FIND YOUR COST
Call 1-855-QULIPTA (1-855-785-4782) Monday through Friday, 8 AM-8 PM ET to find out how much QULIPTA will cost for you.
WHOLESALE ACQUISITION COST (WAC)
The Wholesale Acquisition Cost (WAC), also known as the list price, for a 30-day supply of QULIPTA, is $991.00 as of January 2022. WAC may not reflect the price paid by patients.
UNDERSTANDING INSURANCE*
*Important details about understanding your individual costs:
The chart above provides cost information based on what a person with the type of coverage listed may pay for. Your type of health or prescription insurance plan will determine exactly how much you will pay. Information listed is accurate as of January 2022 and is based on publicly available benefit design information for Medicaid and Medicare Part D out-of-pocket costs for 2022 plan year.
†Terms and Conditions apply. This benefit covers QULIPTA® (atogepant). Eligibility: Available to patients with commercial prescription insurance coverage for QULIPTA who meet eligibility criteria. 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, patient will no longer be able to use the QULIPTA Complete Savings Card and patient must call 1.855.QULIPTA to stop participation. Under this program, an eligible patient whose insurer has imposed coverage restrictions that have not been satisfied 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 subject to change or discontinuance without notice. Restrictions, including monthly maximums, may apply. 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.
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.