THE LEO PHARMA® CONNECT PROGRAM ELIGIBILITY CRITERIA
This program covers only the following products with a valid prescription: Enstilar® (calcipotriene and betamethasone dipropionate) Foam 0.005%/0.064%, Picato® (ingenol mebutate) gel 0.015%, 0.05%, and Taclonex® (calcipotriene and betamethasone dipropionate) Topical Suspension 0.005%/0.064%.
This program is valid for up to 12 prescription fills per calendar year for Enstilar®, Picato®, or Taclonex® Topical Suspension.
For patients with commercial health insurance, this program may reduce out-of-pocket expenses.
Offer good only in the USA at participating pharmacies.
The selling, purchasing, trading, or counterfeiting of any benefit provided under this program is prohibited by law.
Offer is not transferable.
You must be 18 years of age or older to use this program with your Enstilar® or Picato® prescription. For Taclonex® Topical Suspension prescriptions, you must be 12 years of age or older to use this program, but a legal guardian over 18 years of age may access this program on your behalf where permitted by, and consistent with, additional restrictions imposed by law.
This program is not health insurance.
You are responsible for complying with any and all obligations of your insurance plan, including any obligations to report cost-savings, coupons, or other coverage of out-of-pocket costs.
You are not eligible to participate in the program if eligible for or enrolled in any state or federally funded programs, including, but not limited to, Medicare (including Medicare Part D), Medicaid, Medigap, VA, DOD, TRICARE or CHIP.
Offer void where prohibited by law, taxed, or restricted.
Not valid in combination with any other offers, discounts, or programs.
LEO Pharma Inc. reserves the right to rescind, revoke, or amend this offer without notice.
You understand and agree to the terms and conditions as set forth above.