FIND A PHARMACY
`
`Enter address or zip code
`
`5 miles
`
`SEARCH
`
`VALUE SAVINGS FOR
`YOUR PRESCRIPTIONS
`
`Simply activate your
`Ortho Dermatologics Access coupon
`LIMITED TIME OFFER
`and take it to Walgreens or a participating
`independent pharmacy to pick up your prescription.
`AUGUST THROUGH OCTOBER 2017
`0 CO-PAY
`
`$
`
`*
`
`For eligible commercially insured patients*
`
`*Terms and conditions apply.
`Please see eligibility criteria and terms and conditions.
`
`COMMERCIALLY INSURED DRUG COVERED
`WHEN DEDUCTIBLE IS MET
`
`http://www.orthorxaccess.com/
`
`10/27/2017
`
`Page 1 of 4
`
`ACRUX DDS PTY LTD. et al.
`
`EXHIBIT 1631
`
`IPR Petition for
`
`U.S. Patent No. 7,214,506
`
`

`

`FIND A PHARMACY
`
`Enter address or zip code
`
`5 miles
`
`SEARCH
`
`VALUE SAVINGS FOR
`YOUR PRESCRIPTIONS
`
`Simply activate your
`Ortho Dermatologics Access coupon
`LIMITED TIME OFFER
`and take it to Walgreens or a participating
`independent pharmacy to pick up your prescription.
`AUGUST THROUGH OCTOBER 2017
`0 CO-PAY
`
`$
`
`*
`
`For eligible commercially insured patients*
`
`*Terms and conditions apply.
`Please see eligibility criteria and terms and conditions.
`
`COMMERCIALLY INSURED DRUG COVERED
`WHEN DEDUCTIBLE IS MET
`
`http://www.orthorxaccess.com/
`
`10/27/2017
`
`Page 1 of 4
`
`

`

`MOST ELIGIBLE COMMERCIALLY INSURED PATIENTS PAY NO MORE THAN
`
`Limitations apply. See table below for pricing and maximum number of fills allowed.
`
`Click here for full Prescribing
`Information for Elidel, including
`Long-term Use Boxed Warning.
`
`COMMERCIALLY INSURED DRUG NOT COVERED†
`
`THROUGH WALGREENS,
`MOST ELIGIBLE COMMERCIALLY INSURED PATIENTS PAY NO MORE THAN
`
`Limitations apply. See table below for pricing and maximum number of fills allowed.
`
`UNINSURED
`See table below for eligible patients without insurance.
`
`After the indicated number of fills, patient will pay uninsured amount for any remaining fills available. If prior authorization
`*
`is approved, patient will pay the covered amount listed below. Please see below for terms and conditions.
`Insured not covered is defined as a patient who has commercial insurance but the drug is not covered on the plan’s formulary or has an NDC block, prior
`†
`authorization, step edit or other restriction that has not been met.
`
`SAVINGS FOR
`ELIGIBLE PATIENTS
`
`http://www.orthorxaccess.com/
`
`10/27/2017
`
`Page 2 of 4
`
`

