qulipta Support & savings

YOU PRESCRIBE.
WE PROVIDE SUPPORT.

QULIPTATM COMPLETE CAN HELP YOUR PATIENTS
START AND STAY ON TRACK WITH 3 EASY STEPS

1. PRESCRIBE & Enroll now

Prescribe and Enroll Icon

1. PRESCRIBE & Enroll now

  • Complete the 1-page prescription enrollment form with your patient and fax it to
    1‑866‑933‑4805
  • Give your patient their welcome sheet and tell them to expect a call soon to get started

2. start saving

QULIPTA™ Savings Card Icon

2. start saving

  • Savings Card: Your patients can start on QULIPTA for as little as $0*†
  • Home delivery: While coverage is being determined, patients can receive QULIPTA delivered to their home for $0

*Eligible patients with commercial insurance.

3. Get support

QULIPTA™ Support Icon

3. Get support

  • QULIPTA Complete Access Specialists will help you and your patients identify next steps to getting their prescribed treatment, including PA support
  • QULIPTA Complete Support Specialists can answer your patients’ questions about QULIPTA and help them establish a daily routine to work toward their personal goals§

§QULIPTA Complete Support Specialists are provided by AbbVie and do not work under the direction of healthcare professionals (HCPs) or give medical advice. They are trained to direct patients to their HCP for treatment-related advice, including further referrals.

QULIPTA Complete Prescription and Enrollment Form

Complete the 1-page prescription enrollment form with your patient & fax it to 1-866-933-4805

Download resources to support your office and your patients

HCP Tools

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QULIPTA Dosing Card

QULIPTA comes in 3 dose strengths for migraine prevention you can tailor to your patients. Learn more about dosing considerations and how to prescribe.

qulipta-access-and-support-brochure

QULIPTA™  Complete Overview Leave Behind

QULIPTA offers a resource that introduces QULIPTA™ Complete to you and your office staff. It explains the patient benefits of the QULIPTA savings program and the steps needed to enroll.

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.

Patient Resources

Patient Brochure 

Download a brochure to help patients better understand QULIPTA and how it works to prevent migraine attacks.

QULIPTA™ patient brochure

DOWNLOAD QULIPTA RESOURCES