Safety Information Update for Healthcare Providers
There has been a change to the Prescribing Information. You can talk with your doctor for more information.
If you and your doctor are discussing the use of LUPRON DEPOT, or if you have already started treatment, you may be eligible for savings on your prescription co-pay.*
You could pay as little as
toward your out-of-pocket cost per dose of LUPRON DEPOT
You save up to
for 1-month 3.75-mg dose
You save up to
for 3-month 11.25-mg dose
To see if you qualify for a Savings Card, fill out the form below.
(Answers to all questions are required, unless otherwise noted.)
*Eligibility: Available to patients in the United States with commercial prescription insurance coverage for LUPRON DEPOT® (leuprolide acetate for depot suspension) and generic norethindrone acetate who meet eligibility criteria. Co-pay assistance program is not available to patients receiving prescription reimbursement under any federal, state or government-funded insurance programs (for example, Medicare (including Part D), Medicare Advantage, Medigap, Medicaid, TRICARE, Department of Defense or Veteran’s Affairs programs) or where prohibited by law or by the patient’s health insurance provider. If at any time a patient begins receiving prescription drug coverage under any such federal, state or government-funded healthcare program, patient will no longer be able to use the LUPRON DEPOT® card and patient must call 1-855-587-76631-855-587-7663 to stop participation. Patients residing in or receiving treatment in certain states may not be eligible. Patients may not seek reimbursement for value received from this card from any third-party payers. Offer subject to change or discontinuance without notice. Restrictions, including monthly maximums, may apply. This is not health insurance.
Good for out-of-pocket expenses up to $125 on your 3.75 mg LUPRON DEPOT prescription after the initial $10 co-pay or up to $250 on your 3-Month 11.25 mg LUPRON DEPOT prescription after the initial $10 co-pay. AbbVie Inc. reserves the right to rescind, revoke, or amend this offer without notice. LUPRON DEPOT is a registered trademark of AbbVie Inc. You may not combine this offer with any other rebate, coupon, free trial, or similar offer.
If your pharmacy isn't able to process your Savings Card for instant savings, you may still be eligible† to get LUPRON DEPOT for as little as $10 per dose by receiving a rebate for the amount you paid out of pocket for your prescription. Simply download and fill out the Rebate Form, then mail it in or fax it to 1-908-548-0968, along with your pharmacy or treatment receipt.
†Eligibility: Available to cash-paying patients and patients with commercial prescription insurance coverage for LUPRON DEPOT (leuprolide acetate for depot suspension) and generic norethindrone acetate in the United States who meet eligibility criteria. This assistance program is not available to patients receiving prescription reimbursement under any federal, state, or government-funded insurance programs (for example, Medicare [including Part D], Medicare Advantage, Medigap, Medicaid, TRICARE, Department of Defense, or Veterans Affairs programs) or where prohibited by law or by the patient’s health insurance provider nor may patients seek reimbursement for any payments made for LUPRON DEPOT using any federal or state tax-exempt account (e.g., Health Savings Account, Flexible Spending Account, or Health Reimbursement Account). If at any time a patient begins receiving prescription drug coverage under any such federal, state, or government-funded healthcare program, patient will no longer be able to use the LUPRON DEPOT Rebate and patient must call 1-855-587-76631-855-587-7663 to stop participation. Patients residing in or receiving treatment in certain states may not be eligible. Patients may not seek reimbursement for value received from this program from any third-party payers and assistance from this program may not be combined with any other rebate, coupon, free trial, or similar offer. Offer subject to change or discontinuance without notice. Restrictions, including monthly maximums, may apply. This is not health insurance.
Learn about LUPRON DEPOT for endometriosis.
Learn about LUPRON DEPOT for anemia prior to uterine fibroid surgery.
Request LUPRON DEPOT 3.75 mg 1-Month Samples. If you have questions or experience any difficulty requesting samples, please reach out to AbbVie Sampler at: 1-847-938-96961-847-938-9696 or DTP@abbvie.com.
Information and tools to help your patients access LUPRON DEPOT. AbbVie partners with two Hub Services Partners, RxCrossroads and AbbVie Insurance Specialist, to help streamline the LUPRON DEPOT and Add-back* procurement process.
*Norethindrone acetate 5 mg daily.
†Eligibility restrictions may apply. See LUPRON DEPOT or LUPRON DEPOT + Add-back* Savings Card for details.
*Norethindrone acetate 5 mg daily.
†Eligibility restrictions may apply. See LUPRON DEPOT or Add-back* Savings Card for details.
criteria may vary by plan
1. A diagnosis of endometriosis
2. Initial treatment of endometriosis, not to exceed 6 months
3. Retreatment of endometriosis, not to exceed 6 months
4. Suspected endometriosis
5. Management of endometriosis, including pain relief. Reduction of endometriotic lesions for LUPRON DEPOT.
6. Endometriosis confirmed by laparoscopy and resistant to first-line treatment in females 18 years of age and older
7. Endometriosis not confirmed by laparoscopy when other potential causes have been excluded
*Norethindrone acetate 5 mg daily.
criteria may vary by plan
1. Diagnosis of fibroids
2. Diagnosis of anemia due to uterine fibroids, including previous treatment with iron therapy
3. Must be administered in conjunction with iron therapy
4. Preoperative hematologic improvement of patients with anemia due to heavy bleeding caused by uterine leiomyomata, preceded by a 1-month trial of iron therapy alone
A referral service to help streamline the LUPRON DEPOT and Add-back* procurement process
1-855-587-76631-855-587-7663
A referral service to help streamline the LUPRON DEPOT and Add-back* procurement process
1-888-857-06361-888-857-0636
A time-saving tool for submitting prior authorization (PA) forms for many specialty drugs covered under most drug plans.
1-866-452-50171-866-452-5017
1-800-222-68851-800-222-6885
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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