Qulipta

Indicated For

episodic migraine, migraine prevention

About This Medication

# myAbbVie Assist Patient Guide: How to Get Qulipta (atogepant) at Low or No Cost Qulipta (atogepant) is a prescription medication used to help prevent migraine attacks in adults. The **myAbbVie Assist** program from AbbVie offers this medicine **free** to eligible patients who are uninsured, underinsured, or have limited income—making it easier to manage migraines without high costs.[1][2] ## About Qulipta and Why This Program Matters **Qulipta** is an oral tablet taken daily to reduce the frequency of migraines. Unlike acute treatments, it works preventively by targeting CGRP receptors involved in migraine pathways. If cost is a barrier, myAbbVie Assist removes it for qualifying patients by providing the medication at no charge, with no copays or shipping fees.[1][2][6] Migraines affect millions, causing pain, nausea, and sensitivity to light/sound that disrupt daily life. Without assistance, Qulipta's retail price can exceed $800 monthly. This program ensures access for those in financial need.[2][6] ## Who Qualifies for myAbbVie Assist? Eligibility focuses on **income**, **insurance status**, and **residency**. You must: - Live in the US (including Puerto Rico) and be a resident.[6] - Have **limited income** (details below). - Be **uninsured, underinsured**, or have limited/no prescription coverage.[1][2][6] **Special Medicare rules**: If you have Medicare Part D and income below 150% FPL, apply for Extra Help (LIS) first and include denial letter. Above 150% FPL, no denial needed.[1][5] ## Income Eligibility Breakdown Income limits are **400% of the Federal Poverty Level (FPL)**. Here's a table for 2026 (FPL adjusts yearly; confirm current via program): | Household Size | Annual Income Limit | |----------------|---------------------| | 1 (Individual) | $75,000 | | 2 (Couple) | $100,000 | | 3 | $125,000 | | 4 | $150,000 | *Add ~$25,000 per additional family member. Household income includes all sources.*[1][6] **Notes**: Program verifies income electronically (with consent) via Fair Credit Reporting Act. If needed, submit tax returns or proof.[3] ## Insurance Requirements - **Uninsured**: Fully eligible if income qualifies.[2][6] - **Underinsured**: Limited/no drug coverage accepted.[1][6] - **Medicare/Medicaid**: See above; program covers if Extra Help denied (for <150% FPL).[1][5] - **Not eligible**: Full coverage or employer alternate funding plans.[5] Include front/back insurance cards if applicable.[1][3] ## Step-by-Step Application Process myAbbVie Assist offers **multiple methods**: online, phone, mail/fax. It's **free** to apply.[2][3] ### Online (Recommended): 1. Visit **www.abbvie.com/patient-access-support/myAbbVie Assist.html** or patient portal.[3][10] 2. Register account, enter personal/income/insurance info.[3] 3. Upload docs: income proof (tax return/W-2/paystubs), residency (utility bill/ID), insurance cards/Extra Help denial.[1][3] 4. Review privacy/terms, sign electronically (HIPAA consent required).[1][3] 5. Program contacts your **doctor** for prescription/signature.[3] ### Paper Form: 1. Download Qulipta form (English/Spanish).[1][9] 2. Read pages 1-3 (terms, privacy, HIPAA).[1] 3. Complete enrollment (page 4), check Section 5 consents, sign/date.[1] 4. Doctor completes provider section.[1][3] 5. Mail/fax with docs: Fax 866-250-2803; Mail: AbbVie Patient Access Support, D617927 AP5 NE, 1 N. Waukegan Rd., North Chicago, IL 60064.[6] ### Phone Help: Call **(800) 222-6885** (Mon-Fri) for assistance.[6] Doctor involvement essential—prescription ships to their office.[3] ## Timeline and Delivery - **Processing**: 2-4 weeks after complete submission.[3] - Notifications via text/email (opt-in).[3] - **Delivery**: Free, shipped to **physician's office** for pickup. Use portal for refills.[2][3] - **Duration**: Typically 1-year term, renewable.[5] **Reauthorization**: Required annually or upon changes.[5] ## Alternatives if Denied or Ineligible - **Appeal**: Contact program for review/clarify issues.[2] - **Extra Help** (Medicare <150% FPL).[1] - **Other PAPs**: HealthWell Foundation (migraine).[6] - **Copay cards**: AbbVie savings for commercially insured (not via PAP).[6] - **Doctor samples** or generic alternatives (none for Qulipta currently). - **State programs** or 340B clinics. No biosimilars for Qulipta.[6] ## Important Disclaimer This guide summarizes myAbbVie Assist based on available info (as of Dec 2024 forms).[1] Eligibility/rules change; **always verify directly** via (800) 222-6885 or website. AbbVie determines eligibility—no guarantees. Not medical/financial advice. Consult doctor for treatment; program not liable for care. Income/FPL subject to annual updates.[1][2][5]

Program information last verified: March 30, 2026