Authorization for Use and Disclosure of My Health Information

I authorize my health care providers, including the pharmacies I use and my health plan(s), to disclose to Insmed (the manufacturer of my prescription) and its affiliates, agents, contractors, and any other person or entity assisting Insmed in the administration of the inLighten Patient Support program, my personal information (e.g., my name, gender, date of birth, address) and information about my health, including the information provided by my health care provider on any Patient Enrollment Form (collectively, “My Health Information”), for the following purposes (collectively, the “Patient Support Program Purposes”):

• To facilitate my participation in the inLighten Patient Support program;

• To investigate, verify, and determine my insurance coverage;

• To provide financial assistance and support to facilitate access to my medications as prescribed by my health care provider;

• If applicable, to facilitate a voluntary training session educating on device use and successful treatment initiation;

• To determine my initial and continuing eligibility for other assistance programs;

• To use My Health Information to contact me by phone, mail, e-mail, or text message to request further information, discuss the enrollment process, send me educational materials related to and administer my participation in the inLighten Patient Support program, evaluate treatment progress and/or the effectiveness of the inLighten Patient Support program;

• For Insmed’s internal business purposes of continuous improvement, including ongoing quality control, data analysis, product development, marketing, and research. This may include the use or development of automated tools and processes, such as those related to artificial intelligence; and

• To help ensure the accuracy and completeness of any forms, applications, or other documentation provided to Insmed by me or on my behalf

I understand that my pharmacy provider may receive financial remuneration from Insmed in exchange for My Health Information and/or for any therapy support services provided to me. I also understand that once My Health Information has been disclosed under this Authorization, federal privacy laws may no longer protect it and My Health Information may be subject to further disclosure. I further understand that if I decline to sign this Authorization, that will not affect my eligibility for health plan benefits or treatment by my health care providers, but I will not be able to participate in the inLighten Patient Support program. I understand I have the right to revoke this Authorization for any and all purposes at any time by notifying my health care provider in writing.

If I revoke this Authorization, I understand that my health care provider will stop making disclosures of My Health Information to the inLighten Patient Support program. However, I also understand that the uses and disclosures of My Health Information previously made by my health care provider to the inLighten Patient Support program in reliance on this Authorization will not be deemed invalid. This Authorization expires ten (10) years from the date of my signature, unless I revoke it or the expiration date is specified or mandated to be shorter by applicable state law. I understand that I am entitled to a copy of this Authorization once signed.

Patient Support Program Enrollment and Data Collection Consent

I agree to enroll in the inLighten Patient Support program provided by Insmed and verify that the information in the “Patient Information” section of this form is accurate and complete. I also agree that Insmed and its data processors, affiliates, agents, contractors, and any other person or entity assisting Insmed in the administration of the inLighten Patient Support program (which may include but not be limited to co-pay administrators, fulfillment/logistics partners, and patient educators) may collect, use, and disclose information about me, my finances, and my health, which may include my sensitive data and consumer health data, as listed below (collectively, “My Information”), for the Purposes defined in the Authorization for Use and Disclosure of My Health Information:

• Individual health conditions, treatment, diseases, or diagnosis;

• Social, psychological, behavioral, and medical interventions;

• Health-related surgeries or procedures;

• Use or purchase of prescribed medication;

• Bodily functions, vital signs, symptoms, or measurements related to health;

• Diagnoses or diagnostic testing, treatment, or medication;

• Data that identifies me as a consumer seeking health care services; and

• Health-related data that have been derived or inferred from the above.

I understand that I am not required to consent to processing of My Information for these purposes. However, I understand that if I do not consent, I will not be able to participate in the inLighten Patient Support program, as collection of My Information is necessary for Insmed to facilitate my participation. I understand I have the right to withdraw my consent to participate in the inLighten Patient Support program at any time. I also understand that, depending on where I live, applicable state law may grant me the right to request restrictions on Insmed’s collection, use, and disclosure of My Information. If I withdraw my consent, I understand that the uses and disclosures of My Information previously made in reliance on this Consent will not be deemed invalid. To withdraw my consent to participate in the inLighten Patient Support program or to request restrictions on the collection, use, or disclosure of My Information, I understand that I may call 833-544-4800 or write to Insmed Incorporated, Attn: inLighten Patient Support program, 700 US Highway 202/206, Bridgewater, NJ 08807.