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For US Residents Only

It’s simple: pay a $0 copay for your first Vyleesi prescription. Then, pay no more than $99 for each eligible refill of 4 single-dose autoinjectors.*

This applies to eligible commercially insured patients, or patients paying cash—whether they’re uninsured or their insurance doesn’t cover Vyleesi.

*Each patient’s eligibility is evaluated on an individual basis. In compliance with federal regulations, patients insured by a government-funded program (Medicaid, TRICARE, etc.) are not eligible. Patients must be 18 or older to qualify. These programs and any assistance provided may be discontinued or modified at any time based on eligibility, state and local laws, and program availability.

Financial assistance applies to the patient’s copay, coinsurance, or deductible for patients receiving Vyleesi. Palatin contributions against patient deductible and/or out-of-pocket maximums are subject to possible health plan restrictions. Palatin Technologies, Inc. will help lower the out-of-pocket cost to a $0 copay for the patient’s first prescription. Palatin will also provide copay assistance to lower the out of pocket cost for refills to a maximum copay of $99 per 4-pack. Palatin copay assistance will only apply to 2 fills every 30 days. Enrollment into the program cannot be retroactive.

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