QULIPTA™ (atogepant)
SUPPORT & SAVINGS

Whether you’re already using QULIPTA™ (atogepant), or just looking to learn more about it, you’re just a few clicks away from QULIPTA resources and potential savings.

To see how we can help , let’s learn a little more about you.

QULIPTA™ (atogepant)
SUPPORT & SAVINGS

Whether you’re already using QULIPTA™ (atogepant), or just looking to learn more about it, you’re just a few clicks away from QULIPTA resources and potential savings.

To see how we can help , let’s learn a little more about you.

SAVINGS CARD
for as little as
$0
A Month

LET’S GET YOU STARTED with
savings & Support

Take advantage of personalized support and savings with the QULIPTA Patient Savings Program.

Fill out the information below and submit to enroll.

Once enrolled, here’s what you can expect:

quick, affordable access to Qulipta 

Eligible commercially insured patients pay as little as $0 a month. If you experience an insurance delay or denial, eligible patients can receive QULIPTA shipped directly to their door*

quick, affordable access to Qulipta 

Eligible commercially insured patients pay as little as $0 a month. If you experience an insurance delay or denial, eligible patients can receive QULIPTA shipped directly to their door*

quick, affordable access to Qulipta 

Eligible commercially insured patients pay as little as $0 a month. If you experience an insurance delay or denial, eligible patients can receive QULIPTA shipped directly to their door*

Questions? Support is only a phone call away. Call 1-855-QULIPTA (1-855-XXXXX) Monday through Friday, 8AM-8PM ET

*Terms and Conditions apply. This benefit covers QULIPTA. Eligibility: Available to patients with commercial prescription insurance coverage for QULIPTA who meet eligibility criteria. Copay assistance program is not available to patients receiving prescription reimbursement under any federal, state, or government-funded insurance programs (for example, Medicare [including Part D], 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. 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 QULIPTA Patient Savings Program Card and patient must call QULIPTA at 1-800-QULIPTA and stop use of the copay card. Patients residing in or receiving treatment in certain states may not be eligible. Patients may not seek reimbursement for value received from QULIPTA Patient Savings Program, including the copay card, from any third-party payers. Offer subject to change or discontinuance without notice. Restrictions, including monthly maximums, may apply. This is not health insurance.

SAVINGS & SUPPORT
MADE SIMPLE

START AND STAY ON TRACK FOR AS LITTLE AS $0* WITH 3 EASY STEPS

SAVINGS & SUPPORT
MADE SIMPLE

START AND STAY ON TRACK FOR AS LITTLE AS $0 WITH 3 EASY STEPS.

Could QULIPTA be right for you?
QULIPTA™ (atogepant) Complete Enroll Now

1. ENROLL NOW

  • Click the button below and provide the requested information. You can start using your savings card right away!
QULIPTA™ (atogepant) Complete Start Saving

2. START SAVING

  • Eligible, commercially insured patients can pay as little as $0 a month*
  • If you experience issues with insurance coverage, we offer additional support options to help eligible patients get QULIPTA
QULIPTA™ (atogepant) Complete Get Support

3. GET SUPPORT

  • QULIPTA Complete Insurance Specialists will help you understand your insurance coverage and identify the next steps to getting your prescribed treatment
  • QULIPTA Complete Support Specialists can answer your questions about QULIPTA, and help you establish a daily routine to achieve your personal goals

For eligible, commercially insured patients.
Terms, Conditions, and Eligibility Criteria apply.*

Home delivery may be an option for you. Contact your pharmacy or insurance provider to learn more.

Questions? Support is only a phone call away. Call 1-855-QULIPTA (1-855-785-4782) Monday through Friday, 8 AM-8 PM ET

If you’ve already paid out of pocket for QULIPTA and would like to request reimbursement, visit Complete Rebate

SEND A TEXT, GET YOUR SAVINGS CARD

Text Enroll to 785478 for instructions on how to enroll in QULIPTA Complete; to opt-in to support messages; and to receive a QULIPTA Complete Savings Card (if eligible). You will complete the process entirely by text message.

Message and data rates may apply. You are not required to consent as a condition of purchase. You can reply HELP for help. You can reply STOP to opt out at any time. By texting ENROLL to 785478, you agree to program Terms and Conditions and AbbVie's Privacy Policy

SEND A TEXT, GET YOUR SAVINGS CARD

Text "Enroll" to 785478 for instructions on how to enroll in QULIPTA Complete; to opt-in to support messages; and to receive a QULIPTA Complete Savings Card (if eligible). You will complete the process entirely by text message.

Message and data rates may apply. You are not required to consent as a condition of purchase. You can reply HELP for help. You can reply STOP to opt out at any time. By texting ENROLL to 785478, you agree to program Terms and Conditions and AbbVie's Privacy Policy

If you’ve enrolled or a healthcare provider has processed your enrollment, what’s next?

QULIPTA™ (atogepant) Complete Support Specialist

A QULIPTA Complete Support Specialist will call you directly to help you navigate your insurance options, and help you access QULIPTA

QULIPTA™ (atogepant) Complete Mobile

If you miss the call or have questions, call us at 1-855-QULIPTA, Monday–Friday, 8 AM to 8 PM ET
 

*Terms and Conditions apply. This benefit covers QULIPTA™ (atogepant). Eligible patients will receive copay assistance through one or more forms, such as a savings or copay card, and enrollment requirements may vary. Eligibility: Available to patients with commercial prescription insurance coverage for QULIPTA who meet eligibility criteria. The eligibility criteria varies by the form of copay assistance provided and will be made available to you as part of the enrollment process for the form or forms that you apply to receive. The program is not available to cash-paying patients or patients receiving prescription reimbursement under any federal, state, or government-funded insurance programs (for example, Medicare [including Part D], 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. If at any time a patient begins receiving prescription drug coverage under any such federal, state, or government-funded healthcare program, the patient will no longer be able to use the QULIPTA Complete Savings Card, and the patient must call 1.855.QULIPTA to stop participation. Patients may be eligible to receive up to twelve 30-day fills at no charge where coverage is not available until the insurer has established a coverage review process. Under this program, once an insurer has established a review process for coverage requests, eligible patients may receive up to a maximum of two 30-day fills at no charge for an FDA approved indication while coverage is pending. This payment may not be applied towards any out-of-pocket limits or other deductibles under patient’s insurance coverage. Patients residing in or receiving treatment in certain states may not be eligible. Patients may not seek reimbursement for value received from QULIPTA Complete from any third-party payers. Offer to enroll in the QULIPTA™ (atogepant) Copay Assistance Program is subject to change, reduction in amount of monetary assistance, or discontinuance without notice. Restrictions, including duration of the QULIPTA™ (atogepant) Copay Assistance program, available form(s) of copay assistance, and monthly maximums, may apply. Call 1.855.QULIPTA for more information. This assistance offer is not health insurance. By redeeming this card, you acknowledge that you are an eligible patient and that you understand and agree to comply with the terms and conditions of this offer. To learn about AbbVie’s privacy practices and your privacy choices, visit www.abbvie.com/privacy.html

To Pharmacists: For further information, please contact 800-364-4767.

QULIPTA Complete Support Specialists are provided by AbbVie and do not work under the direction of your healthcare professional (HCP) or give medical advice. They are trained to direct patients to their HCP for treatment-related advice, including further referrals.