Qulipta

Indicated For

episodic migraine, chronic migraine

About This Medication

# myAbbVie Assist Patient Guide: How to Get Qulipta at Low or No Cost Qulipta (atogepant) is a prescription medication used to prevent migraines in adults. The **myAbbVie Assist** program from **AbbVie** helps eligible uninsured or underinsured patients get Qulipta for **free**, with no co-pays or shipping costs.[1][3] ## About Qulipta **Qulipta** is an oral tablet taken daily to help reduce the frequency of migraine attacks. Unlike acute treatments, it works preventively by targeting CGRP receptors involved in migraine development. It's approved for adults and offers a convenient, once-daily dosing option without the need for injections.[1] Always consult your doctor to see if Qulipta is right for you, as it may cause side effects like nausea, constipation, or fatigue. ## Who Qualifies for myAbbVie Assist? This program is for **U.S. residents** (including Puerto Rico) who are **uninsured or underinsured** and demonstrate financial need. You must have a valid prescription for Qulipta from a healthcare provider. Patients with Medicare or other insurance may qualify if they show financial hardship, but special rules apply (see Insurance Requirements below).[1][5][7] ## Income Eligibility Breakdown Eligibility is based on household income typically up to **400% of the Federal Poverty Level (FPL)**, though it can extend to 500% in some cases. Income is verified electronically or via documents like tax returns. Here's a breakdown using 2026 FPL guidelines (approximate; check current FPL at healthcare.gov for exact figures): | Household Size | Max Annual Income (400% FPL) | |----------------|------------------------------| | 1 (Individual) | $40,000 | | 2 (Couple) | $54,000 | | 3 | $68,000 | | 4 | $82,000 | | +1 per member | +$14,000 | *Notes: Income includes all household earnings. Program assesses full financial picture, including expenses. Uninsured/underinsured with financial need prioritized.*[1] ## Insurance Requirements - **Uninsured patients**: Automatically considered if income qualifies. - **Underinsured**: Limited coverage that doesn't fully cover Qulipta; provide insurance cards (front/back). - **Medicare Part D**: If income <150% FPL, apply for **Extra Help/Low-Income Subsidy (LIS)** first and include denial letter. Above 150% FPL, you may qualify directly but must prove financial need.[1][2][5] - Not for patients with comprehensive commercial insurance covering the medication fully. ## Step-by-Step Application Process myAbbVie Assist offers **multiple application methods**: online, mail, fax, or phone assistance. It's free to apply.[2][3] ### Option 1: Online (Preferred) 1. Visit www.AbbVie.com/PAS or the patient portal to register and create an account.[2][10] 2. Enter personal, income, and insurance info. Consent to electronic income verification (under Fair Credit Reporting Act).[2] 3. Upload insurance cards (front/back) and any financial hardship docs (e.g., expense form, bills).[2] 4. Review privacy notice, terms, and HIPAA authorization; sign electronically.[1][2] 5. Program contacts your doctor for prescription and provider section.[2] ### Option 2: Downloadable Form 1. Download the Qulipta/Ubrelvy application PDF.[1] 2. Read pages 1-3 (terms, privacy, HIPAA); complete enrollment on page 4.[1] 3. Sign Section 5 consents and HIPAA authorization separately.[1] 4. Include insurance cards if applicable; Medicare patients add Extra Help denial if <150% FPL.[1] 5. Have your doctor complete the provider section, sign, and date.[1][2] 6. Fax to 1-866-250-2803 or mail to: AbbVie Patient Access Support, D-617927, AP5 NE, 1 N. Waukegan Rd., North Chicago, IL 60064.[2][5] ### Phone Support Call **(800) 222-6885** (Mon-Fri) for help completing forms or questions.[1][5] **Required Documents**: - Proof of income (tax return, pay stubs if electronic verification fails) - Proof of residency (utility bill, etc.) - Prescription from doctor - Financial hardship docs (medical bills, expenses) - Insurance cards (if applicable) - Medicare Extra Help denial (if required)[1][2] ## Timeline and Delivery Processing takes **2-4 weeks** after all docs received. You'll get email/text updates if applied online. If approved, medication ships **free** to your home or doctor's office. Refills available online via portal; **reauthorization required** annually or upon changes.[1][2][3] ## Alternatives if Denied - **Appeal**: Contact program for reasons and resubmit updated docs.[1] - **Other Programs**: HealthWell Foundation (Migraine fund), NeedyMeds, or RxAssist for additional options.[5] - **Copay Cards**: AbbVie may offer savings cards for commercially insured (up to $4,000/year, separate from PAP).[5] - **Extra Help for Medicare**: Reapply if eligible.[1] - **Generic/Biosimilars**: None currently available for Qulipta.[ ] - Doctor can explore samples or payment plans. ## Disclaimer This guide is for informational purposes based on program details as of December 2024. Eligibility, guidelines, and FPL change; always verify with AbbVie at (800) 222-6885 or official site. Not medical/financial advice—consult your healthcare provider and advisor. AbbVie may update terms; participation involves HIPAA data sharing for program admin.[1][2] Program not guaranteed; no liability for denials.

Program information last verified: March 25, 2026