IPSEN CARES® Patient Assistance Program (PAP) Eligibility, Terms & Conditions

Patients may be eligible to receive free drug through our Patient Assistance Program if they are experiencing financial hardship and meet financial eligibility criteria, are uninsured or functionally uninsured, are residents of the U.S., and received a valid prescription for an on-label use of the IPSEN Medication as supported by information provided in the program application. Eligibility does not guarantee approval for participation in the program.

Patients whose insurance plan or employer require them to apply for the IPSEN CARES Patient Assistance Program as a prerequisite or condition to receiving coverage for their prescribed Ipsen medication, such as through an alternate funding program, are not eligible for the PAP. This includes alternative funding programs (AFPs) such as, but not limited to, SHARx, Payer Matrix, etc.

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IPSEN CARES is a registered trademark of Ipsen Biopharm Limited.

©2025 Ipsen Biopharmaceuticals, Inc. All rights reserved.
[Month] 2025 MPSC-US-000292 V1.0

DYSPORT is a registered trademark of Ipsen S.A.

All other trademarks and registered trademarks are the property
of their respective owners.

DYSPORT is a registered trademark of Ipsen Biopharm Limited.

IPSEN CARES is a registered trademark of Ipsen S.A.

All other trademarks and registered trademarks are the property of their respective owners.

©2025 Ipsen Biopharmaceuticals, Inc. All rights reserved. August 2025 MPSC-US-000292