12/11/2023 0 Comments Prolia copay assistance cardPatients residing in or receiving treatment in certain states may not be eligible. If at any time a patient begins receiving prescription drug coverage under any such federal, state, or government-funded healthcare program, patient will no longer be able to use the LUPRON DEPOT Rebate and patient must call 1-85 1-85 to stop participation. This assistance program is not available to patients receiving prescription reimbursement under any federal, state, or government-funded insurance programs (for example, Medicare, Medicare Advantage, Medigap, Medicaid, TRICARE, Department of Defense, or Veterans Affairs programs) or where prohibited by law or by the patient’s health insurance provider nor may patients seek reimbursement for any payments made for LUPRON DEPOT using any federal or state tax-exempt account (e.g., Health Savings Account, Flexible Spending Account, or Health Reimbursement Account). †Eligibility: Available to cash-paying patients and patients with commercial prescription insurance coverage for LUPRON DEPOT (leuprolide acetate for depot suspension) and generic norethindrone acetate in the United States who meet eligibility criteria. You may not combine this offer with any other rebate, coupon, free trial, or similar offer. LUPRON DEPOT is a registered trademark of AbbVie Inc. reserves the right to rescind, revoke, or amend this offer without notice. To learnĪbout AbbVie’s privacy practices and your privacy choices, visit ĪbbVie Inc. Patient and that you understand and agree to comply with the terms and conditions of this offer. By redeeming this card, you acknowledge that you are an eligible ThisĪssistance offer is not health insurance. The benefit available under the co-pay assistance program may vary on a monthly, quarterly, and/or annualīasis, depending on each individual patient’s plan of insurance and other prescription drug costs. The calendar year for patients receiving LUPRON DEPOT every 3 months. May be available solely for the patient’s benefit under the co-pay assistance program is $300.00 per monthĭuring the calendar year for patients receiving LUPRON DEPOT every month or $600.00 per month during Subject to all other terms and conditions, the maximum monthly benefit that Offer subject to change or discontinuation without notice. Patients may not seek reimbursement for value received from the LUPRON DEPOT Savings Programįrom any third-party payers. Patients residing in or receiving treatment in certain states may not beĮligible. If at any time a patient begins receivingĭrug coverage under any such federal, state, or government-funded healthcare program, patient will no longerīe able to use the LUPRON DEPOT Co-pay Savings Card and patient must call LUPRON DEPOT atġ-85 to stop participation. Where prohibited by law or by the patient’s health insurance provider. Medicare Advantage, Medigap, Medicaid, TRICARE, Department of Defense, or Veterans Affairs programs) or Co-pay assistance program is not available to patients receiving reimbursement underĪny federal, state, or government-funded insurance programs (for example, Medicare , Eligibility: Available to patients with commercial insurance coverage for LUPRON DEPOT who This benefit covers LUPRON DEPOT ® (leuprolide acetate for depot
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