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Oncology

Lupron Depot

Generic: leuprolide acetate

Manufacturer: AbbVie  ·  Program: myAbbVie Assist

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Eligibility Criteria

Insurance Requirement

Uninsured or underinsured patients. Medicare patients must first apply for and be denied Medicare Extra Help (Low-Income Subsidy) if income is below 150% FPL.

Residency

US resident; certain state restrictions may apply

Income Threshold

Up to 600% FPL

Individual Income Limit

$90,000/year

Approximately $90,000/year for individual in 2026 at 600% FPL. Medicare patients under 150% FPL must first apply for and be denied Medicare Extra Help before evaluation.

Program Information

Processing Time

1-2 weeks

Delivery Method

shipped to patient

Application Method

Multiple

Reauthorization

Required — periodic

Typically Required Documents

ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.

  • Proof of income
  • Current prescription
  • Brief health overview

Indicated For

Advanced prostate cancer, endometriosis, uterine fibroids, central precocious puberty

About This Medication

# myAbbVie Assist Patient Guide: How to Get Lupron Depot at Low or No Cost ## About This Program myAbbVie Assist is a **free patient assistance program** offered by AbbVie that provides Lupron Depot (leuprolide acetate) at no cost to qualifying patients who struggle to afford their medication. There are no application fees, and if you're approved, you'll receive your medicine with no co-pays or shipping costs.[2] ## What Is Lupron Depot? Lupron Depot is a prescription medication used to treat certain conditions including prostate cancer, endometriosis, and uterine fibroids. It's administered as an injection and requires ongoing treatment under a doctor's supervision. If cost has been a barrier to accessing this medication, myAbbVie Assist may be able to help. ## Who Can Apply? You may qualify for myAbbVie Assist if you meet these criteria: - You have a valid prescription for Lupron Depot from a licensed healthcare provider - You are a U.S. resident - You are uninsured or underinsured (your current insurance doesn't adequately cover the cost) - Your household income falls within program limits (see income eligibility section below) - You do not have coverage through certain specialty drug insurance plans **Important Medicare Note:** If you have Medicare and your income is below 150% of the Federal Poverty Limit (FPL), you must first apply for the "Medicare Part D Extra Help" program (also called "Low-Income Subsidy" or "LIS"). You'll need to include a denial letter from that program with your myAbbVie Assist application.[1] ## Income Eligibility The program evaluates financial need based on household income, insurance coverage, and out-of-pocket medical expenses. Income limits are set at approximately **600% of the Federal Poverty Limit (FPL)**. For 2026, this translates to approximately: | Household Size | Annual Income Limit | |---|---| | Individual | ~$90,000 | | Couple | Contact program for current limits | | Family of 3 | Contact program for current limits | | Family of 4 | Contact program for current limits | These figures are approximate and based on current FPL guidelines. **Contact the program directly at (800) 222-6885 to confirm your specific eligibility based on your household size and income.** ## Insurance Requirements The program is designed for patients who are: - **Uninsured** (no health insurance coverage) - **Underinsured** (have insurance but it doesn't adequately cover Lupron Depot) - **Medicare beneficiaries** with income below 150% FPL (after being denied Medicare Extra Help) If you have private insurance that covers specialty drugs, you may not be eligible unless you can demonstrate financial hardship.[1] ## How to Apply You have two application options: ### Option 1: Online Application (Fastest) **Step 1:** Visit the AbbVie website and create an account at the myAbbVie Assist portal.[3] **Step 2:** Enter your personal information and create a secure account. **Step 3:** Provide your household income and insurance information. The program will assess your income electronically if you authorize it under the Fair Credit Reporting Act. If the system cannot verify your income, you may need to submit additional documentation like a recent tax return.[3] **Step 4:** Upload copies of your insurance cards (front and back) if you have insurance. **Step 5:** Upload any additional documents that explain your difficulty accessing your medication. **Step 6:** Review the privacy notice and program terms, acknowledge your understanding, and submit your application. **Step 7:** The program will contact your prescribing doctor to obtain your prescription and verify medical information. ### Option 2: Paper Application If you prefer not to apply online, you can: 1. Call (800) 222-6885 to request an application form by fax, email, or mail 2. Download the printable application from the AbbVie website 3. Complete the patient section and gather required documents 4. Take the completed application to your healthcare provider 5. Your doctor will complete the healthcare provider section and sign the form 6. Return the signed application and supporting documents via fax or mail **Fax number:** (866) 898-1473 or (866) 483-1305 **Mailing address:** AbbVie Patient Assistance Program for Lupron Depot PO Box 270 Somerville, NJ 08876 ## Required Documents When you apply, have these documents ready: - **Proof of income:** Recent tax return, pay stubs, or other income documentation - **Insurance information:** Copies of all insurance cards (front and back) - **Current prescription:** Your doctor's prescription for Lupron Depot - **HIPAA authorization:** Signed consent allowing the program to discuss your case with your healthcare provider - **Medicare Extra Help denial letter** (if applicable): Required if you have Medicare and income below 150% FPL ## Application Timeline and Delivery **Processing Time:** The program typically notifies you and your healthcare provider of the eligibility decision within **1-2 weeks** (5-7 business days for paper applications).[5] **Delivery:** If approved, your medication will be **shipped directly to your prescribing doctor's office** at no cost to you, including no shipping fees.[5] **Refills:** Once approved, you can use the myAbbVie Assist website to schedule refill deliveries based on your doctor's prescription. ## What If Your Application Is Denied? If you're denied assistance, you have options: - **Appeal:** You may appeal a negative decision. Contact the program for details on the appeals process. - **Reapply:** Your circumstances may change. You can reapply if your income or insurance situation changes. - **Contact Support Plus:** For Lupron Depot specifically, AbbVie offers a "Support Plus" program that provides a dedicated specialist to help you understand insurance options and connect you with additional resources. Call (844) 458-7876 to learn more. ## Reauthorization Your assistance through myAbbVie Assist requires periodic reauthorization. The program will contact you when it's time to renew your eligibility. Be prepared to provide updated income and insurance information to continue receiving free medication. ## Questions? For any questions about the application process, eligibility, or your status: **Phone:** (800) 222-6885 (Monday–Friday) **Website:** https://www.abbvie.com/patients/patient-support/patient-assistance ## Important Disclaimer This guide provides general information about myAbbVie Assist based on program guidelines current as of March 2026. Program eligibility criteria, income limits, and requirements may change. Always verify current eligibility requirements directly with the program before applying. This information is not a guarantee of assistance. Approval is based on individual circumstances and program guidelines at the time of application.

Program information last verified: March 30, 2026

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