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1. This offer is valid only for patients 18 years of age or older and is good for use only with a valid prescription for QULIPTA® (atogepant) tablets at the time the prescription is filled by the pharmacist and dispensed to the patient. 2. This offer is not valid for use by patients enrolled in Medicare, Medicaid, or other federal or state programs (including any state pharmaceutical assistance programs) or private indemnity or HMO insurance plans that reimburse you for the entire cost of your prescription drugs. If at any time, a participating patient begins receiving prescription drug coverage under any federal, state, or government-funded healthcare program, the patient will no longer be eligible for the Qulipta Complete Savings Card and must cease participation. This offer is not valid for cash-paying patients. 3. Eligible commercially insured patients may pay as little as $0 per monthly prescription fill. Patient out-of-pocket expense will vary; check with your pharmacist for your co-pay discount. Restrictions, including monthly, quarterly, and/or annual maximums, may apply. 4. Subject to all other terms and conditions, a commercially insured patient whose plan covers QULIPTA may receive up to a maximum annual benefit of $7,000 per calendar year, solely for the patient’s benefit, when using the Qulipta Complete Savings Card. Commercially-insured patients for whom coverage is not available because the insurer has not established a coverage review process may be eligible to receive up to 2 one-month fills at no charge for an FDA-approved indication. Under this program, once an insurer has established a review process for coverage requests, commercially insured patients may receive up to a maximum of 2 one-month fills at no charge for an FDA-approved indication while coverage is pending. 5. Patients may not seek reimbursement for value received from the Qulipta Complete Savings Card from any third-party payers. 6. AbbVie reserves the right to rescind, revoke, or amend this offer without notice. 7. Offer good only in the USA, including Puerto Rico, at participating retail pharmacies. Patients residing in or receiving treatment in certain states may not be eligible to participate in this program. 8. Void if prohibited by law, taxed, or restricted. 9. This card is not transferable. The selling, purchasing, trading, or counterfeiting of this card is prohibited by law. 10. This card has no cash value and may not be used in combination with any other discount, coupon, rebate, free trial, or similar offer for the specified prescription. 11. This offer is not health insurance. 12. By redeeming this offer, you acknowledge that you are an eligible commercially-insured patient and that you understand and agree to comply with the above terms and conditions., Compare prices and print coupons for Qulipta and other drugs at CVS, Walgreens, and other pharmacies. Prices start at $1,057.79, Enroll now to get savings and support from the QULIPTA™ Complete savings program. See full Patient and Safety Information..
Find information on cost and Qulipta, including financial and insurance assistance, ways to lower long-term costs, and more., Save on Qulipta & pay only $80/month for your Qulipta prescription. The Rx Advocates helps you access patient assistance programs., The Qulipta Complete Savings Card - Non-covered benefit offers significant savings for patients prescribed Qulipta. The program is designed for patients with private insurance who face coverage challenges., Discover ways to save on your prescriptions at Walgreens with the Rx Savings Finder. Access third-party discount coupons that can be applied to your Rx., QULIPTA® (ATOGEPANT) tablets UBRELVY® (UBROGEPANT) tablets AbbVie Patient Access Support includes programs that provide access and financial support and treatment-related resources to patients. We can help identify financial assistance options to support patients in accessing prescribed AbbVie medications. We understand that there’s a lot more to you than just your condition. Think of us , How much does Qulipta (atogepant) cost? And what’s the 30-60-90 day supply cost of Qulipta with and without insurance? Find out in our guide..