ELIGIBILITY CRITERIA/TERMS AND CONDITIONS:

• Patients who are eligible to participate in the YCANTH Copay Assistance Program must agree to the following terms and conditions:
• Patients must present a valid prescription for YCANTH to a participating retail pharmacy to receive a cost reduction on their out-of-pocket expense.
• Patients understand that the YCANTH Copay Assistance Program has a lifetime maximum benefit of $2,805 or 4 applicators of YCANTH, whichever occurs first.
• Patients must be diagnosed by their healthcare provider with Molluscum Contagiosum (diagnosis code: B08.1)
• The YCANTH Copay Assistance Program is solely for patients' charges incurred in the use of YCANTH (cantharidin) topical solution and does not include any other related charges.
• Patients using YCANTH must be at least two (2) years of age or older and must reside in the United States (including Puerto Rico, Guam, and the U.S. Virgin Islands).
• For all qualified patients, Verrica Pharmaceuticals is responsible for all YCANTH product costs under the Program amount and excluding the copay requirement. The Patient’s insurance provider can provide the most accurate explanation of all charges.
• Patient will bear financial responsibility for all costs not covered by commercial insurance exceeding maximum benefit for YCANTH. THIS IS NOT INSURANCE.
• Patients with insurance, in whole or in part, from Medicaid, Medicare, VA, DOD, TRICARE (TRICARE® is a registered trademark of the Department of Defense (DOD), DHA.), or other federal or state programs including any state pharmaceutical assistance programs, are not eligible to participate in the YCANTH Copay Assistance Program.
• The YCANTH Copay Assistance Program card is not transferable. No substitutions are permitted. Cannot be combined with any other coupon, free trial, discount, prescription savings card, or other offer not already associated with this offer.
• This Program is not valid where prohibited by law, taxed, or restricted.
• Verrica Pharmaceuticals reserves the right to rescind, revoke, terminate, or amend this offer, eligibility, and terms of use at any time without notice.
• Additional terms and conditions may apply.
• Approval of enrollment in the Program is not guaranteed.

De-identified patient data related to redemption of the YCANTH Copay Assistance Program may be collected, analyzed, and shared with Verrica Pharmaceuticals, for market research and other purposes related to assessing patient savings programs. The patient understands they are consenting to allow Verrica Pharmaceuticals and its contracted vendor InfinityRx to store all collected personal and medical information for the administration of this program. For questions call: 888-927-3499. The healthcare information contained herein is not intended to replace discussion with a healthcare provider. All decisions regarding patient care must be made with a healthcare provider, considering the unique characteristics of the patient.