Ubrelvy

(ubrogepant)
ubrogepant 100 MG Oral Tablet [Ubrelvy]ubrogepant 50 MG Oral Tablet [Ubrelvy]
NO BLACK BOX WARNING

Dosage & administration

Most viewed Ubrelvy resources

Coverage Authorization Appeals
Coverage Authorization Request
Enroll in a patient savings program
Complete Letter of Medical Necessity
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drug label

Ubrelvy prescribing information

Have more Ubrelvy questions?

Submit MSL Request
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Need to report an Ubrelvy issue?

ONLINE FORM
Report adverse event
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samples

Request Ubrelvy samples

Sample Order Form
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prior authorization

Ubrelvy Prior authorization resources

Complete Letter of Medical Necessity
Coverage Authorization Request
Coverage Authorization Appeals
Tiered Exception Letter
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Benefits investigation

NOT PROVIDED BY BRAND
Benefits investigation resources
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Reimbursement help (FRM)

NOT PROVIDED BY BRAND
Reimbursement help (FRM) resources
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financial assistance

Ubrelvy Financial assistance options

Co-pay savings program

commercial only
Enroll in a patient savings program
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Bridge program

commercial only
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Foundation programs

under insured
no insurance
goverment insurance
65+
Abbvie Patient Assistance Foundation Program Application - English
Abbvie Patient Assistance Program Application Form - Spanish
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patient education

Ubrelvy Patient education

Getting started on Ubrelvy

NOT PROVIDED BY BRAND
Instructions for Use - Migrane

Patient toolkit

About Ubrelvy
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Stories
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Resources
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Learn More

Can't find what you're looking for?

Our trained staff can help you:
Please note:
  • Access to a Field Reimbursement Manager (FRM) or Medical Science Liaison (MSL) varies by brand and may require talking with your rep first.
  • Samples are provided at the discretion of the brand.
  • We are unable to collect Protected Health Information (PHI), fill out forms, or submit them on your behalf.