I understand that the TYMLOS Clinical Educator Network program is staffed by Radius Clinical Educators who are product experts and who will guide me on how to use the TYMLOS injection pens. I acknowledge that these Clinical Educators do not replace my medical care team, and no medical advice will be provided to me through this program. The program is intended solely to support proper product use and patient access. It does not offer medical advice or clinical decision-making support. All treatment decisions remain the sole responsibility of my prescribing healthcare provider.

The guidance provided by Clinical Educators is consistent with the U.S. FDA-approved Prescribing Information for TYMLOS. I understand that I should read the Medication Guide and Instructions for Use that accompany the product.

I understand that my assigned Clinical Educator may refer me to other Radius agents and vendors (collectively, the "Radius Reimbursement Team") who may liaise with my insurance provider and medical care team. The Radius Reimbursement Team are access experts who may assist me in understanding my insurance coverage, the prior authorization process, and any potential eligibility for co-pay support. I understand that the Radius Reimbursement Team is not a healthcare provider, insurer, or financial advisor, and does not negotiate coverage or guarantee benefits. All final coverage decisions are made by my insurance provider.

I further understand that the Radius and the Radius Reimbursement Team do not have control over my insurance coverage, benefits, or financial liability and that my coverage and financial responsibility are subject to change. Enrollment in this program does not constitute a promise or guarantee that TYMLOS will be covered by my insurance or that my co-pay obligations will be acceptable. My financial obligations may be affected by other therapies that are not Radius medicines and not supported by this program.

I acknowledge that the TYMLOS Clinical Educator Network program is funded by Radius. Sessions may also include individuals from Radius who are not Clinical Educators or members of the Radius Reimbursement Team, but who may observe sessions to provide feedback and improve the program. These individuals will not actively participate in the sessions.

I consent to be contacted by Radius Clinical Educators or the Radius Reimbursement Team via mail, email, telephone, or text message (if I provide consent) in relation to the TYMLOS Clinical Educator Network program.

I understand that my participation in this program is voluntary. I am not required to enroll in this program or receive these communications, and I can still receive TYMLOS as prescribed by my healthcare provider. I may opt out of the service at any time by informing my Clinical Educator or the Radius Reimbursement Team.

I certify that I am at least eighteen (18) years of age and that my healthcare provider has prescribed TYMLOS to me and provided me with appropriate medical guidance regarding this treatment.

I understand that the program may be revised, changed, or terminated at any time without prior notice.

By checking the checkbox below, I authorize my healthcare providers and staff, as well as any specialty pharmacies that dispense my medication, to disclose to Radius Health, Inc. and its affiliates, contractors, and agents (“Radius”), health information about me. This includes information related to my medical condition and treatment, health insurance coverage and claims, and prescriptions (including fill/refill information) (my “Health Information”).

I understand this may include information considered sensitive personal information, such as my health conditions, and that the use of this information by Radius is necessary to administer the education and access support services I am requesting. The collection, use, and disclosure of my Health Information will be for the purposes outlined below or as otherwise described in Radius’s Privacy Policy (opens in a new tab):

• Enrolling me in the TYMLOS Clinical Educator Network program;
• Informing me about the status of my prescription and fulfillment;
• Providing live virtual training on the use of the TYMLOS self-injection pen;
• Contacting my healthcare provider regarding Prior Authorizations or other insurance requirements;
• Referring me to other support programs that Radius may offer;
• Using aggregated or de-identified data to improve support services, training programs, and compliance monitoring.

I understand that I am not required to sign this Authorization and that my decision will not affect my treatment, payment, or eligibility with my healthcare provider or insurer. I understand that information disclosed under this Authorization may be re-disclosed by the recipient and may no longer be protected under federal or state privacy laws.

If I do not agree to this Authorization, or if I later revoke my consent, I understand I will not be able to participate in the TYMLOS Clinical Educator Network program or receive its related support services.

This Authorization will remain in effect for five (5) years from the date of my signature or until I am no longer participating in the program, whichever is sooner. Cancellation of this Authorization will not affect Radius’s ability to use or disclose Health Information received prior to the date of revocation.