INSURANCE
INFORMATION

What's the deal with insurance coverage?

If your insurance covers ORILISSA, then most likely, it'll lower the cost of your prescription.

What's going on behind the scenes of the insurance process?

If your insurance plan covers ORILISSA, your prescription may go through something called “Prior Authorization.”* (Don’t worry—you don’t have to do anything for this—your doctor handles it with your insurance company.) It’s a common process for insurance companies to confirm that a medication is being prescribed appropriately. Here’s how it works:

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First, there’s a form that typically asks your OB/GYN for information like your diagnosis, treatment history, and any current medications you’re on.

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Your OB/GYN submits this form to your insurance company.

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Next, your insurance company will review the form and let your OB/GYN know if the medication is covered.

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If your medication is approved, your insurance company will help pay for some of the costs of your prescription.
If it gets denied, your OB/GYN may be able to submit an appeal.

We're ready to help

With Orilissa® Complete, you have access to Insurance Specialists who can help you understand your coverage for ORILISSA and identify possible ways to save† on the cost of your prescription. And they can assist you in identifying the next steps to get your medication. If there’s a delay with your commercial insurance coverage, an Orilissa Complete Insurance Specialist will work with you to understand your options. Call us at 1-800-ORILISSA (1-800-674-5477), Monday through Friday, 8 AM–8 PM ET.

 

*Most insurance plans require a Prior Authorization for ORILISSA.

†

Eligibility restrictions apply.

Want to save on ORILISSA?

If you are an eligible commercially insured patient, you may pay as little as $5 a month* with the Orilissa Complete Savings Card.

*Eligibility restrictions apply.

Learn more
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Have questions about your insurance or ORILISSA?
We're just a phone call away at 1-800-ORILISSA (1-800-674-5477) to provide support Monday through Friday, 8AM-8PM ET.

If you’ve already paid out of pocket for ORILISSA and would like to request reimbursement, visit OrilissaRebate.