Orilissa
Generic: elagolix
Manufacturer: AbbVie · Program: myAbbVie Assist
Apply for AssistanceEligibility Criteria
Insurance Requirement
Uninsured or underinsured patients whose insurance does not cover Orilissa
Residency
US resident
Income Threshold
Up to 600% FPL
Individual Income Limit
$87,480/year
One of the most generous income limits in the industry
Program Information
Processing Time
1–2 weeks
Delivery Method
shipped to patient
Application Method
Multiple
Reauthorization
Required — annual
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
- proof of residency
- prescription
- insurance information
Indicated For
endometriosis
About This Medication
# myAbbVie Assist Patient Guide: How to Get Orilissa at Low or No Cost ## About This Program myAbbVie Assist is AbbVie's patient assistance program designed to help uninsured and underinsured patients access Orilissa (elagolix) at no cost or reduced cost. Orilissa is a hormone-free medication used to manage moderate to severe pain caused by endometriosis. If you're struggling to afford this medication, this program may be able to help. ## Who Qualifies for myAbbVie Assist You may be eligible for myAbbVie Assist if you meet ALL of the following criteria: - You live in the United States - You are uninsured OR your current insurance does not cover Orilissa - Your household income falls within the program's eligibility limits - You have a valid prescription from your doctor for Orilissa ## Income Eligibility Guidelines Income limits are based on your household size. The program uses flexible thresholds that increase for larger families, with maximum eligibility reaching approximately $200,000 for the largest households. | Household Size | Annual Income Limit | |---|---| | Individual | $50,000 | | Couple (2 people) | $70,000 | | Family of 3 | Increases based on size | | Family of 4+ | Up to approximately $200,000 | These are general guidelines. Your actual eligibility depends on your specific household composition and income. When you apply, AbbVie will review your complete financial situation. ## Insurance Requirements The program is specifically designed for patients who are: - **Completely uninsured** (no health insurance at all), OR - **Underinsured** (have insurance that does not cover Orilissa) If your insurance plan does cover Orilissa, you may not qualify for this program. However, you may be eligible for the Orilissa Savings Card instead, which can reduce your copay to as little as $5 per month for commercially insured patients. ## How to Apply for myAbbVie Assist ### Step 1: Gather Required Documents Before you apply, collect the following documents: - **Proof of income**: Recent pay stubs, tax returns, or benefit statements - **Proof of residency**: Utility bill, lease agreement, or government-issued ID - **Valid prescription**: A prescription from your doctor for Orilissa - **Insurance information**: Details about your current insurance status (or confirmation that you are uninsured) ### Step 2: Choose Your Application Method You can apply in multiple ways: - **Online**: Visit abbvie.com/myAbbVieAssist and complete the application form - **Phone**: Call 1-800-222-6885 to speak with a program representative who can help you apply - **Mail**: Request an application form by phone and mail it back with your supporting documents ### Step 3: Submit Your Application Provide all required documents along with your completed application. Be thorough and accurate—incomplete applications may delay your approval. ### Step 4: Wait for Approval AbbVie will review your application and contact you with a decision. Keep your contact information current so they can reach you. ### Step 5: Receive Your Medication Once approved, Orilissa will be shipped directly to you at no cost. You do not need to pick it up at a pharmacy. ## Timeline and Delivery While specific processing times are not publicly listed, most patient assistance programs process applications within 5-10 business days. Once approved, your medication is typically shipped within 1-2 weeks. Your medication will be delivered directly to your home, making it convenient and discreet. ## What If Your Application Is Denied? If you don't qualify for myAbbVie Assist, you have other options: - **Orilissa Savings Card**: If you have commercial insurance, you may qualify for the Savings Card, which reduces your copay to $5 per month - **Prescription discount cards**: Services like SingleCare and GoodRx may offer savings of $500 or more off the cash price - **State pharmaceutical assistance programs**: Your state may have additional programs to help with medication costs - **Talk to your doctor**: Ask about alternative treatments that may be more affordable ## Reauthorization Requirements Your eligibility for myAbbVie Assist must be reauthorized periodically. AbbVie will contact you when it's time to renew your enrollment. Be prepared to provide updated financial and residency information to continue receiving assistance. ## Important Disclaimers - This program is not health insurance and does not guarantee coverage - Eligibility is based on income and insurance status at the time of application - Program details and eligibility requirements may change - You must be a U.S. resident to qualify - If you later obtain insurance coverage for Orilissa, you must notify AbbVie immediately and stop using this program ## Contact Information **Phone**: 1-800-222-6885 **Website**: abbvie.com/myAbbVieAssist **Hours**: Available to answer questions about eligibility and the application process Don't let cost prevent you from accessing the medication you need. If you have questions about whether you qualify, call the number above—program representatives can help determine your eligibility.
Program information last verified: March 30, 2026
Ready to apply for Orilissa assistance?
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