1. Benefit Verification and Authorization Support 2. Drug Company Copay Assistance 3

Drug Name Brand Name Drug Company 1 2 3 4 5 6 Phone number Website

13-cis-Retinoic Acid Accutane X 2-CdA Leustatin D, H see # 3 below 2-Chlorodeoxyadenosine Leustatin D, H see # 3 below 5-Azacitidine Vidaza Celgene X D,H,P X 1-800-931-8691 www.celgenepatientsupport.com 5FU Adrucil D, H see # 3 below 6-Mercaptopurine Purinethol H X 1-800-675-8416 www.healthwellfoundation.org 6-MP Purinethol H X 1-800-675-8416 www.healthwellfoundation.org 6-TG Thioguanine Tab X X 1-855-382-1280 https://rebates.com/thioguanine-coupon/ 6-Thioguanine Thioguanine Tab X X 1-855-382-1280 https://rebates.com/thioguanine-coupon/ Abiraterone acetate Zytiga Janssen Biotech X X 1-800-652-6227 www.janssenaccessone.com/pages/zytiga/patientassist/intro.jsp Actinomycin-D Cosmegen Recordati Rare Diseases D, H X Ado-trastuzumab emtansine Kadcyla Genentech X X D,H,P X 1-866-422-2377 www.genentech-access.com/hcp Afatinib Gilotrif Tablets Boehringer Ingelheim P 1-866-316-7263 www.panfoundation.org/fundingapplication Alemtuzumab Campath Genzyme X D,H,P X Aldesleukin Proleukin Prometheus X X 1-877-776-5385 www.proleukin.com/mm/resources.aspx Alitretinoin Panretin Eisai X X 1-800-769-3880 www.eisaireimbursement.com Altretamine Hexalen Eisai X X 1-800-769-3880 www.eisaireimbursement.com Amifostine Ethyol D, H see # 3 below Aminoglutethimide Cytadren H 1-800-675-8416 www.healthwellfoundation.org Anagrelide Agrylin X Anastrozole Arimidex Astra Zeneca A X 1-800-292-6363 www.astrazenecaspecialtysavings.com Aprepitant Emend Merck X X D, H X 1-855-257-3932 www.merckaccessprogram.com/hcp/emend-capsules/ ARA-C Cytosar-U H 1-800-675-8416 www.healthwellfoundation.org Arsenic trioxide Trisenox Cephalon X P X 1-888-587-3263 www.cephaloncares.com Asparaginase Elspar Merck D, H see # 3 below Atezolizumab Tecentriq Genentech X X D,H,P X 1-866-422-2377 www.genentech-access.com/hcp ATRA Vesanoid X Axitinib Inlynta Pfizer X X D, P X 1-866-706-2400 www.pfizerrxpathways.com Azacitidine Vidaza Celgene X D,H,P X 1-800-931-8691 www.celgenepatientsupport.com BCG TheraCys Sanofi P X 1-866-316-7263 www.panfoundation.org/fundingapplication BCNU BiCNU Emcure Pharmaceuticals X D, H X 1-800-675-8416 www.healthwellfoundation.org Bendamustine Treanda Cephalon X H,P,A,F X 1-888-587-3263 www.cephalononcologycore.com/ Bexarotene Targretin Eisai X P X 1-888-479-6337 www.targretin.com Bevacizumab Avastin Genentech X X D,H,P X 1-866-422-2377 www.genentech-access.com/hcp Bicalutamide Casodex Astra Zeneca D, R,U X 1-800-292-6363 www.astrazeneca-us.com/help-affording-your-medicines Blenostat Beleodaq Spectrum Pharmaceticals X X X 1-866-930-1562 www.spectrumpatientaccess.com Bleomycin Blenoxane X H 1-800-675-8416 www.healthwellfoundation.org Blinatumomab Blincyto Onyx Pharmaceuticals X X X 1-855-669-9360 www.amgenassist360.com/hcp/ Bortezomib Velcade Millennium X D,H,P X 1-866-835-2233 www.velcade.com/payingfortreatment.aspx Bosutinib Bosulif Pfizer X X D, P X 1-866-706-2400 www.pfizerrxpathways.com Brentuximab vedotin Adcetris Seattle Genetics X X P X 1-855-473-2436 www.seagensecure.com Busulfan Myleran X C225 Erbitux Bristol-Myers Squibb X D,H,P X 1-800-861-0048 www.destinationaccess.com Cabozantinib Cabometyx Exelixis P 1-866-316-7263 www.panfoundation.org/fundingapplication Capecitabine Xeloda Genentech X X D,H,P X 1-866-422-2377 www.genentech-access.com/hcp

