Insurance information

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.


Most insurance plans cover ORILISSA.* Does yours?



*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.

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 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.




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 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.


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.