Rinvoq

(upadacitinib)
24 HR upadacitinib 15 MG Extended Release Oral Tablet [Rinvoq]24 HR upadacitinib 30 MG Extended Release Oral Tablet [Rinvoq]
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Dosage & administration

Rheumatoid Arthritis, Psoriatic Arthritis, Ankylosing Spondylitis, and Non-radiographic Axial Spondyloarthritis


Atopic Dermatitis


Ulcerative Colitis


drug label

Rinvoq prescribing information

samples

Request Rinvoq samples

Online Sample Form
Learn More

prior authorization

Rinvoq prior authorization resources

Most recent Rinvoq prior authorization forms

View By Payer
Updated: May 31, 2023Cigna - Rinvoq Prior Authorization Form
Updated: May 25, 2023Independence Health - Select Formulary Immune Modulating Therapy Prior Authorization Form

OTHER
Complete Letter of Medical Necessity

OTHER
Coverage Authorization Appeals

OTHER
Formulary Exception Letter - Rheumatology

OTHER
Formulary Exception Letter - Dermatology

OTHER
Formulary Exception Letter - Gatroenterology

OTHER
Tier Exception Letter

PDF
PA Guide
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Benefits investigation

PDF
Rinvoq Complete Enrollment Form: Rheumatology

PDF
Rinvoq Complete Enrollment Form: Gasteroenterology

PDF
Rinvoq Complete Enrollment Form: Dermatology - Adults

PDF
Rinvoq Complete Enrollment Form: Dermatology - Adolescent
Learn More

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information
Learn More

pharmacy

Rinvoq preferred pharmacy

PDF
Pharmacy List

financial assistance

Rinvoq financial assistance options

Co-pay savings program

commercial only
Enroll in Patient Savings Program
Learn More

Bridge program

commercial only

PDF
Rinvoq Complete Enrollment Form: Rheumatology

PDF
Rinvoq Complete Enrollment Form: Gasteroenterology

PDF
Rinvoq Complete Enrollment Form: Dermatology - Adults

PDF
Rinvoq Complete Enrollment Form: Dermatology - Adolescent
Learn More

patient education

Rinvoq patient education

Getting started on Rinvoq

To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

Patient toolkit

BRAND PAGE
Side Effects
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Rinvoq: Atopic Dermatitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

IMAGE
Before & After: Atopic Dermatitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

VIDEO
Patient Stories: Atopic Dermatitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
View How to Take Rinvoq: Atopic Dermatitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Doctor Discussion Guide: Atopic Dermatitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Rinvoq: Rheumatoid Arthritis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

VIDEO
Patient Stories: Rheumatoid Arthritis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Doctor Discussion Guide: Rheumatoid Arthritis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Rinvoq: Psoriatic Arthritis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
View How to Take Rinvoq: Psoriatic Arthritis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Doctor Discussion Guide: Psoriatic Arthritis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Rinvoq: Ankylosing Spondylitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
View How to Take Rinvoq: Ankylosing Spondylitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Doctor Discussion Guide: Ankylosing Spondylitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Rinvoq: Non-radiographic Axial Spondyloarthritis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
View How to Take Rinvoq: Non-radiographic Axial Spondyloarthritis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Doctor Discussion Guide: Non-radiographic Axial Spondyloarthritis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Rinvoq: Ulcerative Colitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
View How to Take Rinvoq: Ulcerative Colitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

VIDEO
Patient Stories: Ulcerative Colitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link