Please answer all questions to proceed.
1. Has your OBGYN/Fertility Specialist prescribed ExEm® Foam for you?
2. Are you 18 years of age or older?
3. Are you a resident of the United States, Puerto Rico, or any of the US territories?
4. Does the federal or state government pay anything for your prescription, either all of it or part of it? Examples of government programs that pay for medication are Medicaid, VA, DOD, or TRICARE.