SUPPORT PLUS PROVIDES YOUR PATIENTS WITH THE INFORMATION AND SUPPORT THEY NEED THROUGHOUT THEIR TREATMENT
- Help patients navigate their insurance coverage
- Potential ways for patients to save on their prescription
- Live nurse support*
- Certified nurses are provided by AbbVie and do not work under the direction of a healthcare professional (HCP) or give medical advice. They are trained to direct patients to their HCP for treatment-related advice, including further referrals.
Instant Savings Card
†Terms and Conditions apply. This benefit covers LUPRON DEPOT-PED® (leuprolide acetate for depot suspension). Eligibility: Available to patients with commercial insurance coverage for LUPRON DEPOT-PED who meet eligibility criteria. Co-pay assistance program is not available to patients receiving 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. If at any time a patient begins receiving drug coverage under any such federal, state, or government-funded healthcare program, patient will no longer be able to use the LUPRON DEPOT-PED Instant Savings Card and patient must call LUPRON DEPOT-PED at 1-855-587-7667 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 the LUPRON DEPOT-PED Instant Savings Program from any third-party payers. Offer subject to change or discontinuation without notice. Restrictions, including monthly maximums, may apply. Subject to all other terms and conditions, the maximum annual benefit that may be available solely for the patient’s benefit under the co-pay assistance program is $4,000 per calendar year for patients receiving LUPRON DEPOT-PED every month or $7,000 per calendar year for patients receiving LUPRON DEPOT-PED every 3 months. The actual application and use of the benefit available under the co-pay assistance program may vary on a monthly, quarterly, and/or annual basis, depending on each individual patient’s plan of insurance and other prescription drug costs. This assistance offer is not health insurance. By redeeming this card, you acknowledge that you are an eligible patient and that you understand and agree to comply with the terms and conditions of this offer. To learn about AbbVie’s privacy practices and your privacy choices, visit https://privacy.abbvie.
NURSE SUPPORT HOTLINE
Parents and caregivers of children on LUPRON DEPOT-PED can speak to a certified nurse* about LUPRON DEPOT-PED treatment, potential ways to save, and more, at no cost.
Toll-free hotline: 1-855-LUPRON-P (1-855-587-7667), Monday through Friday, 7 AM–7 PM CT
*Certified nurses are provided by AbbVie and do not work under the direction of a healthcare professional (HCP) or give medical advice. They are trained to direct patients to their HCP for treatment-related advice, including further referrals.
MEDICAL NECESSITY LETTER
The guidance presented here is for informational purposes only and is not intended to provide reimbursement or legal advice. AbbVie does not guarantee that the use of any information provided will result in coverage or payment by any third-party payer. You are responsible for the submission based on your clinical judgment.