Once activated, you can use your card to save on your eligible out-of-pocket medication costs for SIMPONI ARIA®.

How your card can be used depends on the insurance you use to pay for your medication:

Your card is not a credit card. There is no charge for your card.

Before the calendar year ends, you will receive information and eligibility requirements for continued participation in the program.

Enroll and activate your card1

Manage your savings program benefits• Review your available benefit• Submit rebate requests online, if needed• View rebate funds available on your card• Receive timely alerts and program updates

Create your online account2

Use your card for savings on your medication (see next page)3

• If you use your medical/primary insurance to pay for your medication through your doctor, infusion provider, or a specialty pharmacy, you may be able to use your card to receive a rebate.

• If you use your pharmacy/prescription insurance to pay for your medication from a specialty pharmacy, you may be able to use your card for instant savings.

Get started now…Visit SimponiAria.JanssenCarePathSavings.com

Get savings off your deductible, co-pay, and co-insurance medication costs for SIMPONI ARIA®.

3 ways to enroll and get a card if you don’t have one

Fax or MailComplete Patient Enrollment Form †

†You will activate your card upon receiptof enrollment confirmation by mail.

OnlineSimponiAria.JanssenCarePathSavings.com

Phone877-CarePath (877-227-3728)

Janssen Biotech, Inc., the maker of SIMPONI ARIA®, is not liable for unintended or unauthorized use of the SIMPONI ARIA® MasterCard® if it is lost or stolen. The Janssen CarePath Savings Program for SIMPONI ARIA® Prepaid MasterCard is issued by MetaBank®, Member FDIC, pursuant to license by MasterCard International Incorporated. MasterCard is a registered trademark of MasterCard International Incorporated. Janssen CarePath Savings Program is not a MetaBank product and is not endorsed by them.

Please read the full Prescribing Information, including Boxed Warnings and Medication Guide, for SIMPONI ARIA® and discuss any questions you have with your doctor.

Need help?

Call 877-CarePath (877-227-3728)Monday–Friday, 8:00 am–8:00 pm ET

BY APPROVAL OF THIS PROOF, CUSTOMER ACCEPTS FULLRESPONSIBILITY FOR THE CONTENT OF THE CARDINCLUDING TEXT, GRAPHICS, CONSTRUCTION, ADDITIONALVISUALS, TECHNOLOGY SPECIFICATIONS, AND AGREES TOALL THE TERMS SET FORTH ON THIS PROOF.

CUSTOMER APPROVAL DATE QUANTITY

APPROVED as submittedMake Alterations, send me a new hard copyMake Alterations, Email me a new PDF

NOTES:

This proof represents the exact location and spelling of text and the appearance/location of all type, graphics, color(s) (except when foil or clear core is used), signature panel, magnetic stripe and/or smartcardchip module, except that the actual design and appearance of a smartcard chip module can vary depending on the module manufacturer. If any changes need to be made, please note them clearly in thenotes section (not on the physical proof). CPI will submit a proof to the appropriate association for approval, as required. It is the issuer’s responsibility to obtain ATM network approval. CPI reserves the right toship and invoice ±10 percent of the quantity ordered (±20% on orders of 500 or less). CPI will maintain maximum variations (within 2 standard deviations) of 2.0 dE sample-to-proof, 1.5 dE sample-to-sampleand 3.0 dE press-to-proof during a press run. Production will not begin until a signed approved proof, without alterations, is returned to CPI. CPI will not be liable for errors found after CPI receives an approvedsigned proof. Alterations or changes that were not included in the artwork or the original instructions from customer will be subject to additional charges and noted as a separate line item on the invoice.NOTWITHSTANDING ANYTHING TO THE CONTRARY: (A) IN NO EVENT WILL CPI CARD GROUP, INC. OR ANY OF ITS SUBSIDIARIES BE RESPONSIBLE FOR INDIRECT, INCIDENTAL, CONSEQUENTIAL ORPUNITIVE DAMAGES; AND (B) IF THROUGH OUR FAULT (NOTE: ERRORS ON AN APPROVED PROOF ARE NOT OUR FAULT) THE PRODUCT IS DEFECTIVE, CPI RESERVE THE RIGHT TO REPLACE OR REPAIRTHE PRODUCT OR TO REFUND THE MONEY YOU PAID FOR THE DEFECTIVE PRODUCT, ALL AT CPI’S OPTION, WHICH WILL BE YOUR SOLE REMEDY. IN NO EVENT WILL CPI BE RESPONSIBLE FOR THEREPLACEMENT OF ANY CARDS, PARTS, COMPONENTS OR SUPPLIES PROVIDED BY YOU. CPI WILL NOT BE RESPONSIBLE FOR REPLACING ANY PRODUCT CONTAINING AN ERROR APPROVED BY YOU.

