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Your UBRELVY Complete Savings Card is just a few clicks away.
All fields are required unless marked "Optional."
See if you're eligible for the UBRELVY Complete Savings Card
Your potential savings options are based on the type of insurance you have.
This type of health insurance is offered through an employer or the Affordable Care Act. A spouse may be covered through the spouse's insurance plan, a child up to age 26 may be covered on a parent's insurance plan, and dependents may be covered on a family member's plan. ;;
Prescription drugs are covered under Medicare Supplemental (Part D) and most Medicare Advantage Plans (Part C). You must be enrolled in these plans.
You must have commercial or private insurance to be eligible for the UBRELVY Complete Savings Card. You are still eligible for UBRELVY Complete and its other offerings. ;;
Government-funded plans cover federal employees, their families, and TRICARE enrollees. Veterans Affairs (VA) offers healthcare services for veterans.
Activate your UBRELVY Complete Savings Card now.
Enter the ID number found on the front of your Savings Card:
This Savings Card ID number has already been activated.
Please provide a valid ID number.
Please provide a valid ID number
Your date of birth ensures you are 18 years of age or older. It also helps us accurately recognize you in our records.
Your email is used to enroll you in UBRELVY Complete and to provide access to your UBRELVY Complete Savings Card, if eligible.
Email is Invalid
Your ZIP code will be used only to provide assistance with this program.
Please provide a valid ZIP code.
I consent to receive automated and recurring UBRELVY text messages from AbbVie, including marketing messages and helpful reminders to the provided mobile number. Message and data rates may apply. I am not required to consent as a condition of receiving goods or services. I can reply HELP for help. I can reply STOP to opt out at any time. View privacy notice and mobile T&C here.
I consent to the collection, use, and disclosure of my health-related personal data to receive communications from AbbVie regarding its products, programs, services, clinical trials, research opportunities and for online targeted advertising as further described in the "How we use your Personal Data", "How we disclose Personal Data", and "Cookies and similar tracking and data collection technologies" sections of our Privacy Notice. My consent is required to process sensitive personal data under certain privacy laws, and I have the right to withdraw my consent by visiting "Your Privacy Choices" on AbbVie’s website.
Privacy Notice:
AbbVie may collect your personal data through your online and offline interactions with us, including your contact, demographic, geolocation, and health-related data.
We may also collect your online usage data automatically through cookies and similar technologies. We use this information for several purposes, such as to provide you with, administer, and improve our programs, services and products, customize your experiences, and for research and analytics. We retain your personal data for as long as necessary to fulfill these purposes or to comply with our record retention obligations. We do not sell your personal data, but may use and disclose your personal data with marketing and advertising partners to deliver you ads based on your interests inferred from your activity across other unaffiliated sites and services (“online targeted advertising”) and for website analytics. To opt out of the use or disclosure of your personal data for online targeted advertising or for website analytics, go to Your Privacy Choices on our website. For more information on the personal data categories we collect, the purposes for their collection, disclosures to third parties, and data retention, visit our Privacy Notice.
Consent to process my sensitive personal information:
Through my submission of the registration form, I consent to the collection, use, and disclosure of my personal health data, as described in the Privacy Notice above and in AbbVie’s Privacy Notice in the "How We May Disclose Personal Data" section. My consent is required to process sensitive personal data under certain privacy laws, and I have the right to withdraw my consent by visiting "Your Privacy Choices" on AbbVie’s website.
Sign up for updates
UBRELVY Complete is only for patients who are prescribed UBRELVY for migraine. Sign up to stay up to date with the latest information.
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PROGRAM TERMS AND CONDITIONS:
1. This offer is valid for patients 18 years of age or older and is good for use only with a valid prescription for UBRELVY® (ubrogepant) tablets at the time the prescription is filled by the pharmacist and dispensed to the patient.
2. 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 program and must cease participation. This offer is not valid for cash-paying patients.
3. Eligible commercially insured patients may pay as little as $0 per monthly prescription fill. Patient out-of-pocket expense will vary; check with your pharmacist for your co-pay discount. Restrictions, including monthly, quarterly, and/or annual maximums, may apply.
4. Subject to all other terms and conditions, a commercially insured patient whose plan covers UBRELVY may receive up to a maximum annual savings of $7000 per calendar year, solely for the patient’s benefit, under this program. Commercially insured patients for whom coverage is not available because the insurer has not established a coverage review process may be eligible to receive up to 4 one-month fills at no charge. Under this program, once an insurer has established a review process for coverage requests, commercially insured patients may receive up to a maximum of 2 one-month fills at no charge for an FDA-approved indication while coverage is pending.
5. Patients may not seek reimbursement for value received from this savings program from any third-party payers.
6. AbbVie reserves the right to rescind, revoke, or amend this offer without notice.
7. 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 participate in this program.
8. Void if prohibited by law, taxed, or restricted.
9. This card is not transferable. The selling, purchasing, trading, or counterfeiting of this card is prohibited by law.
10. This card 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.
11. This offer is not health insurance.
12. 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 program, including savings on mail-order prescriptions, or to activate your card ID, please call 1-844-577-6239.
To learn about AbbVie’s privacy practices and your privacy choices, visit https://abbv.ie/corpprivacy
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