Solvay Patient Assistance Program

Commitment
Abbott, formerly Solvay Pharmaceuticals, Inc., is committed to providing access to our medications for those patients experiencing financial hardship and having no source of pharmaceutical drug coverage (including Medicare Part D). The Solvay Pharmaceuticals' Patient Assistance Program provides assistance to hundreds of patients each year.

Participation
You or your physician may apply by submitting a completed application form. Application may be requested by calling (800) 256-8918, or forms can be downloaded in a PDF format for completion. Patient participation is available based on continued ongoing medical and financial need.

Eligibility
Patients must meet certain eligibility requirements that are as follows:

1. Must be a legal US resident
2. Cannot be covered under any prescription drug plan including Medicare Part D
3. Household income must fit within certain financial criteria. This is determined by combined annual household income to an equation based upon poverty guidelines by the federal government.
4. Must have a valid prescription for an available product of Solvay Pharmaceuticals, Inc or its wholly owned subsidiary, Unimed Pharmaceuticals, Inc.

Products Covered (subject to change)
AndroGel (testosterone gel) 1% Clll (This is a Unimed Pharmaceuticals product) CREON (pancrelipase) Delayed-Release Capsules 6,000 units Lipase, 12,000 units Lipase, and 24,000 units Lipase. PREOMETRIUM (progesterone, USP) 100mg and 200mg Capsules

Application Form
Visit Solvay's Patient Assistance Program website to view and print the ENROLLMENT APPLICATION. The application must be signed by your physician and must be accompanied by a valid prescription. www.abbottgrowth-us.com/patients/patientassistanceprograms/

Questions should be directed to the Patient Hotline: 1-800-256-8918

Physician Request
Physician requests relating to the Solvay Pharmaceuticals, Inc. Patient Assistance Program should be sent to the administrator of the program at the address below:

Solvay Pharmaceuticals, Inc.
Patient Assistance Program
PO BOX 66550
St. Louis, MO 63166-6650
Fax: 1-800-276-9901 (physicians only)