If you can read this, your Adobe Acrobat display settings must be adjusted to properly view this proof. Please follow these instructions:Open the proof in Adobe Acrobat. Click on Edit in the tool bar along the top, and go to Preferences/Page Display. You will see a selection that says “Use Overprint Preview.” The selection in the box must say “Always.”

You now should be able to view the PDF correctly. If you are using a program other than Adobe Acrobat, please let us know and we will provide instructions to correct the display settings.

FRONT BACK

Valid in US and US Territories Limited Use Rebate Card

BIN 610020 GRP 99992288

5431VALIDTHRU

This is a prepaid card issued by MetaBank®, Member FDIC pursuant to license by MasterCard International. The card is not a savings account and you will not earn any interest on the funds. Janssen CarePath Savings Program is not offered or endorsed by MetaBank. Offer void where prohibited by law, taxed, or restricted. Not valid for patients using Medicare or Medicaid. Janssen Biotech, Inc., maker of SIMPONI ARIA® (golimumab), reserves the right to rescind, revoke, amend, terminate this offer or the program in its entirety at any time. This card is subject to eligibility and restrictions provided on back of Savings Program brochure and at JanssenCarePath.com. Janssen Biotech, Inc., and MetaBank are not responsible for lost, stolen cards or misuse of cards. Patients: Call 877-CAREPATH, M-F, 8 AM-8 PM ET. Providers/Pharmacists: Call 855-531-1074 for questions. PHARMACY BENEFIT process a COB/split bill claim using patient’s prescription insurance for PRIMARY claim. Submit SECONDARY claim to PDM under BIN# 610020.

Please read the full Prescribing Information, including Boxed Warnings and Medication Guide for SIMPONI ARIA®, available at SimponiAria.com and talk with your doctor.

Please call 888-535-1981 for card use information

© Janssen Biotech, Inc. 2016 3/16 043012-160314

No cash access Printed in the US

VOIDVOIDVOIDVOID

VOIDVOIDVOIDVOID96421 02/16 cpi-in

112378/37442C00496421 02/16 cpi-in ICA 8908

VOIDVOIDVOIDVOID

VOIDVOIDVOIDVOIDxxxxxxx 00/00 cpi-xx

2.81 x .406w/cvc2 FIS-IL

4 Color Process,MC Red, MC Yellow, U.V. Black

JOB#: 96421VERSION: R3DATE: 3/22/2016

CUSTOMER: FIS (IL)JOB NAME: Janssen CarePath/Simponi Aria(TrialCard) - 37442C0ISSUER: TrialCard, Inc.P.O. #: 112378PREVIOUS JOB #: QUANTITY: 121000SHIP VIA: BrinksTTSHIP TO: FIS - IL - IL

CARD TYPE: MasterCard Debit CARD CONSTRUCTION: F4100 100% PVC Opaque White (SplCARD SIZE: 2-1/8" X 3-3/8"CORE: White 14 milFINISH: Polish/PolishCOLOR TARGET: Proof COLOR TARGET: Proof

BIN: 543103EMBOSS POSITION: ICA: 8908 STOCK #: 37442C004 ID #: 112378/37442C004

MAG STRIPE: 2-Track Hi-Co Uncoated OverlaySIG PANEL TYPE: MC FIS IL 2.81x.406 CVC2HOLOGRAM: MasterCard Debit HologramHOLOGRAM LOCATION: Holo (Front)HOLOGRAM PREMIUM:

MODULE TYPE: MODULE SIZE: INLAY: PRE PERSO: KEY ID: KMCID: Expiration Details:

This order does not contain any embossing effect on the printed product. FIS has included a visual within thePDF/Proof demonstrating the impact the embossing will have on the existing card design. Depending on theappearance, a design adjustment may be necessary, please check with your FIS customer servicerepresentative.

�

5431 03XX XXXX XXXX

11/19

ID 12345678910

VALIDTHRU

5431 0312 3456 7890

Savings Programfor commercially insured patients

Pay just $5 per infusion*

*$20,000 maximum program benefit per calendar year. Not valid for patients using Medicare or Medicaid.