1. Benefit Verification and authorization Support 2. Drug Company Copay assistance 3. Foundation Assistance 4. Oral Prescription Savings and/or Free Medication 5. IV Injectable Drugs ongoing and/or Replacement Program 6. No Drug Assistance Drug Name Brand Name Drug Company 1 2 3 4 5 6 Phone number Website

Carboplatin Paraplatin H 1-800-675-8416 www.healthwellfoundation.org Carfilzomib Kyprolis Onyx X X P X 1-855-669-9360 www.onyx.com/therapies/patient-access/onyx-360 Carmustine BiCNU Bristol-Myers Squibb X D, H X 1-800-736-0003 www.bmspaf.org Ceritinib Zykadia Norvartis X H,P,F X 1-800-245-5356 www.patientassistancenow.com Cetuximab Erbitux Bristol-Myers Squibb X D,H,P X 1-800-861-0048 www.destinationaccess.com Chlorambucil Leukeran X P 1-866-316-7263 www.panfoundation.org/index.php/en/ Cisplatin Platinol H 1-800-675-8416 www.healthwellfoundation.org Cisplatin Platinol-AQ H 1-800-675-8416 www.healthwellfoundation.org Cladribine Leustatin D, H see # 3 below Clofarabine Clolar Genzyme X X 1-800-792-5652 www.clolar.com/Hcp-financial-assistance-information Cobimetinib Cotellic Genentech X X H, P X 1-866-422-2377 www.genentech-access.com/hcp CPT-11 Camptosar Pfizer X D,H,P X 1-866-706-2400 www.pfizerrxpathways.com Crizotinib Xalkori Pfizer X X 1-866-706-2400 www.pfizerrxpathways.com Cyclophosphamide Cytoxan H 1-800-675-8416 www.healthwellfoundation.org Cyclophosphamide Neosar H 1-800-675-8416 www.healthwellfoundation.org Cytarabine Cytosar-U H 1-800-675-8416 www.healthwellfoundation.org Dabrafenib Tafinlar Novartis X H,A,F,P X X 1-800-245-5356 www.patientassistancenow.com Dactinomycin Cosmegen Recordati Rare Diseases D, H X Dacarbazine DTIC H 1-800-675-8416 www.healthwellfoundation.org Daratumumab Darzalex Janssen Biotech, Inc X X H, P X 1-844-553-2792 www.janssenaccessone.com/pages/darzalex/index.jsp Darbepoetin Aranesp Amgen X H,P,F X 1-888-427-7478 www.AmgenAssistOnline.com Dasatinib Sprycel Bristol-Myers Squibb X X 1-800-861-0048 www.destinationaccess.com Daunorubicin Cerubidine X Decitabine Dacogen Otsuka America H, P 1-866-316-7263 www.panfoundation.org/index.php/en/ Deferasirox Exjade Novartis X X 1-800-245-5356 www.patientassistancenow.com Degarelix Firmagon Ferring X P 1-877-971-3778 www.firmagononline.com Denileukin diftitox Ontak Eisai X X 1-866-613-4724 Denosumab Prolia Amgen X X H,P,F X 1-888-427-7487 www.AmgenAssistOnline.com Denosumab Xgeva Amgen X X H,P,F X 1-888-427-7487 www.AmgenAssistOnline.com Dexrazoxane Totect TopoTarget Dexrazoxane Zinecard Pfizer X X X 1-866-706-2400 www.pfizerrxpathways.com Dinutuximab Unituxin United Therapeutics Corp P Docetaxel Taxotere Sanofi-aventis D,H,P X 1-866-316-7263 www.panfoundation.org/index.php/en/ Doxorubicin Adriamycin H 1-800-675-8416 www.healthwellfoundation.org Doxorubicin Liposome Doxil