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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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:
Your OB/GYN submits this form to your insurance company.
Next, your insurance company will review the form and let your OB/GYN 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 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.
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
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.
IMPORTANT SAFETY INFORMATION
What is the most important information I should know about ORILISSA?
ORILISSA may cause serious side effects, including bone loss and effects on pregnancy:
- Bone Loss (decreased Bone Mineral Density [BMD])
While you are taking ORILISSA, your estrogen levels will be low. This can lead to BMD loss. If you have bone loss on ORILISSA, your BMD may improve after stopping ORILISSA, but may not recover completely. It is unknown if these bone changes could increase your risk for broken bones as you age. For this reason, your healthcare provider (HCP) may limit the length of time you take ORILISSA. Your HCP may order a DXA scan to check your BMD. - Effects on Pregnancy
Do not take ORILISSA if you are trying to become or are pregnant, as your risk for early pregnancy loss may increase. If you think you are pregnant, stop taking ORILISSA right away and call your HCP. ORILISSA may change your menstrual periods (irregular bleeding or spotting, a decrease in menstrual bleeding, or no bleeding at all), making it hard to know if you are pregnant. Watch for other signs of pregnancy, such as breast tenderness, weight gain, and nausea. ORILISSA does not prevent pregnancy. You will need to use effective hormone-free birth control (such as condoms or spermicide) while taking ORILISSA and for 28 days after stopping ORILISSA. Birth control pills that contain estrogen may make ORILISSA less effective. It is unknown how well ORILISSA works while on progestin-only birth control.
Do not take ORILISSA if you:
- Are pregnant, have osteoporosis, have severe liver disease, are taking medicines called organic anion transporting polypeptide (OATP) 1B1 inhibitors that are known or expected to significantly increase the blood levels of elagolix, the active ingredient in ORILISSA (ask your HCP if you are not sure if you are taking one of these medicines), or have had a serious allergic reaction to ORILISSA or any of the ingredients in ORILISSA. See the end of the Medication Guide for a complete list of ingredients in ORILISSA. Ask your HCP if you are not sure.
What should I tell my HCP before taking ORILISSA?
Tell your HCP about all of your medical conditions, including if you:
- Have or have had broken bones or other conditions that may cause bone problems; have or have had depression, mood problems, or suicidal thoughts or behavior; have liver problems; think you may be pregnant; or are breastfeeding or plan to be. It is unknown if ORILISSA passes into breast milk. Talk to your HCP about the best way to feed your baby if you take ORILISSA.
Tell your HCP about all of the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
Especially tell your HCP if you take birth control that contains hormones. Your HCP may advise you to change your method of birth control.
What are the possible side effects of ORILISSA?
ORILISSA can cause serious side effects including:
- Suicidal thoughts, actions, or behavior, and worsening of mood. Call your HCP or get emergency medical help right away if you have any of these symptoms, especially if they are new, worse, or bother you: thoughts about suicide or dying, attempts to commit suicide, new or worse depression or anxiety, or other unusual changes in behavior or mood. You or your caregiver should pay attention to any changes, especially sudden changes in your mood, behaviors, thoughts, or feelings.
- Abnormal liver tests. Call your HCP right away if you have any of these signs and symptoms of liver problems: yellowing of the skin or the whites of the eyes (jaundice), dark amber-colored urine, feeling tired, nausea and vomiting, generalized swelling, right upper stomach area pain, or bruising easily.
The most common side effects of ORILISSA include: hot flashes and night sweats, headache, nausea, difficulty sleeping, absence of periods, anxiety, joint pain, depression, and mood changes.
These are not all of the possible side effects of ORILISSA. This is the most important information to know about ORILISSA. For more information, talk to your HCP.
Take ORILISSA exactly as your HCP tells you. Tell your HCP if you have any side effect that bothers you or that does not go away. Call your doctor for medical advice about side effects.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1‑800‑FDA‑1088.
If you are having difficulty paying for your medicine, AbbVie may be able to help. Visit AbbVie.com/myAbbVieAssist to learn more.
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Please click here for Full Prescribing Information and Medication Guide.