Reimbursement

Dealing with any illness and its treatment can be expensive, so it is very important for you to know your financial rights and options. Schering's COMMITMENT TO CARE® has been designed to aid eligible patients in receiving therapy with Schering products by exploring reimbursement options. This is available to all eligible patients taking either PEGINTRON® (Peginterferon alfa-2b) Powder for Injection alone or in combination with REBETOL® (Ribavirin, USP) Capsules; or INTRON® A for Injection therapy.

This COMMITMENT TO CARE® reimbursement assistance is available to eligible patients whether you enroll in The Be In Charge® Program or not.

Since its inception in September 1995, COMMITMENT TO CARE® has helped thousands of patients by providing reimbursement assistance for their medication.

You can contact a COMMITMENT TO CARE® reimbursement assistance consultant in two ways:

By phone, call 1-800-521-7157
By mail or fax,
1. Complete this form and be sure to include your phone information
2. Print out the form and sign it.
3. Mail or fax it to:
  
  COMMITMENT TO CARE®
  PO Box 18725
  Louisville, KY 40261
  Fax: 1-800-683-7855

To: Schering's COMMITMENT TO CARE®

Once you mail or fax this form, you will be contacted by a COMMITMENT TO CARE® consultant. The consultant will call you to collect additional information and discuss your specific situation.

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Date: _________________________________________

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