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Full Prescribing Information, including Boxed Warning

ELIGIBLE PATIENTS MAY
PAY AS LITTLE AS
$25^†
PER 1-MONTH OR 3-MONTH
PRESCRIPTION FILL

You may be eligible^† for savings. Sign-up is easy. Start now!

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.

Please tell us about yourself.

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First name*

Last name*

ZIP code*

Date of birth (mm/dd/yyyy)*

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The categories of personal information collected about you may include contact, insurance, prescription, and medical history information. We use the personal information collected to provide and manage our programs related to our products, as well as to perform research and analytics on a de-identified basis. For more information about the categories of personal information collected by AbbVie and the purposes for which www.abbvie.com/privacy.html.

I would like to receive news and updates about AbbVie and its products, clinical trials, research opportunities, programs and other information that may be of interest to me.

Please answer the following questions:

Do you live in the United States or Puerto Rico?*

Yes

Do you have commercial prescription drug insurance? (If you have Medicaid, Medicare, or other government-sponsored prescription insurance, such as VA/DOD, select "No".)*

Yes

By activating your Taytulla^® Savings Offer, you certify that the answers you have provided are true and correct and that you are not enrolled in a federal- or state-funded prescription drug benefit program, such as Medicare, Medicaid, or any private indemnity or HMO insurance plan that reimburses you for the entire cost of your prescription drugs. You also certify that you are not Medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. You further certify that should you begin receiving prescription benefits from one of these types of programs at any time, you will no longer be eligible to participate in this savings program.

I agree to this certification, and I have read and accept the Program Terms, Conditions, and Eligibility Criteria.*

If you have any questions about the Taytulla^® Savings Program, please call 1.855.439.2817.

TAYTULLA^® and its design are registered trademarks of Allergan Pharmaceuticals International Limited, an AbbVie company.

All other trademarks and product names are the property of their respective owners.

US-TAY-210038 01/22

This site is intended for U.S. consumers only.