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Take advantage of the Twirla Savings Program!

^* Mobile Phone Number

* You understand and agree to receive autodialed text messages from Agile Therapeutics, Inc. and any companies working with them to support this program, which may include refill reminders and other program offers. You understand that you are not required to agree to receive text messages as a condition of this savings offer, that message and data rates may apply, and that these text messages may reoccur monthly. You may opt out of individual communications of the program entirely at any time by calling 866-747-7108, or you may text 'STOP' to opt out at any time. For help at any time, text 'HELP'. For additional support call 866-747-7108. Participating Carriers: All U.S. Based Carriers. Messages may be delayed or undelivered for various factors. McKesson, carriers (including, but not limited to, T-Mobile) and any service providers utilized by McKesson to send messages are not liable for delayed or undelivered messages.

Yes

You are not eligible to receive your card via text.

Present this card with a valid prescription to your pharmacist.

If you have any questions, please feel free to call 866-747-7108.

The Twirla Savings Program provides financial support to eligible commercially insured patients to assist with out-of-pocket-costs of Twirla. Eligible patients^* may pay as little as $0 for the first month's prescription and as little as $25 per month on future refills.

*Not valid for prescriptions reimbursed under any federal or state healthcare program, including Medicare, Medicaid, MediGap or Tricare. This may also include state pharmaceutical assistance programs and other federal or state plans not listed. Those on Medicare Part D, even if in the coverage gap, are not eligible. Please note: You will no longer be eligible if you begin to have coverage from any Government Program.
Void where prohibited by law, taxed, or restricted.

Valid in the US only.

Maximum savings limits apply; patient out-of-pocket expense will vary.

Agile Therapeutics reserves the right to rescind, revoke, or amend this offer at any time without notice.
By using this co-pay card, you demonstrate that you understand and agree to comply with the terms and conditions of this offer as put forth on this co-pay assistance card.

You are encouraged to report side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. For more information, go to www.TWIRLA.com or call 855-389-4752.