1. This card is good for use only with a valid prescription for Taclonex® (calcipotriene and betamethasone dipropionate) Topical Suspension 0.005%/0.064%. 2. This card is valid for up to 12 prescription fills per calendar year for Taclonex® Topical Suspension. 3. For patients with commercial health insurance, this card may reduce out-of-pocket expenses. 4. Offer good only in the USA at participating retail pharmacies. 5. Original card must be presented to the pharmacist at the time the prescription is filled. Not valid if reproduced. 6. Only one card per patient. 7. The selling, purchasing, trading, or counterfeiting of this card is prohibited by law. 8. Card is not transferable. 9. For Taclonex® Topical Suspension prescriptions, you must be 12 years of age or older to use this card, but a legal guardian over 18 years of age must redeem the card for you. 10. This card is not health insurance. 11. You are responsible for the use of this card and for complying with reporting obligations, if any, of your insurance plan. 12. Patient is not eligible to participate in the program or use the card if 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. 13. Offer void where prohibited by law, taxed, or restricted. 14. Not valid in combination with any other offers, discounts, or programs. 15. Card has no cash value. 16. LEO Pharma Inc. reserves the right to rescind, revoke, or amend this offer without notice. 17. You understand and agree to the terms and conditions as set forth above.
Full details of the LEO Pharma® CONNECT program may be obtained by calling 1-855-820-9627 between 8 AM and 8 PM, Monday through Friday.