![]() If you would like to be removed from Lilly’s contact list, contact us at 1-800-LillyRx (1-80). For more information about Lilly’s privacy practice, please view the The personal information you provide may be used, disclosed, and/or transferred to provide support related to your condition and treatment to administer this program, to analyze and/or measure program performance and program effectiveness for future enhancements, to personalize and improve your experience, including creating a preference profile, which may use data previously provided to Lilly for your participation in various other Lilly programs, and agree to receive requests for feedback on your experience with the related products, offerings, and program, requests to participate in market research and/or medical research. This information will be sent to you through email to support your journey with Migraine. resident, and you agree to disclose your personal information to Lilly and its agents, and to be contacted regarding products, services, sharing your story, and/or other information related to migraine and future migraine products and activities. Subject to additional terms and conditions.īy clicking submit, you are certifying that you are at least 18 years of age, a U.S. Offer void where prohibited by law and subject to change or discontinue without notice. This offer is invalid for patients without commercial drug insurance or whose prescription claims for REYVOW are eligible to be reimbursed, in whole or in part, by any governmental program, including, without limitation, Medicaid, Medicare, Medicare Part D, Medigap, DoD, VA, TRICARE ®/CHAMPUS, or any state patient or pharmaceutical assistance program. Patient is responsible for any applicable taxes, fees, or amounts exceeding monthly or annual caps. Participation in the program requires a valid patient HIPAA authorization. ![]() Monthly and annual caps are set at Lilly’s absolute discretion and may be changed by Lilly with or without notice. Offer subject to a monthly cap and a separate annual cap. Patients that have commercial drug insurance and have coverage for REYVOW may be able to pay as little as $0 per fill. Patients that have commercial drug insurance but do not have coverage for REYVOW, may be able to pay as little as $0 for their first fill of REYVOW. ![]() Offer good until for up to 12 months of REYVOW. Try REYVOW for as little as $0 for up to 12 months if you’re eligible and commercially insured.
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