ANI Pharmaceuticals Derm Copay Savings Program

ANI Pharmaceuticals Most Eligible Commercially Insured Patients Will Pay As Little As A $25 Co-Pay 1st Rx and Eligible Refills*

Eligible patients may pay as little as $25.*

If you are 18 or older with private health insurance, you may be eligible to pay as little as $25 on your prescription and refills of ApexiCon E Cream. See Eligibility and Restrictions below.*

Questions? Please call 1-844-396-8097 (24 Hours Monday-Friday, 8AM-7PM Saturday, 9AM-5PM Sunday EST).

*Eligibility and restrictions: 1. Limitations apply. 2. Valid only for those with commercial insurance. 3. Not valid if prescriptions are paid in part or in full by any state or federally-funded healthcare program. 4. Not valid for cash-paying patients who have no commercial insurance or where plan reimburses you for the entire cost of your prescription drug. 5. Offer is not valid where prohibited by law. 6. Valid only for residents of the US. 7. This program is not health insurance. 8. Offer may not be combined with any other rebate, coupon, or offer. 9. This card is the property of ANI Pharmaceuticals, Inc and must be returned upon request. 10. ANI Pharmaceuticals reserves the right to rescind, revoke, or amend the program without notice. 11. Patient certifies responsibility for complying with applicable limitations, if any, or any commercial insurance and reporting receipt of program rewards, if necessary, to any commercial insurer. 12. Acceptance of this card and your submission of claims for the ANI Pharmaceuticals Derm Copay Savings Program are subject to the Terms and Conditions established by McKesson Corporation Inc. 13. This card has no cash value. For any questions regarding setup, claims transmission, patient eligibility or other issues, call the LoyaltyScript® Help Desk at 1-844-396-8097 (8:00 AM-8:00 PM EST, Monday-Friday).

Patient Instructions: Present this offer and your insurance card to your participating pharmacist along with an eligible prescription each time you fill your prescription. The prescriber ID# must be identified on the prescription. If you have any questions, please call 1-844-396-8097 (8:00 AM-8:00 PM EST, Monday-Friday). When you use this offer, you are certifying that you understand the program rules, regulations, and terms and conditions and that you will comply with them. You may not use this card if prohibited by your insurer.

Pharmacist Instructions: When you use this offer, you are certifying that you have not submitted and will not submit a claim reimbursement under any federal, state, or other government programs for this prescription. Pharmacist will comply with his/her obligations when processing the prescription for payment. By using this offer, you agree to the terms and conditions of this program. Co-pay cards must be accompanied by a valid prescription. If primary commercial prescription insurance exists, input offer information as secondary and transmit using the COB segment of the NCPDP transaction. Submit transaction to RxC Acquisition Company d/b/a RxCrossroads by McKesson using BIN 610524. Acceptable discounts will be displayed in the transaction response. Acceptance of this offer and your submission of claims are also subject to the Terms and Conditions posted at www.mckesson.com/mprstnc. If you have any questions, please contact the LoyaltyScript® Help Desk at 1-844-396-8097 (8:00 AM-8:00 PM EST, Monday-Friday).

ANI Pharmaceuticals, Inc. reserves the right to rescind, revoke, or amend this program without notice.

ApexiCon E Cream is a topical prescription medication for the relief of the inflammatory (redness) and pruritic (itching) manifestations of corticosteroid-responsive skin conditions (such as atopic dermatitis or psoriasis).

Important Safety Information

Do not use ApexiCon E Cream if you have a history of hypersensitivity to any of the ingredients of the preparation. If irritation develops, topical corticosteroids should be discontinued and appropriate therapy instituted. This medication is for external use only. Avoid contact with the eyes. The treated skin area should not be bandaged or otherwise covered or wrapped unless directed by the physician. Do not use tight-fitting diapers or plastic pants on an infant or child being treated in the diaper area, as this may increase the likelihood of the side effects.

Systemic absorption of topical corticosteroids through the skin has produced various hormonal abnormalities, increased blood sugar, and sugar in the urine in some patients. The following local side effects have been reported most commonly with topical corticosteroids: burning, itching, irritation, dryness.

The safety and effectiveness of this product in pediatric patients have not been established. Pediatric patients are more likely to develop toxicity affecting various organs. Side effects of topical steroids in children may include problems with growth, weight gain, headaches, problems with vision, bulging soft spots on a baby's head, and stretch marks.

If you are pregnant or nursing a baby, consult with physician prior to using this product.

For more information, consult your healthcare professional. Please see link to Full Prescribing Information below.

ApexiCon E Cream (diflorasone diacetate cream USP 0.05% [emollient]) Full Prescribing Information

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.FDA.gov/medwatch or call 1-800-FDA-1088.

The information on this website should not take the place of talking with your healthcare professional. If you need medical information, please talk to your healthcare professional.