Klisyri

Eligibility to use this cash-pay offer is subject to meeting the requirements of these Terms and Conditions at the time of each use. Patients must have a valid prescription for Klisyri® (tirbanibulin) ointment. This offer cannot be combined with any coupon, free trial, discount, prescription savings card, or other offer not associated with this offer. This cash-pay offer is not insurance. By using this offer, you agree and understand that this cash-pay offer is unrelated to any insurance coverage you might have for prescription drugs, and this offer does not provide assistance with any copay or deductible obligations you may have with your insurance provider. You will be purchasing Klisyri® entirely out-of-pocket at a discounted cash-pay price. If you have insurance coverage, you agree to comply with any obligations you may have to your insurance provider. You agree that you have not submitted and will not submit a claim for reimbursement under any insurance for the cost of the prescription for which you are using this cash-pay offer, and that you will not count the cost of Klisyri® toward your deductible. Additionally, as applicable, you agree that you will not seek true out-of-pocket (TrOOP) credit under the Medicare Part D program for any portion of the cost of Klisyri®. If you have prescription drug coverage through Medicare, including Medicare Part D, then you agree that you will not seek reimbursement from your Medicare coverage for any Klisyri® prescriptions for the remainder of the current coverage year, including for your current prescription and any additional prescriptions or refills for Klisyri®. Almirall, LLC reserves the right to rescind, revoke, or amend this offer at any time without notice. Void where prohibited by law, taxed, or restricted.