See eligibility requirements on back.

Please read the full Prescribing Information, including Boxed Warnings and Medication Guide, for SIMPONI ARIA® and discuss any questions you have with your doctor.© Janssen Biotech, Inc. 2016 6/16 043284-151112

Am I eligible?You may be eligible for the Janssen CarePath Savings Program if you currently use private or commercial health insurance to cover a portion of medication costs for SIMPONI ARIA®. There is no income requirement.

Janssen CarePath Savings Program for SIMPONI ARIA® is based on medication costs only and does not include costs to give you your infusion.

Other requirements• This offer may not be combined with any other coupon, discount, prescription savings card, free trial, or other offer.• This program is only available to individuals using private or commercial health insurance to cover a portion of their medication costs, including plans available

through state and federal healthcare exchanges. This program is not available to individuals who use any state- or federal-government-subsidized healthcare program to cover a portion of medication costs, such as Medicare, Medicaid, TRICARE, Department of Defense, or Veterans Administration. Patients confirm that they will not seek reimbursement from any of these programs or from pharmaceutical patient assistance foundations and accounts such as a Flexible Spending Account (FSA), Health Savings Account (HSA), or Health Reimbursement Account (HRA).

• The selling, purchasing, trading, or counterfeiting of this card is prohibited.• Offer good only in the United States and Puerto Rico. Janssen Biotech, Inc., reserves the right to rescind, revoke, or amend this offer without notice at any time.

Void where prohibited, taxed, or otherwise restricted by law.• Offer for new enrollment expires December 31, 2017. For Massachusetts residents only, this offer is subject to change per state legislation.• Before you activate your card, it is important that you understand that you will be asked to provide personal information that may include your name,

address, phone number, email address, and information related to your insurance and treatment. This information is necessary to permit Janssen Biotech, Inc., the maker of SIMPONI ARIA® and companies that work with Janssen Biotech, Inc., including our affiliates and our service providers, to fulfill your request to enroll in the Janssen CarePath Savings Program. We may also use the information you give us to learn more about the people who use SIMPONI ARIA®, and to improve the information we provide to people who are being treated with SIMPONI ARIA®. Janssen Biotech, Inc., will not share your information with anyone else except as required by law.

• As a condition of participating in this program, you must ensure that you comply with any co-payment disclosure requirements of your insurance carrier or third-party payer, including disclosing to your insurer the amount of co-payment support you receive from this program.

• This program is not retroactive.

Janssen CarePath is in no way an extension of medical treatment provided by healthcare professionals to individual patients. You may discontinue your participation at any time by calling 877-CarePath (877-227-3728).

Use your card for savings on your medication3

If you use your medical/primary insurance to pay for your medication:

1. Your provider or specialty pharmacy collects your co-pay.

2. You receive infusion treatment with SIMPONI ARIA® (golimumab). Your provider or specialty pharmacy submits the claim to your insurance company.

3. You and your provider receive an Explanation of Benefits (EOB) statement from your insurance company.

• You or your provider submit the EOB to Janssen CarePath Savings Program (see How to submit a rebate request below).

4. Janssen CarePath Savings Program reviews your EOB, and issues your rebate to your card, if eligible.

5. Once funds are available on your card, you can use it at your provider’s office for your infusion, or with the specialty pharmacy.

Remember to bring your card to your infusion appointment.

If your provider or specialty pharmacy does not accept SIMPONI ARIA® MasterCard®, you will receive a rebate check. You may request check to be sent directly to your provider.

If you use your pharmacy/prescription insurance to pay for your medication:

The specialty pharmacy will call to collect your co-pay. Use your card to receive instant savings off the cost of your medication.

OR

If the specialty pharmacy is unable to process your card for instant savings, you may still be able to receive a rebate:

• Complete and submit the Rebate Form‡ along with your pharmacy receipt, to Janssen CarePath Savings Program (see How to submit a rebate request below).

• You will receive a rebate check, if eligible.

How to submit a rebate request Please confirm with your provider if you or your provider will submit the request.

It’s your choice. If you have created an online account, you can submit rebate requests online. You can also submit by fax or by mail:

Online:SimponiAria.JanssenCarePathSavings.com

Fax:855-820-3224

Mail:Janssen CarePath Savings Program 2250 Perimeter Park Drive, Suite 300 Morrisville, NC 27560

‡ A Rebate Form is only required when submitting a specialty pharmacy receipt. It is not required when submitting an EOB.