| Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis. | |||
myAbbVie Assist Patient Assistance ProgramThis program provides brand name medications at no or low cost |
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Provided by: AbbVie Inc. |
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PO Box 270 TEL: 800-222-6885FAX: 866-483-1305 |
Languages Spoken:
English, Spanish, Others By Translation Service |
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Program Applications and Forms |
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myAbbVie Assist Patient Assistance Program Application |
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myAbbVie Assist Patient Assistance Program Application (Spanish)
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Medications |
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Eligibility Requirements |
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| Insurance Status | Must be uninsured or underinsured | ||
| Those with Part D Eligible? | Varies | ||
| Income | At or below 600% of FPL | ||
| Diagnosis/Medical Criteria | Not applicable | ||
| US Residency Required? | Must be a US resident and treated by a US licensed healthcare provider | ||
Application |
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| Obtaining | Call or download | ||
| Receiving | Faxed or downloaded from website | ||
| Returning | Fax or mail | ||
| Doctor's Action | Complete section, sign, attach required documents | ||
| Applicant's Action | Complete section, sign, attach required documents | ||
| Decision Communicated | Patient and Doctor are notified | ||
| Decision Timeframe | Varies | ||
Medication |
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| Amount/Supply | As prescribed by Doctor | ||
| Sent To | Varies | ||
| Delivery Time | Varies | ||
| Refill Process | Contact program for details. | ||
| Limit | Varies | ||
| Re-application | Varies | ||
Additional Information |
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| Any patient who requires the medication and are in need should call the company. Eligibility determined on a case-by-case basis. Patients with prescription drug coverage may be eligible on exception basis. Contact program for details. |
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| Updated May 22, 2023 | |||
