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ELIGIBLE PATIENTS MAY
PAY AS LITTLE AS
$25†
PER 1-MONTH OR 3-MONTH
PRESCRIPTION FILL
This offer is available to patients with commercial prescription insurance coverage for a valid prescription of Taytulla®. Offer not valid for patients enrolled in Medicare, Medicaid, or other federal or state healthcare programs. Patients residing in or receiving treatment in certain states may not be eligible.
†Depending on insurance coverage, eligible patients may pay as little as $25 for each of up to 13 one-month Taytulla® prescription fills OR each of up to 4 three-month Taytulla® prescription fills. Check with your pharmacist for your copay discount. Maximum savings limits apply; patient out-of-pocket expense will vary.
See Program Terms, Conditions, and Eligibility Criteria.
See full Prescribing Information, including Boxed Warning.
Based on the information provided, you are not eligible to participate in this program.
Thank you for your interest.
If you are a patient and have questions about the program, including savings on mail-order prescriptions, please call 1.855.439.2817.
When you redeem this card, you certify that you have not submitted and will not submit a claim for reimbursement under any federal, state, or other government programs for this prescription. Submit the claim to the primary Third-party Payer first, then submit the balance due to Change Healthcare using BIN #004682 as a Secondary Payer COB with patient responsibility amount and a valid Other Coverage Code (eg, 8). If you receive a rejection due to PA, step-edit, or NDC block, submit Other Coverage Code of 03 (Secondary Claim). The patient’s out-of-pocket expense will be reduced up to the maximum savings limit for the program. Reimbursement will be received from Change Healthcare. For any questions regarding Change Healthcare online processing, call a Savings Program Navigator at 1.800.769.3161.
Program managed by ConnectiveRx on behalf of AbbVie.
Please note that as of
November 9, 2020, patients residing in or receiving treatment in California or Massachusetts are no longer eligible to participate in this program due to laws in those states regulating pharmaceutical patient savings programs.
If you have any questions about the Taytulla Savings Program, please call 1.855.439.2817.
For more information about Taytulla, please visit taytulla.com or call AbbVie Medical Information toll-free at 1.800.678.1605.
This site is intended for U.S. consumers only.