Briviact Patient Savings Card

Funded

About

The Briviact Patient Savings Card offers significant savings for patients prescribed Briviact. Eligible participants can pay as little as $10 for a 30-day supply, making access to Briviact more affordable for those with private insurance. Take advantage of this program by enrolling online and printing your card immediately for use. Support and further details can be accessed through dedicated customer service. The Briviact Patient Savings Card is a valuable benefit for eligible patients seeking cost-effective medication solutions.

Insurance requirements: Commercially insured

As low as: $10 per mo

Enrollment Forms

Enrollment Form

Benefits

•$1300 annual maximum benefit

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Must be 18 years of age or older

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Eligible commercially insured patients may pay as little as $10 each per 30day supply

•Card can be printed for immediate use following online enrollment and eligibility questions

•Call 8887865879 (8:30 am – 5:30 pm ET, Monday – Friday and 8:30 am – 2 pm ET, Saturday) or email ucbCARES@ucb.com for assistance or additional information

Enrollment Forms

Enrollment Form

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Uninsured

Max Saving: $3000/year*

Other Tools for Briviact

Get patient education materials