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To see if you qualify for the Savings Card, fill out the form below.

You are not eligible for the Savings Card.

The Orilissa Savings Card is only available to patients with commercial prescription insurance coverage for ORILISSA. 

The Orilissa Savings Card is not available to patients receiving prescription drug coverage under any federal, state, or government-funded insurance program.

Although you are not eligible for the Savings Card, you may still be able to save on your prescription costs by downloading the Rebate Form.†

The Orilissa Savings Card is only available to patients with commercial prescription insurance coverage for ORILISSA. 

The Orilissa Savings Card is not available to patients receiving prescription drug coverage under any federal, state, or government-funded insurance program.

Privacy Notice

AbbVie may collect your personal data through your online and offline interactions with us, including your contact data and health-related data...

...We may also collect your online usage data automatically through cookies and similar technologies. We use this information for several purposes, such as to provide you with, administer, and improve our programs, services and products, customize your experiences, and for research and analytics. We retain your personal data for as long as necessary to fulfill these purposes or to comply with our record retention obligations. We do not sell your personal data, but may use and disclose your personal data with marketing and advertising partners to deliver you ads based on your interests inferred from your activity across other unaffiliated sites and services (“online targeted advertising”) and for website analytics. To opt out of the use or disclosure of your personal data for online targeted advertising or for website analytics, go to Your Privacy Choices on our website. For more information on the personal data categories we collect, the purposes for their collection, disclosures to third parties, and data retention, visit our Privacy Notice.

Through my submission of the Enrollment Form, I consent to the collection, use, and disclosure of my personal health data, as described in the Privacy Notice above and in AbbVie’s Privacy Notice in the “How We May Disclose Personal Data” section. My consent is required to process sensitive personal data under certain privacy laws, and I have the right to withdraw my consent by visiting “Your Privacy Choices” on AbbVie’s website. 

The Orilissa Savings Card is only available to patients with commercial prescription insurance coverage for ORILISSA. The Orilissa Savings Card is not available to patients receiving prescription drug coverage under any federal, state, or government-funded insurance program. If at any time you begin receiving prescription drug coverage under any federal, state, or government-funded program, you will no longer be eligible to participate in the Orilissa Savings Card Program and you may no longer use the Orilissa Savings Card.

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Form Name:

Form Category:

Account Management, Contact, Interactions, Quiz, Registration, Services

 

Form Sub-Category:

Password Resets, Login, Profile, Representative, Contact Us, Polls, Social Share, Doctor Discussion Guide, Dosing Guide, Symptom Checker, Knowledge Assessment, Event, More Info, Sign Up, Saving Card, Benefit Verification, Benefit Enrollments, Medical Exception, Injection Form, Share a Story

Form MVA Name:

Form MVA Type:

Download, Form, Link, Share, Tool, Video

Form MVA Tier:

Form MVA Category:

Savings Card, Insurance, Symptom Journal, Test Score Tracker, Condition Information, Doctor Discussion Guide, Dosing Information, Enrollment Form, Flashcard, Medical Exception, Patient Counseling Guide, Savings Card, Symptom Journal, Doctor Discussion Guide, Doctor Search, Dosage Calculator, Enroll, Med Reminders, Quick Poll, Resource Request, Symptom Quiz, UGC Submission, Contact Rep, Savings Card, Social Share, App Store, More Info, Patient Resources, Share Information, Share Results, Submit a Story, Assessment Tool, Benefits Verification, Carousel, Initiation, Myth versus Fact, Workaround Quiz, Formulary Tool, Image Expand, Medical Exception, Q And A, Slider, Administration Instructions, Condition Information, Insurance, Inventory, Mechanism of Action, Patient Story, Product Overview, Program Overview, Injection Training, Other

 

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