*As of July 15, 2020.
Coverage varies by channel: Commercial: 94%;
Managed Medicaid: 76%; Fee-for-Service Medicaid: 79%;
Department of Defense/Veterans Affairs: 100%.
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See which plans in your area provide coverage for ORILISSA
Coverage requirements and benefit designs vary by payer and may change over time. Please consult with payers directly for the most current reimbursement policies. The health plans and/or pharmacy benefit managers listed here have not endorsed and are not affiliated with this material.

†Formulary definitions: Access means the product is covered and not NDC blocked. Restrictions may apply. Available and/or Covered is defined as patient has access and plan coverage of product at any formulary or non-formulary tier and product is not NDC blocked. Step edits, prior authorization, and other restrictions apply. Covered on formulary is defined as patient has access and plan coverage of product at any formulary tier and product is not NDC blocked. Step edits, prior authorization, and other restrictions apply. Lowest Branded Copay means the product is in the formulary tier status designated by the insurer as the lowest branded copay in the therapeutic class.