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I understand that members of the Alliance may share identifiable health information with one another in order to de-identify it for these purposes and as needed to perform the Services or to send the communications listed above (the “Communications“). I further authorize the Alliance to de-identify my health information and use it in performing research including linkage with other de-identified information the Alliance receives from other sources, education, business analytics, marketing studies or for other commercial purposes. I authorize the Sanofi US, Regeneron Pharmaceuticals, Inc., affiliates and their agents (together the “Alliance“) to contact me by mail, telephone, or email, with information about KevzaraConnect (the “Program“), rheumatoid arthritis (RA), products, promotions, services and research studies, and to ask my opinion about such information and topics, including market research and disease-related surveys.

I agree to my enrollment in the KevzaraConnect ® Copay Card program if confirmed as eligible, understand that Copay Card information will be sent to my designated specialty pharmacy/in-network specialty pharmacy along with my prescription, and any assistance with my applicable cost-sharing or co-payment for KEVZARA (sarilumab) will be made in accordance with the Program terms and conditions.