© Janssen Pharmaceuticals, Inc. 2018 October 2018 cp-28426v3

XARELTO® is licensed from Bayer HealthCare AG, 51368 Leverkusen, Germany.

Please read the full Prescribing Information, including Boxed Warnings, and Medication Guide for XARELTO®, and discuss any questions you have with your doctor.

Pharmacists: Please see below for processing instructions. Non-Transferable. Patient must submit a valid prescription.

Patient: Terms expire at end of each calendar year. Program subject to change or discontinuation without notice, including in specific states. Limit one trial offer for a 30-day supply of XARELTO® per eligible patients; no refills. To be eligible for the Janssen CarePath 30-day Trial Offer, you must have been prescribed XARELTO®, except if you are taking XARELTO® 10-mg dose. Present this offer along with a signed prescription for XARELTO® to your pharmacist. Use of this card is subject to the program requirements, which can be found in the Janssen CarePath Trial Offer Brochure. For patients enrolled in Medicare Part D, by using this card you certify that you will not submit a claim for the costs paid by this program to count toward true out-of-pocket (TrOOP) costs. For additional questions, please call 888-XARELTO (888-927-3586), Monday through Friday, 8:00 am to 8:00 pm ET.

Pharmacist: Submit claim using BIN: 610020. You will be reimbursed for the face value offer plus a dispensing fee, provided you and the customer have complied with the terms of this offer. For pharmacy processing questions, please call 866-562-6187, Monday through Friday, 8:00 am to 8:00 pm ET.

Conditions of Use: Limit one trial offer for a 30-day supply of XARELTO® per eligible patient; no refills. No substitutions permitted. No purchase required. NO PHOTOCOPIES ACCEPTED. Claim shall not be submitted to any public or private third-party payer or any federal or state healthcare program for reimbursement. Void where prohibited by law. Offer not valid if reproduced or submitted to any other payer. It is illegal for any person to sell, purchase, or trade, or offer to sell, purchase, or trade, or to counterfeit, this voucher. OFFER CANNOT BE COMBINED WITH ANY OTHER COUPON, DISCOUNT, PRESCRIPTION SAVINGS CARD, OR FREE TRIAL. Offer good only in the United States and Puerto Rico.

Here’s your Janssen CarePath Trial Offer Card for XARELTO®

Free 30-Day Trial Offer

BIN: 610020 GROUP: 99992170ID:

Please read the accompanying Important Brief Summary for XARELTO®, and discuss any questions you have with your doctor.

PROGRAM REQUIREMENTS APPLY.

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