1). abbvie.com | 1-800-222-6885

Eligibility:

• Being treated by US healthcare provider on an outpatient basis
• Limited or no health insurance
• Qualifying financial need
• Household Size
Annual Income
$81,540 or less
$109,860 or less
$138,180 or less
$166,500 or less

Instructions:
• Go to Website abbvie.com
• Click on Patient Assistance
• Find My Medicine
• Click on Medication from List
• Click on What Best Describes Your Health Insurance Coverage Download Application
• Or Call the 1-800-222-6885 to Apply


2). Prescription Bliss

www.prescriptionbliss.com

Eligibility:
• Each program has different requirements, but many of our
patients come to us who are on Medicare and have a Part D plan and are unable to afford their copays or find themselves in the coverage gap of their prescription plan.
• If your insurance company has denied paying for your prescriptions or you have a high copay or coinsurance responsibility.

Instructions:
• Call 1-877-792-5477 or go to the website prescriptionbliss.com to apply
• Click on Apply Now
• Click on Begin Application


3.) RX Assistant

www.rxassistantprograms.com/

Eligibility:
Its best to call to see if you qualify.
• U.S. citizen or resident
• Does not have insurance or insurance doesn't cover medication.
• On Medicare or in donut hole/coverage gap

Instructions:
• Go to rxassistantprograms.com to fill out online form
• Call 1-888-344-8915