Ubrelvy U-Save Card

Funded

About

The Ubrelvy U-Save Card offers substantial savings on the Ubrelvy medication, allowing eligible patients to pay as little as $0 per monthly prescription. The Ubrelvy U-Save Card is especially beneficial for patients with commercial insurance, offering a maximum savings of $50 per pill and up to 13 prescription fills, enhancing affordability and access to Ubrelvy.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•$7000 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: Yes

Program Details

•Depending on insurance coverage, eligible commercially insured patients may pay as little as $0 per monthly prescription fill

•Maximum savings of $50 per pill; valid for up to 13 prescription fills

•Maximum saving limit applies; patient outofpocket expense may vary on a monthly, quarterly, and/or annual basis depending on each individual patient’s plan of insurance and other prescription drug costs

•Patient can also enroll by texting UBRELVY to 48764

•For any questions regarding CHANGE HEALTHCARE online processing, call the UBRELVY Claims Concierge at 18007615285

Enrollment Forms

Enrollment Form