FINANCIAL ASSISTANCE OPTIONS ARE AVAILABLE TO YOU

Teva Shared Solutions^® Digital Services believes that no one should have to switch or discontinue relapsing multiple sclerosis (RMS) therapy for financial reasons.

COPAXONE Co-Pay Solutions^®

With COPAXONE Co-Pay Solutions^®, commercially insured patients taking COPAXONE^®may pay as little as $0. Terms and conditions apply. Talk to your doctor for more information or use your insurance card, prescription card, and income information to enroll at MySharedSolutions.com to see if you're eligible:

No financial qualifications and no paperwork are required.
Commercially insured patients with a new or recently changed prescription may be eligible.
More than 70% of COPAXONE^® patients pay less than $10 per month out of pocket.
Receive a co-pay card for COPAXONE^® to use when filling your prescription or refills, subject to applicable program restrictions.
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 insurance plans or programs which reimburse you for the entire cost of your prescription drugs.

Stay connected with COPAXONE^®.

Additional resources to help cover the cost of COPAXONE^®

If you are a Medicare beneficiary in need of co-pay assistance, contact these non-profit organizations for details that may be able to help you with the cost of your medication in the form of a grant.* Please note these organizations are independent of Teva and establish their own eligibility requirements. Teva does not endorse any particular organization, nor make any representation of who may qualify.

Healthwell Foundation
healthwellfoundation.org
(800) 675-8416

Patient Access Network Foundation (PAN)
panfoundation.org
(866) 316-7263

Patient Advocate Foundation (PAF)
copays.org
(866) 512-3861

The Assistance Fund (TAF)
enroll.tafcares.org
(877) 245-4412

Good Days
mygooddays.org
(877) 968-7233

How the process works

1. Contact the 501(c)(3) organization to apply for a grant.

2. Application requirements vary per 501(c)(3) organization. Please check with each organization.

3. When approval letter is received, provide that information to your pharmacy.

4. Grants are generally approved by an organization for a period of 12 months.

5. The 501(c)(3) organization that provided your grant will reach out to you approximately 2-3 months prior to funds expiring regarding the reapplication process; and

6. You must reapply to receive additional funding. Once approval letter is received, go back to Step 3 above and repeat process.

*Subject to availability of funds and individual program criteria, you may be eligible to apply for these grants.

Benefits Discussion Guide

Injection Training

Use

COPAXONE^® is a prescription medicine that is used to treat relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults.

Important Safety Information

Do not use COPAXONE^® if you are allergic to glatiramer acetate or mannitol.

Serious side effects may happen right after or within minutes after you inject COPAXONE^® at any time during your course of treatment. Call your doctor right away if you have any of these immediate post-injection reaction symptoms including: redness to your cheeks or other parts of the body (flushing); chest pain; fast heart beat; anxiety; breathing problems or tightness in your throat; or swelling, rash, hives, or itching. If you have symptoms of an immediate post-injection reaction, do not give yourself more injections until a doctor tells you to.

You can have chest pain as part of an immediate post-injection reaction or by itself. This type of chest pain usually lasts a few minutes and can begin around 1 month after you start using COPAXONE^®. Call your doctor right away if you have chest pain while using COPAXONE^®.

Damage to the fatty tissue just under your skin’s surface (lipoatrophy) and, rarely, death of your skin tissue (necrosis) can happen when you use COPAXONE^®. Damage to the fatty tissue under your skin can cause a “dent” at the injection site that may not go away. You can reduce your chance of developing these problems by following your doctor’s instructions for how to use COPAXONE^® and choosing a different injection area each time you use COPAXONE^®.

Liver problems, including liver failure, can occur with COPAXONE^®. Call your healthcare provider right away if you have symptoms, such as nausea, loss of appetite, tiredness, dark colored urine and pale stools, yellowing of your skin or the white part of your eye, bleeding more easily than normal, confusion, or sleepiness.

The most common side effects of COPAXONE^® include redness, pain, swelling, itching, or a lump at the injection site; rash; shortness of breath; flushing; and chest pain.

Tell your doctor if you have any side effect that bothers you or that does not go away. These are not all the possible side effects of COPAXONE^®. For more information, ask your doctor or pharmacist. Call your doctor for medical advice about side effects.

You are encouraged to report side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-10881-800-FDA-1088.

Please read the Patient Information in the full Prescribing Information.

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

FINANCIAL ASSISTANCE OPTIONS ARE AVAILABLE TO YOU

COPAXONE Co-Pay Solutions®

Additional resources to help cover the cost of COPAXONE®

How the process works

COPAXONE Co-Pay Solutions^®

Additional resources to help cover the cost of COPAXONE^®