TERMS AND ELIGIBILITY

Commercially insured patients will pay as little as $0 on their initial XHANCE 30-day prescription, and receive a discount on subsequent prescription fills.

Optinose will pay the first $100 per unit for cash-paying and commercially insured patients who do not have coverage for XHANCE. Patients will be responsible for the remaining balance. Eligible patients may call 1-833-XHANCE1 for other offers that may be available.

This offer is valid for patients 18 years of age or older and is good for use only with a valid prescription for XHANCETM.

This offer is not valid for use by patients enrolled in Medicare, Medicaid and TRICARE or other federal or state programs. Optinose reserves the right to rescind, revoke, or amend this offer without notice. Offer good only in the USA, including Puerto Rico, at participating retail pharmacies. Void if prohibited by law, taxed, or restricted.

This card has no cash value and may not be used in combination with any other discount, coupon, rebate, free trial, or similar offer for the specified.