do not have commercialor government FAQTo find out more, visit *T ERMS AND CONDITIONS: Only valid for commercially insured patients in the 50 United States and DC through the direct delivery service and/or designated retail pharmacies. Limit one (1) carton of AUVI-Q mg per patient each calendar year.

6 Limit two (2) cartons of AUVI-Q mg or mg per patient each calendar year. Individual insurance plans may impose additional requirements that affect the redemption of the offer and OUT-OF-POCKET COSTS MAY VARY. Not eligible if prescriptions are paid for in part/full by state or federally funded program(s), like Medicare Part D, Medicaid, Vet. Aff., Dept. of Def., or Tricare, and where prohibited by law. OFFER IS NOT INSURANCE. Offer cannot be sold, purchased, traded, transferred, and cannot be combined with any other offer. Cash discount cards are not commercial payers and are not eligible to be used for this program. Offer provided by kal o, and it may change at any time without notice. Call 844-357-3968 for Questions regarding offer and AUVI-Q are registered trademarks of kaleo, Inc.

7 2020 kaleo, Inc. CM-US-AQ-1084


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