Insurance information

INSURANCE
INFORMATION





ORILISSA is covered by most insurance plans*

*9 of the 10 largest national commercial insurance plans cover ORILISSA as of April 2019. Patient out-of-pocket varies by plan and insurance type. Information subject to change.


Does your insurance cover ORILISSA?

Click below to find out more about your insurance coverage.

What to Expect Around the Prior Authorization Process

A Prior Authorization is a common process for insurance companies to confirm that a medication is being prescribed appropriately.  It looks like this:


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

Your doctor submits this form to your insurance company.

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

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

Most insurance plans require a Prior Authorization for ORILISSA.



We're ready to help

If you are unsure about the status of your ORILISSA prescription or are experiencing delays getting your prescription filled, first follow up with your doctor’s office. If you still have questions or your insurance does not cover ORILISSA, give us a call at 1-844-OriForMe. Our insurance specialists are available Monday through Friday from 9 AM - 9 PM ET to help you understand your options.

 


Want to save on ORILISSA?

You might be eligible to pay as little as $5 for your prescription. Learn more about the ORILISSA Savings Card.

Eligibility restrictions apply. Click here to view them in full.


Have questions about your insurance or ORILISSA? Just give us a call at 1-844-OriForMe (1-844-674-3676)

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