Janssen Biotech, Inc X D,H,P X 1-800-609-1083 www.doxiline.com/pages/doxil/call-center/introduction.jsp Elotuzumab Empliciti Bristol-Myers Squibb Eltrombopag Promacta Novartis X X H,A,F,P X 1-800-245-5356 www.patientassistancenow.com Enzalutamide Xstandi Astellas X D, P X 1-855-898-2634 www.xtandi.com/getting-xtandi Epirubicin Ellence Pfizer X D, H X 1-866-706-2400 www.pfizerrxpathways.com Epoetin Alpha Procrit Janssen Biotech, Inc X D, H X 1-800-553-3851 www.janssenprescriptionassistance.com/procrit-cost-assistance Eribulin mesylate Halaven Eisai X P X 1-866-614-4724 www.eisaipatientassistance.com Erlotinib Tarceva Genentech X X H, P X 1-866-422-2377 www.genentech-access.com/hcp Erwinia Asparaginase Elspar D, H see #3 below Estramustine Emcyt Pfizer X X P X 1-866-706-2400 www.pfizerrxpathways.com Etoposide Etopophos Bristol-Myers Squibb H X 1-800-736-0003 www.bmspaf.org/program4.html

Etoposide VePesid H 1-800-675-8416 www.healthwellfoundation.org Etoposide Toposar H 1-800-675-8416 www.healthwellfoundation.org Everolimus Afinitor Novartis X D, P X 1-800-245-5356 www.patientassistancenow.com Exemestane Aromasin Pfizer X X H,P,U X 1-866-706-2400 www.pfizerrxpathways.com Filgrastim Neupogen Amgen X D,H,P X 1-888-762-6436 www.AmgenAssistOnline.com Filgrastim-sndz Zarxio Sandoz X X X 1-844-726-3501 www.sandozonesource.com Finasteride Proscar Merck M 1-800-769-3800 www.rxoutreach.org Flourouracil 5FU D, H see # 3 below Floxuridine FUDR H 1-800-675-8416 www.healthwellfoundation.org Fludarabine Fludara H, P see # 3 below Fluoxymesterone Halotestin H 1-800-675-8416 www.healthwellfoundation.org Flutamide Eulexin H, P see # 3 below Fosaprepitant Emend Merck X X D, H X 1855-257-3932 www.merckaccessprogram.com/hcp/emend-for-injection Fulvestrant Faslodex Astra Zeneca D,H,P X 1-800-292-6363 www.astrazenecaspecialtysavings.com Gefitinib Iressa Astra Zeneca H, P X 1-800-292-6363 www.astrazenecaspecialtysavings.com Gemcitibine Gemzar Eli Lilly D,H,P X 1-866-472-8663 www.lillypatientone.com Gemtuzumab Ozogamicin Mylotarg Pfizer X X H,P,U X 1-866-706-2400 www.pfizerrxpathways.com Goserlin Zoladex Astra Zeneca D,H,P X 1-800-292-6363 www.astrazenecaspecialtysavings.com Granisetron Transdermal Sancuso ProStraken X X D X X 1-800-676-5884 www.patientrxsolutions.com Hydroxyurea Droxia Bristol-Myers Squibb A X 1-800-736-0003 www.bmspaf.org Hydroxyurea Hydrea H,U,M see #3 below Ibritumomab Tiuxetin Zevalin Cell Therapeutics X X 1-800-386-9997 www.zevalin.com/H500-reimbursement-financial-support.aspx Ibrutinib Imbryvica Pharmalytics, Inc Idarubicin Idamycin Pfizer X X X 1-866-706-2400 www.pfizerrxpathways.com Idarucizumab Praxbind Boehringer Ingelheim Idelalisib Zydelig GileadSciences, Inc X 1-844-622-2377 www.zydeligaccessconnect.com/hcp/afford/patient-assistance-program Ifosfamide Ifex H 1-800-675-8416 www.healthwellfoundation.org IL-2 Proleukin Prometheus X X 1-877-776-5385 www.proleukin.com/patient/resources IL-11 Neumega Pfizer X X X 1-866-706-2400 www.rxpath.com Imatinib Gleevec Novartis X D,H,P,F X 1-800-245-5356 www.patientassistancenow.com Interferon alfa-2a Interferon H 