Eligibility Criteria: Open to patients with an NUCALA prescription and commercial insurance for NUCALA. Patients may not seek reimbursement for value received from the NUCALA Copay Program from any third-party
payers, including a flexible spending account or healthcare savings account. This program is not open to uninsured patients or patients receiving prescription reimbursement under any federal, state, or government-funded healthcare program,
such as Medicare, Medicare Advantage, Medicare Part D, Medicaid, Medigap, Veterans Affairs (VA), the Department of Defense (DoD), or TRICARE, or where prohibited by law. If at any time patients begin receiving prescription drug coverage under
any such federal, state, or government-funded healthcare program, patients will no longer be able to use this card and you must call the NUCALA Copay Program at 1-800-691-1939 (9:00 am-8:00 pm ET, Monday-Friday) to stop participation. Restrictions
may apply. GSK reserves the right to revise or terminate this program, in whole or in part, without any notice at any time. This is not health insurance. Program invalid where otherwise prohibited by law.