If your insurance covers ORILISSA, then most likely, it'll lower the cost of your prescription.
*9 out of 10 of the largest national commercial insurance plans cover ORILISSA as of April 2019. Patient out-of-pocket cost varies by plan and insurance type. Information subject to change.
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:
First, there’s a form that typically asks your gynecologist for information like your diagnosis, treatment history, and any current medications you’re on.
Your gynecologist submits this form to your insurance company.
Next, your insurance company will review the form and let your gynecologist 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 gynecologist may be able to submit an appeal.
If you are unsure about the status of your ORILISSA prescription or are experiencing delays getting your prescription filled, first follow up with your gynecologist'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.
†Most insurance plans require a Prior Authorization for ORILISSA.
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.
†Remember to always talk to your doctor for medical guidance. Ori for Me nurses do not offer medical advice.
‡Eligibility restrictions apply. Click here to view them in full.