Find Out Your Cost
Call 1-844-OriForMe (1-844-674-3676) to find out how much ORILISSA will cost for you.
Or, complete a short form to check on your insurance coverage.
Wholesale Acquisition Cost (WAC)
The Wholesale Acquisition Cost (WAC), also known as the list price, for a 4-week supply of ORILISSA is $844.87 as of December 2018. WAC may not reflect the price paid by patients.
Understanding Insurance†
| If you have: | You could pay: |
|---|---|
| Commercial Insurance (usually provided by an employer) | $5 per month‡ with the ORILISSA Savings Card. Learn About the Card |
| Medicaid | $8.00 or less per month, depending on state plan |
| Other Insurance (VA, DOD, Tricare, others) | Because coverage varies by plan, call 1-844-OriForMe (1-844-674-3676) to find out how much ORILISSA will cost for you. |
| Uninsured or if you cannot afford your medication | AbbVie is committed to helping the uninsured gain access to our medicines. Call 1-844-OriForMe (1-844-674-3676) or visit www.pparx.org for assistance. |
| Medicare Low Income Subsidy (LIS) | $8.50 per month starting January 1, 2019 |
| Medicare Part D | $42.00§-$522.00 per month, depending on coverage phase §Represents catastrophic phase ORILISSA cost. Monthly out-of-pocket costs for ORILISSA may vary depending on patient's other medication costs. Most Medicare patients have Standard Part D prescription coverage, which has different costs depending on deductibles and coverage gaps. We can help you understand what these costs mean to you by calling 1-844-OriForMe (1-844-674-3676). |
†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 a 4-week supply of ORILISSA (150 mg or 200 mg dose). Your type of health or prescription insurance plan will determine exactly how much you will pay. Information listed is accurate as of December 2018 and is based on publicly available benefit design information for Medicaid and Medicare Part D out-of-pocket costs for 2019 plan year.
*Terms and Conditions apply. This benefit covers ORILISSA® (elagolix). Eligibility: Available to patients with commercial prescription insurance coverage for ORILISSA 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 ORILISSA copay card and patient must call Ori for Me® at 1-844-OriForMe (1-844-674-3676) 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 Ori for Me 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.
