By enrolling in the Labcorp Qfitlia (fitusiran) Antithrombin Testing Program, the healthcare provider (“You” or “Your”) is responsible for ordering testing under this program in accordance with Your own medical judgment and applicable laws. You certify that you intend to prescribe or have prescribed Qfitlia (fitusiran) to Your patient. You understand that Sanofi will cover the cost of testing for eligible patients when the diagnostic test is ordered by their healthcare provider (HCP). You understand that Labcorp may share aggregated, deidentified metrics with Sanofi. You understand the eligibility criteria set forth above and have determined that the patient meets those criteria. The patient has been informed by You that Sanofi will cover the cost of testing for eligible patients when the diagnostic test is ordered by their HCP. Patients and their HCPs are under no obligation to purchase or use any Sanofi or Labcorp products or services. Patients and HCPs must not submit any claims to any insurance provider or government health care program for reimbursement for costs through the program.