QULIPTA® Resources


Download resources for your office and your patients

HCP Tools

QULIPTA Pharmacy Brochure

QULIPTA Pharmacy Flashcard

A QULIPTA guide for pharmacists with efficacy data as well as instructions for activating and processing the QULIPTA COMPLETE Savings Card.


Qulipta prior authorization guide

Prior Authorization Guide

A resource to educate HCPs, Medical Assistants, and office staff on prior authorization requirements, any documentation that may be needed, and best practices.


Downloadable templates to help your patients get started on QULIPTA

These are for informational purposes only and are not intended to provide reimbursement or legal advice. The information presented here does not guarantee payment or coverage.

QULIPTA Sample Appeals Letter

Sample Appeals Letter

Appeal a denied claim for QULIPTA.


QULIPTA Letter of Medical Necessity Sample

Letter of Medical Necessity Sample

Establish the medical necessity of QULIPTA.


QULIPTA Formulary Exception Letter

Formulary Exception Letter

Request a formulary exception to allow coverage for QULIPTA.


Patient Resources

QULIPTA Patient Brochure

QULIPTA Patient Brochure

A resource for patients you recently prescribed QULIPTA. You can take them through how QULIPTA works to prevent migraine and how they can save on QULIPTA.


Learn about our QULIPTA savings offer.