1-800-675-8416 www.healthwellfoundation.org Interferon alfa-2b Intron A Merck X H, P X 1-855-257-3932 www.merckaccessprogram.com/hcp/intron-a Interleukin-2 Proleukin Prometheus X X 1-877-776-5385 www.proleukin.com/patient/resources Interleukin-11 Neumega Pfizer X X X 1-866-706-2400 www.pfizerrxpathways.com Ipilimumab Yervoy Bristol-Myers Squibb X X H, P X 1-800-861-0048 www.bmsaccesssupport.com Irinotecan Camptosar Pfizer X X P X 1-866-706-2400 www.pfizerrxpathways.com Irinotecan Liposome ONIVYDE Merrimack Pharm X X H, P X 1-844-664-8933 www.onivyde.com Isotretinoin Accutane X Ixabepilone Ixempra Bristol-Myers Squibb D, P X 1-800-861-0048 www.destinationaccess.com Ixazomib Ninlaro Millennium X X X 1-844-617-6468 www.ninlaro.com Lanreotide Somatuline Depot Ipsen Pharma X X P X 1-866-435-5677 net.somatulinedepot.com/IPSEN-CARES-financial-assistance Lapatinib Tykerb Novartis X X D, P X 1-800-245-5356 www.hcp.novartis.com/products/tykerb/her2-abc-mbc/access/ Lenalidomide Revlimid Celegene D,H,P X 1-800-931-8691 www.celegenpatientsupport.com Lenvatinib Lenvima Eisai X X X 1-855-347-2448 www.lenvimareimbursement.com Letrozole Femara Novartis X H,P,F X 1-800-245-5356 www.patientassistancenow.com

Leucovorin Folinic Acid H 1-800-675-8416 www.healthwellfoundation.org Leuprolide Eligard Sanofi-aventis X D, H X 1-888-847-4877 www.visitspconline.com Leuprolide Acetate Lupron Abbott D, P X 1-800-222-6885 www.abbottpatientassistancefoundation.org Leuprolide Viadur D, P see #3 below Lenvatnib Lenvima Eisai X X X 1-855-347-2448 www.lenvimareimbursement.com Mechlorethamine Mustargen Lundbeck H, P X 1-866-209-7604 www.lundbeckinc.com/usa/patients/assistane_programs/default.asp Megastrol Megace H 1-800-675-8416 www.healthwellfoundation.org Mephalan Alkeran D, H see #3 below Mercaptopurine Purixan NOVA Lab Limited Mesna Mesnex H 1-800-675-8416 www.healthwellfoundation.org Methotrexate Folex H,U,M see #3 below Methotrexate Rheumatrex H,U,M see #3 below Methotrexate Trexall H,U,M see #3 below Mitomycin Mutamycin D,H,P see #3 below Mitoxantrone Novantrone D,H,P see #3 below Mustine Mustargen Lundbeck H, P X 1-866-209-7604 www.lundbeckinc.com/usa/patients/assistane_programs/default.asp Necitumab Portrazza Eli Lilly and Company X X X 1-855-559-8783 www.lillytruassist.com/AssistancePrograms.aspx Nelarabine Arranon GlaxoSmithKline X X H,P,F X 1-866-265-6491 www.commitmenttoaccess.com Netupitant/Palonsetron Akynzeo Eisai X X 1-855-347-2448 Nilotinib Tasigna Novartis X D,H,P,F X 1-800-245-5356 www.patient assistancenow.com Nilutamide Nilandron Sanofi-aventis P X 1-888-847-4877 www.visitspconline.com Nitrogen Mustard Mustargen Lundbeck H, P X 1-866-209-7604 www.lundbeckinc.com/usa/patients/assistane_programs/default.asp Nivolumab Opdivo Bristol-Myers Squibb X X X 1-800-861-0048 www.bmsaccesssupport.bms.customerconnect.com Obinutuzumab Gavyza Genentech X X D,H,P X 1-866-422-2377 www.genentech-access.com/hcp Octreotide Acetate Sandostatin LAR Novartis X X 1-800-245-5356 www.patient assistancenow.com Ofatumumab Arzerra Novartis X X 1-800-245-5356 www.patient assistancenow.com Olaparib Lynparza