`

`Product Name
`
`CARAC®
`(fluorouracil) Cream 0.5%
`
`CLINDAGEL®
`(clindamycin phosphate gel) Topical Gel, 1%
`
`ELIDEL
`(pimecrolimus) Cream, 1%
`¶
`
`JUBLIA®
`(efinaconazole) Topical Solution 10%
`
`LOCOID LOTION
`(hydrocortisone butyrate 0.1%)
`
`LOPROX® SHAMPOO
`(ciclopirox 1%)
`
`LUZU®
`(luliconazole) Cream, 1%
`
`Most Commercially Insured Patients Pay
`
`Size
`
`Drug
`Covered
`Co-Pay
`
`Drug
`Covered
`Fills
`
`Drug
`Not
`Covered
`Co-Pay
`
`Drug
`Not
`Covered
`Fills
`§
`
`Uninsured
`Amount
`||
`
`Uninsured
`Fills
`
`30 g
`
`$40
`
`75 mL
`
`$40
`
`30 g
`60 g
`100 g
`
`4 mL
`8 mL
`
`2 oz
`4 oz
`
`120
`mL
`
`$40
`
`$25
`
`$40
`
`$40
`
`60 g
`
`$40
`
`2
`
`6
`
`3
`
`12
`
`6
`
`6
`
`6
`
`$75
`
`$75
`
`$75
`
`$75
`
`$75
`
`$75
`
`$75
`
`1
`
`2
`
`2
`
`2
`
`2
`
`2
`
`2
`
`$100
`
`$100
`
`$100
`$125
`$150
`
`$125
`$200
`
`$100
`
`$100
`
`$100
`
`2
`
`6
`
`3
`
`12
`
`6
`
`6
`
`6
`
`6
`
`NORITATE®
`(metronidazole) Cream, 1%
`
`60 g
`
`$40
`
`ONEXTON®
`(clindamycin phosphate and benzoyl peroxide) Gel, 1.2% / 3.75%
`
`50 g
`
`$25
`
`RETIN-A MICRO®
`(tretinoin) Gel Microsphere 0.08%
`
`SOLODYN®
`(minocycline HCl, USP) Extended Release Tablets
`
`XERESE
`(acyclovir and hydrocortisone) Cream 5% / 1%
`
`ZIANA®
`(clindamycin phosphate 1.2% and tretinoin 0.025%) Gel
`
`ZOVIRAX
`(acyclovir) Cream 5%
`
`ZYCLARA®
`(imiquimod) Cream 2.5% / 3.75%
`
`50 g
`
`$40
`
`30 g
`
`$25
`
`5 g
`
`$40
`
`30 g
`60 g
`
`$40
`
`5 g
`
`$40
`
`7.5 g
`
`$40
`
`6
`
`6
`
`6
`
`3
`
`6
`
`6
`
`6
`
`2
`
`$75
`
`$75
`
`$75
`
`$75
`
`$75
`
`$75
`
`$75
`
`$75
`
`2
`
`2
`
`2
`
`2
`
`2
`
`2
`
`2
`
`1
`
`$100
`
`$100
`
`$100
`
`$100
`
`$100
`
`$100
`
`$100
`
`$100
`
`6
`
`6
`
`3
`
`6
`
`6
`
`6
`
`2
`
`After the indicated number of fills, patient will pay uninsured amount for any remaining fills available.
`If prior authorization is approved, patient will pay the covered co-pay price listed.
`Terms and conditions apply. Please see below for eligibility criteria and terms and conditions.
`Click here for full Prescribing Information for Elidel, including Long-term Use Boxed Warning.
`
`Eligibility Criteria/Terms and Conditions:
`By using the Ortho Dermatologics Access coupon, you confirm that you
`understand and agree to comply with the following terms and conditions of
`this offer:
`This offer is only valid for patients with commercial insurance and
`uninsured cash-pay patients.
`This offer is not valid for any person eligible for reimbursement of
`prescriptions, in whole or in part, by any federal, state, or other
`http://www.orthorxaccess.com/
`
`You must present this coupon along with your prescription to
`participate in this program. You must activate this coupon before
`using by calling 1-855-280-0541, texting "RXSAVE" to 52551, or by
`or visiting www.activatethecard.com/ortho/derm.
`This coupon is good for use only with the products identified herein.
`No other purchase is necessary.
`This offer cannot be redeemed at government-subsidized clinics.
`10/27/2017
`
`Page 3 of 4
`
`

`

`governmental programs, including, but not limited to, Medicare
`(including Medicare Advantage and Part A, B, and D plans),
`Medicaid, TRICARE, Veterans Administration or Department of
`Defense health coverage, CHAMPUS, the Puerto Rico Government
`Health Insurance Plan, or any other federal or state health care
`programs.
`You agree not to seek reimbursement for all or any part of the benefit
`received through this offer and are responsible for making any
`required reports of your use of this offer to any insurer or other third
`party who pays any part of the prescription filled.
`This offer is good only in the United States of America (including the
`District of Columbia, Puerto Rico and the U.S. Virgin Islands) at
`retail pharmacies owned and operated by Walgreen Co. (or its
`affiliates) and other participating independent retail pharmacies. This
`offer is not valid in Massachusetts or Minnesota or where otherwise
`prohibited, taxed, or otherwise restricted.
`This offer is not valid for any person that is 65 years of age or older
`without commercial insurance. You must be 18 years of age or older
`to redeem this offer for yourself or a minor.
`
`This coupon is good for a limited number of fills only. For a complete
`listing of the maximum number of fills for each product for which this
`offer applies, please review the program terms and conditions, which
`are posted at www.orthorxaccess.com.
`Reimbursement limitations apply. Patient is responsible for all
`additional costs and expenses after reimbursement limits are reached.
`This coupon and offer are not health insurance.
`The selling, purchasing, trading, or counterfeiting of this coupon is
`prohibited by law. Void if reproduced.
`This offer is not valid with other offers. This coupon has no cash
`value. No cash back.
`Ortho Dermatologics reserves the right to rescind, revoke, terminate,
`or amend this offer at any time, without notice.
`You understand and agree to comply with the terms and conditions of
`this offer as set forth above and at www.orthorxaccess.com.
`For questions call: 1-855-280-0541.
`
`PRIVACY POLICY
`
`LEGAL NOTICE
`
`ELIDEL and XERESE are trademarks of Meda Pharma S.A.R.L. used under license. Locoid is a
`trademark of Leo Pharma A/S used under license. ZOVIRAX is a trademark of Glaxosmithkline LLC
`used under license. All other
`/TM are trademarks of Ortho Dermatologics’ affiliated entities. Any
`other product/brand names and/or logos are trademarks of the respective owners. © All Rights Reserved.
`MTB.0085.USA.17
`
`®
`
`http://www.orthorxaccess.com/
`
`10/27/2017
`
`Page 4 of 4
`
`