Start here to learn more about myAbbVie Assist
eligibility criteria.
Patient Assistance
Lupaneta Pack® (leuprolide acetate for depot suspension and norethindrone acetate tablets)
Patient Assistance options
You may be eligible to receive free Lupaneta Pack if you:
- Have been prescribed Lupaneta Pack
- Have limited or no health insurance coverage
- Live in the United States
- Are being treated by a licensed U.S. health care provider on an outpatient basis
If you have insurance, we will review your qualifying financial need based on a combination of your insurance coverage, household income, and out-of-pocket medical expenses. We will evaluate your insurance coverage and out-of-pocket medical expenses during the application process. To help you understand the income guidelines that we use to evaluate qualifying financial need, we’ve provided the table below:
| Household size | Annual income
|
| 1 | $64,400 or less |
| 2 | $87,100 or less |
| 3 | $109,800 or less |
| 4 | $132,500 or less |
| After 4, add $22,700
for each additional dependent family member | |
If you would like to apply, you should work with your healthcare
provider to submit a program application. To avoid delays, please
follow the instructions on the first page and submit all requested
information. Please download the application below.
Lupaneta Pack application (Spanish)
Medicare patients may qualify for Extra Help from Medicare.
Savings card
Program eligibility details
If you have employer-provided insurance coverage
or have purchased private insurance on your own, you may qualify for
assistance with your out-of-pocket expenses. Visit Lupaneta Pack.
Available to patients with commercial prescription insurance coverage who meet eligibility criteria. Copay assistance program is not available to patients receiving prescription 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. Offer subject to change or discontinuance without notice. Restrictions, including monthly maximums, may apply. This is not health insurance.
myAbbVie Assist Interim Assistance
AbbVie has expanded financial assistance to support qualifying* patients who have been impacted by the COVID-19 pandemic. If you lost employer-provided health insurance that covered your AbbVie treatment and can no longer pay for Lupaneta Pack, please call: 1-800-222-6885.
*Program is not available to patients receiving prescription 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. Available to patients less than 65 years old who meet eligibility criteria.
Looking for help?
If you have any additional questions, please call us at
1-800-222-6885.