ORILISSA
COST & SAVINGS
The amount you pay for ORILISSA can depend on a number of factors, including your access to prescription drug coverage, the type of insurance you have, and even the level of coverage your insurance provides.
This page provides information that can help you determine how much ORILISSA may cost you, as well as financial support programs that may be able to help you afford your medication.
ORILISSA List Price
The list price, also known as the Wholesale Acquisition Cost (WAC), for one dose of ORILISSA is $1,046.66, as of January 2022. The WAC may not reflect the price paid by patients.
Call 1-800-ORILISSA (1-800-674-5477) to find out how much ORILISSA will cost you.
Insurance Information*
| If you have: | You could pay: |
|---|---|
| Commercial Insurance (usually provided by an employer) |
$5 per month† with the Orilissa Savings Card. Learn About the Card |
| Medicaid | $20.00 or less per month, depending on state plan |
| Medicare Part D | $52.00-$662.00‡ per month, depending on coverage phase ‡Represents catastrophic phase ORILISSA cost. Monthly out-of-pocket costs for ORILISSA may vary depending on patient's other medication costs. Most Medicare patients have Standard Part D prescription coverage, which has different costs depending on deductibles and coverage gaps. We can help you understand what these costs mean to you by calling 1-800-ORILISSA (1-800-674-5477). |
| Medicare Low Income Subsidy (LIS) | $9.85 per month starting January 1, 2022 |
| Other Insurance (VA, DOD, TRICARE, others) | Because coverage varies by plan, call 1-800-ORILISSA (1-800-674-5477) to find out how much ORILISSA will cost you. |
| Uninsured or having difficulty paying for your medication | If you are having difficulty paying for your medicine, AbbVie may be able to help. Visit AbbVie.com/myAbbVieAssist to learn more. |
*Important Details About Understanding Your Individual Costs:
The chart above provides cost information based on what a person with the type of coverage listed may pay for a 4-week supply of ORILISSA (150 mg or 200 mg dose). Your type of health or prescription insurance plan will determine exactly how much you will pay. Information listed is accurate as of January 2022 and is based on publicly available benefit design information for Medicaid and Medicare Part D out-of-pocket costs for 2022 plan year.
myAbbVie Assist
If you are having difficulty paying for your medicine, myAbbVie Assist may be able to help.
myAbbVie Assist, our patient assistance program, provides AbbVie medicine to qualifying patients. It is intended for people that live in the United States, have limited or no health insurance coverage, and demonstrate qualifying financial need.
Visit AbbVie.com/myAbbVieAssist to learn more.
†Terms and Conditions apply. This benefit covers ORILISSA® (elagolix). Eligibility: Available to patients with commercial insurance coverage for ORILISSA 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 ORILISSA Savings Card and patient must call 1-800-ORILISSA (1-800-674-5477) 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 ORILISSA Savings Card 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 $5,000 per calendar year. 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