myAbbVie Assist: General Products

Funded

About

The myAbbVie Assist: General Products program offers significant benefits to patients requiring medications such as Vraylar, Crinone, Kaletra, Norvir, and Gengraf. The myAbbVie Assist: General Products program provides eligible individuals with the possibility to receive these medications free of charge, subject to meeting specific eligibility criteria.

Insurance requirements: Medicare / Medicaid, Underinsured, Uninsured

Enrollment Forms

Enrollment Form

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: Yes

•Activation Required: No

Program Details

•Eligible patients may be able to receive medication free of charge

•Completed AbbVie Patient Assistance Program forms should be signed by their HCP and faxed to: 8668981473 or mail to: myAbbVie Assist, PO Box 270, Somerville, NJ 08876

•For assistance or additional information, call 8002226885, Monday Friday

Enrollment Forms

Enrollment Form

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