Astra Zeneca X X X 1-844-275-2360 www.astrazeneca-us.com/medicines/help-affording-your-medicines Olaratumab Lartruvo Eli Lilly X X X 1-866-472-8663 http://lillypatientone.com/financial-assistance-program.html Omacetaxine Mepesuccinate Synribo Teva Pharmaceuticals X D, P X X 1-888-587-3263 www.cephalononcologycore.com Oprelvekin Neumega Pfizer X X H,P,F X 1-866-706-2400 www.pfizerrxpathways.com Osimertinib Tagrisso Astra Zeneca X X X 1-844-275-2360 www.astrazenecaspecialtysavings.com Oxaliplatin Eloxatin Sanofi-aventis X D,H,P X 1-888-847-4877 www.visitspconline.com Paclitaxel Onxal D, H see #3 below Paclitaxel Taxol D,H,A see #3 below Paclitaxel protein-bound Abraxane Celegene X D,H,P,F X 1-800-931-8691 www.celegenepatientsupport.com Palbociclib Ibrance Pfizer X X X 1-877-744-5675 www.Ibrance.com/getting-ibrance Palonsetron Aloxi Eisai X X 1-866-613-4724 www.eisaipatientassistance.com Pamidronate Aredia X Panitumumab Vectibix Amgen X D,H.P X 1-888-762-6436 www.AmgenAssistOnline.com Panobinostat Farydak Novartis X X X 1-800-282-7630 www.farydak.com Pazopanib Votrient Novartis X X P X 1-800-245-5356 www.patient assistancenow.com Pegaspargase Oncaspar Sigma-Tau X X X 1-800-490-3262 www.oncospar.com/patients-resource.asp Pegfilgrastim Neulasta Amgen X X D, H X 1-888-427-7478 www.AmgenAssistOnline.com Peginterferon Alfa-2b Sylatron Merck X X D, H X 1-855-257-3932 www.merckaccessprogram.com/hcp/sylatron Pembrolizumab Keytruda Merck X X D,H X 1-855-257-3932 www.merckaccessprogram-keytruda.com

Pemetrexed Alimta Eli Lilly D,H,P X 1-866-472-8663 www.lillypatientone.com Pentostatin Nipent X Pertuzumab Perjeta Genentech X X D,H,P X 1-866-422-2377 www.genentech-access.com/hcp Plerixafor Mozobil Genzyme X D, P X 1-877-466-9624 www.mozobil.com/healthcare/billing_and_reimbursement.asp Plicamycin Mithracin X Pomalidomide Pomalyst Celegene X D,H,P,F X 1-800-931-8691 www.celegenepatientsupport.com Ponatinib Iclusig Ariad Pharmaceuticals X X D X 1-855-447-7277 www.ariadpass.com/healthcare-professional Pralatrexate Folotyn Allos Therapeutices X O X 1-877-272-7102 www.getasapinfo.com Procarbazine Matulane Sigma-Tau X X H X 1-800-999-6673 www.sigmatau.com/support/support_phrma.asp Radium RA 223 Dichloride Xofigo Bayer Healthcare X X R X 1-855-696-3446 www.xofigo-us.com/patient/assistance Ramucircumab Cyramza Eli Lilly and Company X D,H,P 1-866-472-8663 www.lillypatientone.com Rasburicase Elitek Sanofi-aventis X H,P,F,O X 1-888-847-4877 www.visitspconline.com Regorafenib Stivarga Bayer Healthcare X X 1-866-639-2827 www.stivarga-us.com/access.html Rituximab Rituxan Genentech X X D,H,P X 1-866-422-2377 www.genentech-access.com/hcp Romidepsin Istodax Celegene X P X 1-800-931-8691 www.celegenepatientsupport.com Romiplostim Nplate Amgen X X H,P,F X 1-888-427-7478 www.AmgenAssistOnline.com Ruxolitninib Jakafi Incyte X X D, P X 1-855-452-5234 www.incytecares.com Sargramostim Leukine Genzyme X H X 1-888-479-5385 www.leukine.com/healthcare.aspx Sipuleucel-t Provenge Dendreon X P X 1-877-336-3736 www.provenge.com/reimbursement.aspx Siltuximab Sylvant Janssen Biotech, Inc X 1-855-299-8844 