Galdermaˇ CareConnect is a program focused on connecting skin health patients and

skin health providers with high quality Galderma prescription products. Galderma is

committed to ensuring that patients with unrestricted and restricted access, as well as

those that are uninsured, have access to our products at a controlled price.

2016 Galderma Laboratories, L.P.All trademarks are the property of their respective owners.GCC-00038v

What do the two categories of copay amounts mean?

`Commercially Unrestricted' refers to a patient that has commercial insurance coverage

(excludes all government programs) through a pharmaceutical benefit plan and a

specific product has no restrictions (No Prior Authorization/Step Edit/NDC block).

These patients are eligible for a copay as little as $0 or $35, depending on the product.

`Uninsured Payment' refers to a patient with a commercial insurance pharmaceutical

benefit plan that restricts or denies (PA/SE/NDC Block) access to a specific product

OR to a patient that has no insurance or pharmaceutical benefit plan. Patients covered

by government plans (Medicare, Medicaid, VA, DOD, TriCare) cannot gain access to

Galderma products through the Galderma CareConnect program.

For generic-only plans or when patients encounter plan exclusions, the pharmacy

will either receive a notice of ™step edit requiredº or ™prior authorization requiredº

message. If the pharmacy does not receive that notice and the drug is not covered, the

prescription will process at the ™uninsured paymentº rate.

What happens if the patient needs a prior authorization or step edit?

A ™prior authorizationº requires paperwork to be completed and submitted to the

pharmaceutical benefit plan. A ™step editº usually requires documentation in the patient

file of previous failures on specific medications.

The prescriber and staff can work with the pharmacist to process the applicable

requirements of a prior authorization. When this is approved, the patient should be

eligible for the ™Commercially Unrestrictedº benefit ($0 or $35), clearing the prior

authorization for future refills for as little as $0 or $35.

This Galderma CareConnect program will not remove the need to process prior

authorizations or step edits to obtain the $0 or $35 benefit. Galderma encourages

the processing of prior authorizations because this helps utilize a patient's insurance

benefit and helps Galderma to negotiate for future coverage with managed care plans.

Can a patient take their prescription and Galderma CareConnect Patient Savings Card to any pharmacy?

Yes, the Galderma CareConnect Patient Savings Card may be used at any

participating pharmacy located in the United States, including the independent

network pharmacies. Based on reimbursement policies of some major retail chains, a

patient may be asked to pay more than the quoted copay at those pharmacies.

Note: If the patient uses a pharmacy in our independent network, they will not need a physical copay card with their prescription.

What you can do to help the Galderma CareConnect Program run smoothly for your patients:

The Galderma CareConnect Patient Savings Card is accepted at any participating

pharmacy. If you're sending the patient to a retail pharmacy, provide him/her with

a physical copay card. A physical copay card isn't required at one of our network

pharmacies; however, provide a tear sheet so your patient has the pharmacy contact

information.

2016 Galderma Laboratories, L.P.All trademarks are the property of their respective owners.GCC-00038v

Network Pharmacies

Pharmacy State Licenses

ABC Pharmacy AZ, CA, NV

Advanced RxAZ, CO, CT, DE, FL, GA, HI, IL, IN, IA, KS, KY, LA, ME, MD, MA,

MN, MO, NV, NH, NJ, NM, NY, OH, PA, RI, SD, TN, TX, WI, WY

Altscripts WI

Apotheco - Passaic Valley

Medical PharmacyNJ

Apotheco - The Pharmacy

at BergenNJ

Apotheco - Pharmacy Manhattan NY

Apotheco - Princeton

Medical PharmacyNJ

Apotheco - Sip Pharmacy NY

Avella Pharmacy 50 States

Beverly Hills Apothecary -

Sister Pharmacy of IrmatCA

CarePoint Pharmacy/MedPointFL, GA, IL, IN, IA, LA, MI, MN,

MO, OH, OK, PA, TX, WI

Choice Pharmacy AZ, CA, NV

Clermont Pharmacy FL Only

Irmat Pharmacy/Gideons 50 States

Loudoun Pharmacy MD, NC, PA, VA, DC

Rite Care Pharmacy 48 States (Excluding CA and MT)

Log on to GaldermaCC.com for more information about the Galderma CareConnect program and for current terms and conditions.