You may be eligible to receive free LUPRON DEPOT if you:
- Have been prescribed LUPRON DEPOT
- 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 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||$77,280 or less|
|2||$104,520 or less|
|3||$131,760 or less|
|4||$159,000 or less|
|After 4, add $27,240 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.
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 Lupron.com and select the disease for which you are being treated to see if a savings card is available.
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 LUPRON DEPOT, 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.