UBRELVY CHALLENGE OFFER TERMS AND CONDITIONS:
- This offer is valid only for eligible commercially insured patients 18 years of age or older who are currently taking an oral triptan medication and have a valid prescription for UBRELVY® (ubrogepant) tablets.
- This offer is not valid for use by patients enrolled in Medicare, Medicaid, or other federal or state programs (including any state pharmaceutical assistance programs) or private indemnity or HMO insurance plans that reimburse you for the entire cost of your prescription drugs. If at any time a participating patient begins receiving prescription drug coverage under any federal, state, or government-funded healthcare program, the patient will no longer be eligible for this offer and must cease participation. This offer is not valid for cash-paying patients.
- Depending on insurance coverage, eligible commercially insured patients may pay as little as $0 for one (1) prescription fill of UBRELVY. Between two (2) and six (6) weeks after activating this offer, an eligible commercially insured patient choosing to refill their oral triptan medication pursuant to a valid prescription may also pay as little as $0 for one (1) prescription fill of that oral triptan medication. Patient out-of-pocket expense will vary; check with your pharmacist for your copay discount. Restrictions, including savings maximums, apply. Coupon for oral triptan medication becomes valid two (2) weeks from the date the patient activates this offer and expires six (6) weeks from the date the patient activates this offer.
- Eligible commercially insured patients registering for and redeeming a prescription fill of UBRELVY pursuant to this UBRELVY Challenge offer acknowledge and agree that they are simultaneously enrolling in the UBRELVY Complete Savings Program, and further acknowledge and agree that they understand and will comply with the UBRELVY Complete Savings Program Terms and Conditions set forth at https://www.ubrelvy.com/savings-terms.
- Subject to the UBRELVY Complete Savings Program Terms and Conditions, including the maximum savings and fill limits, with this UBRELVY Challenge offer: (a) a commercially insured patient whose plan covers UBRELVY may receive up to a maximum savings of the cost for one fill of UBRELVY, solely for the patient’s benefit; and (b) a commercially insured patient for whom coverage for UBRELVY is not available because their insurer has not established a coverage review process may be eligible to receive up to one (1) one-month fill at no charge. In addition, commercially insured patients may receive up to a maximum savings of the cost for one (1) refill of their oral triptan medication, solely for the patient’s benefit, with this offer. Patients may not seek reimbursement for value received pursuant to this offer from any third-party payers.
- AbbVie reserves the right to rescind, revoke, or amend this offer without notice.
- Offer good only in the USA, including Puerto Rico, at participating retail pharmacies. Patients residing in or receiving treatment in certain states may not be eligible to redeem this offer.
- Void if prohibited by law, taxed, or restricted.
- This offer is not transferable. The selling, purchasing, trading, or counterfeiting of this offer is prohibited by law.
- This offer has no cash value and may not be used in combination with any other discount, coupon, rebate, free trial, or similar offer for the specified prescription.
- This offer is not health insurance.
- By redeeming this offer, you acknowledge that you are an eligible commercially insured patient and that you understand and agree to comply with the above terms and conditions.
For questions about the UBRELVY Challenge offer or the UBRELVY Complete Savings Program, please call 1-844-577-6239.
To learn about AbbVie’s privacy practices and your privacy choices, visit https://abbv.ie/corpprivacy.
