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Commercially Insured CIMERLI^® Patients

Pay as little as $0 for CIMERLI^® co-pay, up to $15,000 per calendar year, for eligible patients with commercial insurance*

Pay as little as $0 for injection co-pay for CIMERLI^®, up to $1,000 per calendar year, for eligible patients with commercial insurance*

Commercially insured includes commercial, private, employer, and state-run health insurance exchanges. Coverage and reimbursement for patients with commercial insurance will vary based on health plan benefit design and provider contract.

Cimerli Solutions™ Co-Pay Savings Program
The Cimerli Solutions™ Co-Pay Savings Program is part of the Coherus Solutions™ family of patient support services. Cimerli Solutions™ offers a Co-Pay Savings Program that may cover out-of-pocket expenses related to CIMERLI™ for commercially insured patients.

Eligible patients may qualify for $0 out-of-pocket costs for each CIMERLI^® dose, as well as a portion of administration fees associated with the injection of CIMERLI™ for eligible patients with commercial insurance*

• Be prescribed CIMERLI^® for a medically appropriate purpose consistent with its FDA-approved labeling within 180 days of program enrollment
• Have commercial (private or non-governmental) health insurance that covers the medication costs of CIMERLI^®
• Over the age of 18 years old and a US resident
• FOR ADMINISTRATION: Not a resident or get treatments in Minnesota, Rhode Island
  If a resident of Massachusetts, injection administration may only be paid directly to the patient. Additional information may be required
• Not covered by any federal, state, or government-funded healthcare program, such as Medicare, Medicare Advantage, Medicare Part D, Veterans Affairs, Department of Defense, or TRICARE
• Not seek reimbursement from any third-party, including payers, charitable foundations, or flexible spending account (FSAs) or healthcare savings accounts (HSAs) for all or any part of the benefit received by Coherus through this program
• Other restrictions apply^†
• It is not valid for cash paying patients or where prohibited by law
• CIMERLI^® copay program subject to change or discontinuation without notice. This is not health insurance.

If at any time a patient starts receiving coverage through a federal, state, or government-funded healthcare program, the patient will no longer be eligible for either the drug of injection administration programs. The patient MUST contact Coherus Solutions™ at 1-844-483-3692 to report the change in eligibility status.

Restrictions may apply and may not be valid where prohibited by law. Coherus may revise or terminate this program without notice at any time.