HERE TO KEEP TRACK OF THE DETAILS.

Injections for 3-times-a-week COPAXONE^® 40 mg must be at least 48 hours apart.

Applies only to daily COPAXONE^® 20 mg. Certain limits and restrictions apply.

COPAXONE Co-pay Solutions^® Program Rules for COPAXONE^® (Glatiramer Acetate Injection) 20 mg—Patient Eligibility, Terms and Conditions: Valid only for qualified patients with a valid prescription for COPAXONE^® 20 mg/mL. No substitutions permitted. This card is valid only for patients with commercial insurance coverage for COPAXONE^® 20 mg/mL. This card is not valid for prescriptions paid for in part or in full by any state or federally funded program, including but not limited to, Medicare or Medicaid, Medigap, VA, DoD, TRICARE, the Puerto Rico Government Health Insurance Plan or by private health insurance plans or programs which reimburse you for the entire costs of your prescription drugs. This card is not valid for patients who are Medicare eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees (i.e., you are eligible for Medicare Part D but receive a prescription drug benefit through a former employer). Cash Discount Cards and other non-insurance plans are not valid as primary under this offer. Commercially insured patients pay as little as $0 on each fill. Maximum benefit and quantity limits apply. Offer expires on 12/31/21. Your acceptance of this offer must be consistent with the terms of any drug benefit provided by a health insurer, health plan, or other third-party payer, and you agree to report acceptance of this offer to your health insurer, health plan, or third-party payer as may be required. Offer limited to one card per person and may not be used with any other discount, coupon or offer. Offer is not transferable. It is illegal to sell, purchase, trade or counterfeit this card. This card is not health insurance. This card is the property of Teva Neuroscience, Inc. and must be returned upon request. Offer valid only in the United States or the Commonwealth of Puerto Rico at participating retail, mail order and specialty pharmacies. For California patients, offer not valid unless the patient has satisfied any prior authorization or step therapy requirements imposed by the insurer. Void in Massachusetts and in any other state where prohibited by law, taxed, or restricted. Teva Neuroscience, Inc. reserves the right to change, rescind, revoke, or discontinue this offer at any time without notice.

Applies only to 3-times-a-week COPAXONE^® 40 mg. Certain limits and restrictions apply.

COPAXONE Co-pay Solutions^® Program Rules for COPAXONE^® (Glatiramer Acetate Injection) 40 mg—Patient Eligibility, Terms and Conditions: Valid only for qualified patients with a valid prescription for COPAXONE^® 40 mg/mL. No substitutions permitted. This card is valid only for patients with commercial insurance coverage for COPAXONE^® 40 mg/mL. This card is not valid for prescriptions paid for in part or in full by any state or federally funded program, including but not limited to, Medicare or Medicaid, Medigap, VA, DoD, TRICARE, the Puerto Rico Government Health Insurance Plan or by private health insurance plans or programs which reimburse you for the entire costs of your prescription drugs. This card is not valid for patients who are Medicare eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees (i.e., you are eligible for Medicare Part D but receive a prescription drug benefit through a former employer). Cash Discount Cards and other non-insurance plans are not valid as primary under this offer. Commercially insured patients pay as little as $0 on each fill. Maximum benefit and quantity limits apply. Offer expires on 12/31/21. Your acceptance of this offer must be consistent with the terms of any drug benefit provided by a health insurer, health plan, or other third-party payer, and you agree to report acceptance of this offer to your health insurer, health plan, or third-party payer as may be required. Offer limited to one card per person and may not be used with any other discount, coupon or offer. Offer is not transferable. It is illegal to sell, purchase, trade or counterfeit this card. This card is not health insurance. This card is the property of Teva Neuroscience, Inc. and must be returned upon request. Offer valid only in the United States or the Commonwealth of Puerto Rico at participating retail, mail order and specialty pharmacies. For California patients, offer not valid unless the patient has satisfied any prior authorization or step therapy requirements imposed by the insurer. Void in Massachusetts and in any other state where prohibited by law, taxed, or restricted. Teva Neuroscience, Inc. reserves the right to change, rescind, revoke, or discontinue this offer at any time without notice.

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