Breo copay card3/21/2023 ![]() ![]() Co-pay maximizers are programs in which the amount of your out-of-pocket costs is increased to reflect the availability of support offered by a manufacturer assistance program. An accumulator adjustment program is one in which payments made by you that are subsidized by manufacturer assistance do not count toward your deductibles and other out-of-pocket cost sharing limitations. Some health plans have established programs referred to as “accumulator adjustment” or “co-pay maximizer” programs. By enrolling in the co-pay assistance program, you agree that this program is intended solely for the benefit of you, the patient. ![]() ![]() If at any time a patient begins receiving prescription drug coverage under any such federal, state, or government-funded healthcare program, patient will no longer be able to use the RINVOQ Complete Savings Card and patient must call RINVOQ Complete at 1-800-2RINVOQ to stop participation. Co-pay assistance program is not available to patients receiving reimbursement under any federal, state, or government-funded insurance programs (for example, Medicare, Medicare Advantage, Medigap, Medicaid, TRICARE, Department of Defense, or Veterans Affairs programs) or where prohibited by law or by the patient’s health insurance provider. Eligibility: Available to patients with commercial insurance coverage for RINVOQ who meet eligibility criteria. Benefit also covers certain lab tests to monitor for specific parameters as recommended in the product label where the full cost is not covered by patients’ insurance through the Complete Rebate program (Maximum savings limit of $1,000.00 per year applies). This benefit covers RINVOQ ® (upadacitinib) alone or, for rheumatology patients, RINVOQ plus one of the following medications: methotrexate, leflunomide, or hydroxychloroquine. Restrictions, including monthly maximums, may apply. Offer subject to change or discontinuance without notice. Patients may not seek reimbursement for value received from the RINVOQ Complete program from any third-party payers. Patients residing in or receiving treatment in certain states may not be eligible. If at any time a patient begins receiving prescription drug coverage under any such federal, state or government-funded healthcare program, patient will no longer be able to use the RINVOQ Complete Savings Card and patient must call RINVOQ Complete at 1.800.2RINVOQ (1.800.274.6867) to stop participation. Co‑pay assistance program is not available to patients receiving prescription reimbursement under any federal, state or government‑funded insurance programs (for example, Medicare, Medicare Advantage, Medigap, Medicaid, TRICARE, Department of Defense or Veteran’s Affairs programs) or where prohibited by law or by the patient’s health insurance provider. †Eligibility: Available to patients with commercial prescription insurance coverage for RINVOQ™ (upadacitinib) who meet eligibility criteria. ![]()
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