We understand that serious medical conditions place a financial burden on many families. That's why Searchlight Support^™ helps to provide affordable access to Radicava^™.

Our dedicated Searchlight Support^™ care coordinators will help:

• Enroll you in our Searchlight Support^™ Out-of-Pocket Assistance Program, which provides co-pay assistance for eligible people with commercial insurance
• Refer you to independent foundations that may be able to assist with out-of-pocket costs
• Provide information about our Patient Assistance Program for people who are uninsured or underinsured
• Answer questions about insurance coverage for Radicava^™

Select an option below to learn more about out-of-pocket cost support that may be available to you.

Out-of-Pocket Assistance Program

Support for eligible patients with commercial insurance

If you have commercial insurance coverage for treatment with Radicava^™ you may be eligible to receive help from the Out-of-Pocket Assistance Program.

If enrolled in the program, you will:

• Save on your deductible, co-pay, and co-insurance costs for Radicava^™ and for your infusions
• Pay as little as $0 per infusion*
• Receive coverage for out-of-pocket costs for Radicava^™ for 12 months^†—up to $20,000

*Restrictions apply.
^†You will be contacted each year before the end of your eligibility period to re-enroll for continued out-of-pocket assistance for treatment with Radicava^™. You will be responsible for any costs associated with Radicava^™ and your infusion above the maximum annual program benefit.

How the Out-of-Pocket Assistance Program works:

Eligible patients with commercial insurance coverage for Radicava^™ may be enrolled in the Searchlight Support^™ Out-of-Pocket Assistance Program when you and your HCP complete and submit a Benefit Investigation and Enrollment Form.

1. Searchlight Support^™ will review your insurance benefits to determine your out-of-pocket costs, and your eligibility for the Out-of-Pocket Assistance Program.
2. If eligible, you will receive a Welcome Letter which includes your Patient ID. Your HCP will also be notified of your enrollment and provided with your Patient ID.
3. When you begin treatment with Radicava^™, your HCP will use your Patient ID to receive payment from the program for your out-of-pocket costs for the initial 14-day treatment cycle:
   • Payment is based on your out-of-pocket costs as determined by your health plan coverage
   • Your out-of-pocket costs are detailed in the Final Benefit Summary provided by Searchlight Support^™ to both you and your HCP.
4. For treatments after the initial 14-day cycle, your HCP will submit a copy of the Explanation of Benefits (EOB) from your health plan and claim form to Searchlight Support^™ for review and processing of payment of your out-of-pocket costs.

If you have already paid your HCP for the out-of-pocket costs for your treatment, please contact Searchlight Support^™ for information on how you may receive reimbursement.

Restrictions apply. See Eligibility Requirements & Terms and Conditions.

If you would like to keep a copy of this information, a downloadable Out-of-Pocket Assistance Program Brochure is available below.

Patient Assistance Program

For patients who have no insurance or no insurance coverage

If you have no insurance or no insurance coverage, you may be eligible to participate in our Patient Assistance Program. If you meet the program requirements, you may be able to receive Radicava^™ at no charge for up to 2 years.*

How the Patient Assistance Program works:

1. You and your HCP complete the Benefit Investigation and Enrollment Form and submit to Searchlight Support^™ with all required documentation.
2. If you meet the Patient Assistance Program requirements, the program will cover your Radicava^™ medication as prescribed by your HCP at no charge for 1 year.*
3. You must reconfirm your eligibility for continued participation in the program after your initial 12-month eligibility period by providing required financial documentation.
4. If you continue to meet the program requirements, you may be able to receive your medication at no charge for an additional 12 months.

Restrictions apply. See Eligibility Requirements & Terms and Conditions.

If you would like to keep a copy of this information, a downloadable Patient Assistance Program Brochure is available below.

*Only product provided at no charge. The Patient Assistance Program covers only the cost of Radicava^™ and not the cost of any infusion services or healthcare provider visits, which are the sole responsibility of the patient.

Independent Foundations

Resources for patients with public insurance who need information about independent patient assistance programs

Searchlight Support^™ can refer patients with public insurance coverage to independent foundations that may be able to help with out-of-pocket costs for Radicava^™.

Government Health Plan Options

Information for patients who are eligible for government-funded insurance

Searchlight Support^™ can provide information about government health plan coverage for Radicava^™, including:

• Medicare
• Social Security Disability Insurance
• Medicaid
• TRICARE/DoD/Veterans Administration

Searchlight Support^™ resources for you

You may find these downloadable resources helpful.

Out-of-Pocket Assistance Program Brochure.

Patient Assistance Program Brochure

Contact Searchlight Support^™ at 1-844-SRCHLGT (1-844-772-4548) to find out which programs may be available to you.

If you receive Radicava^™ outside your home, Searchlight Support^™ can help you find an infusion site of care that is based on:

• Where you live
• Your insurance
• The hours of operation

Contact Searchlight Support^™ at 1-844-SRCHLGT (1-844-772-4548) to learn more.

Our friendly and knowledgeable nurses can:

• Answer product-related questions about Radicava^™
• Provide educational resources on amyotrophic lateral sclerosis (ALS) and Radicava^™
• Connect you to other Searchlight Support^™ services, if needed

Remember that your HCP is the best person to talk to if you have questions about your treatment or your medical condition.

The information and advice provided here are general in nature and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. You are strongly encouraged to seek the advice of your doctor or other qualified healthcare provider with any questions regarding a medical condition.