www.janssenaccessone.com/pages/sylvant/patientassist/intro.jsp Sonidegib Odomzo Novartis X X X 1-800-245-5356 www.patient assistancenow.com Sorafenib Nexavar Onyx Pharmaceuticals X X D, P X 1-855-669-9360 www.onyx.com/therapies/patient-access/onyx-360 Streptozocin Zanosar X Sunitinib Sutent Pfizer X D, P X 1-866-706-2400 www.pfizerrxpathways.com Tamoxifen Nolvadex H, M see #3 below Temozolomide Temodar Merck D 1-800-727-5400 www.merckhelps.com/mpap Temsirolimus Toresel Pfizer X P X 1-866-706-2400 www.pfizerrxpathways.com Teniposide Vumon Bristol-Myers Squibb H X 1-800-736-0003 www.bmspaf.org Thalidomide Thalomid Celegene X D,H,P X 1-800-931-8691 www.celegenepatientsupport.com Thiotepa Thioplex H 1-800-675-8416 www.healthwellfoundation.org Topotecan Oral Hycamptin Oral Novartis X X D,H,P X 1-866-265-6491 www.commitmenttoaccess.com Topotecan Hycamptin Novartis X X D,H,P X 1-866-265-6491 www.caresbygsk.com Toremifene Fareston G Tx, Inc D,H,P X 1-877-362-7595 www.fareston.com Tositumomab Bexxar GlaxoSmithKline X H X 1-866-265-6491 www.commitmenttoaccess.com Trabectedin Yondelis Janssen Biotech, Inc X X X 1-844-966-3354 www.janssenprescriptionassistance.com Trametinib Mekinist Novartis X D,A,F,P X X 1-800-245-5356 www.patient assistancenow.com Trastuzumab Herceptin Genentech X X D,H,P X 1-866-422-2377 www.genentech-access.com/hcp Tretinoin (ATRA) Vesanoid Valeant P 1-866-268-7325 www.valeant.com/about/programs/patientassistanceprogram Trifluridine/Tipiracil Lonsurf Taiho Oncology, Inc X X D X 1-844-824-4648 www.taihopatientsupport.com Triptorelin Pamoate Trelstar Watson X X 1-866-754-3315 www.trelstar.com Vandetanib Caprelsa AstraZeneca X X P X 1-800-292-6363 www.astrazenecaspecialtysavings.com Valrubicin Valstar X Vemurafenib Zelboraf Genentech X X P X 1-866-422-2377 www.genentech-access.com/hcp Venetoclax Venclexta AbbVie, Inc/Genentech Vinblastine Velban H 1-800-675-8416 www.healthwellfoundation.org

Vincristine Oncovin D, H see #3 below Vincristine Sulfate Liposome Marqibo Talon X Vinorelbine Navelbine PF Pharmaceuticals H 1-800-675-8416 www.healthwellfoundation.org Vismodegib Erivedge Genentech X X X X 1-866-422-2377 www.genentech-access.com/hcp Vorinostat Zolinza Merck X D, P X 1-800-727-5400 www.merckhelps.com/mpap VP-16 Etopophos Bristol-Myers Squibb H X 1-800-736-0003 www.bmspaf.org VP-16 VePesid H 1-800-675-8416 www.healthwellfoundation.org VP-16 Toposar H 1-800-675-8416 www.healthwellfoundation.org Zidovudine Retrovir ViiV Healthcare X P X 1-877-784-4842 www.viivhealthcareforyou.com/ Ziv-Aflibercept Zaltrap Sanofi-aventis X P X 1-888-847-4877 www.visitspconline.com Zoledronic acid Zometa Novartis X D, P X 1-800-245-5356 www.patientassistancenow.com

H = www.Healthwellfoundation.org F = www.patientadvocate.org P = www.panfoundation.org/index.php/en/ D = www.diplomatpharmacy.com/funding A = www.pparx.org U = www.xubex.com M = www.rxoutreach.org O = www.rarediseases.org/patients-and-families X = Website link has coupons N = www.needymeds.com s = https://theassistancefund.org/patient-services/#apply I = http://www.patientservicesinc.org/For-Patients/Apply