A new class of medications has been approved by the FDA for the acute treatment of migraine in adults. These drugs are referred to as serotonin (5-HT) 1F receptor agonist. Reyvow is currently the only one of these oral medications on the market.
Many insurers have not yet decided if or how they will cover Reyvow. If you are prescribed Reyvow, the pharmaceutical company is offering a financial assistance program to help cover the cost.
This guide has not been produced or approved by the manufacturer of Reyvow. CHAMP does not endorse the use of any treatment over another, nor promote the use of this treatment for everyone living with migraine disease. Please consult your healthcare providers to determine if Reyvow is right for you.
I Have Been Prescribed Reyvow. What Financial Assistance Programs Exists To Help Me?
Find your insurance coverage and see what Financial Assistance Programs exist to help.
I Have a Private/Commercial Insurance Plan
This category includes insurance plans provided through an employer, purchased with subsidy support from the Affordable Care Act (Obamacare) or purchased privately.
Highlights of Reyvow Savings Card
If you have commercial drug insurance, you may be able to pay as little as $0 for your first fill of Reyvow. For your second and subsequent fills, your health plan must cover Reyvow to continue to pay as little as $0 per fill. This offer is for up to 12 months of Reyvow and expires on December 31, 2021. The Savings Card is subject to an annual maximum benefit of $3400. This means that you may be required to pay out of pocket depending on your health plan and copay model if the maximum annual cap is reached.
Steps To Get Your Savings Card
*To download or activate your Savings Card online, visit https://www.reyvow.com/savings-support. Choose “Get a Card.” You will then be prompted to complete the following steps:
- Answer the Savings Card eligibility questions – please confirm that you are a resident of the US or Puerto Rico who is 18 years of age or older, NOT enrolled in a government-funded prescription program.
- Provide your contact information.
- Read and accept the terms and conditions for Electronic Signatures in Global and National Commerce (“E-Sign”) Act Disclosure.
- Read and sign the HIPAA (Health Insurance Portability and Accountability Act) authorization**.
- You will receive a verification code via email or text message. The verification code will need to be entered to complete your Savings Card activation.
- If you have a physical Savings Card, enter in the card information to complete activation.
- Your Savings Card can be emailed to you, texted to you or may be printed. It is now activated and is ready to be used at your local pharmacy.
** Your HIPAA authorization is needed to allow Lilly to work on your behalf to help you pay as little as possible for Reyvow.
I Have Medicare, Medicaid or other Government Insurance Plan
The Reyvow Savings Card is not available to patients whose medical insurance is provided by state or federal programs, like Medicare and Medicaid. This restriction is true for most savings card programs.
The Federal Government does not allow people who are receiving insurance benefits through Medicare, Medicaid, etc. to use co-pay assistance, discount or savings cards offered by pharmaceutical companies. The intent is to steer patients to lower-cost generic drugs and not to support higher-cost brand-name drugs. Unfortunately, there are no generic/biosimilar medications in the class of 5HT1F receptor agonists (ditans) and won’t be for years to come.
Patients with Medicare Part D who meet all program eligibility criteria may receive Reyvow free of charge from the Lilly Cares Foundation Patient Assistance Program. Some of the eligibility requirements are: The Reyvow Savings Card is not available to patients who are uninsured. Patients without insurance who meet all program eligibility criteria may receive Reyvow free of charge from the Lilly Cares Foundation Patient Assistance Program. Some of the eligibility requirements are:
- Must be a permanent, legal resident of the US or Puerto Rico
- Must have been prescribed Reyvow and be uninsured
- Must not be enrolled in Medicaid, Medicare’s Extra Help program or Veterans benefits
- Must have spent $1,100 on prescription medications as a Medicare Part D patient
- Must have a household income under the Annual Income Limit Total # Of Persons in your Household
|Total # Of Persons in your Household||Annual Adjusted Gross Income Limit (may not be more than)|
I Am Uninsured
The Reyvow Savings Card is not available to patients who are uninsured.
Patients without insurance who meet all program eligibility criteria may receive Reyvow free of charge from the Lilly Cares Foundation Patient Assistance Program. Some of the eligibility requirements are:
Where do I turn if I am not eligible for a financial assistance program?
The Patient Advocate Foundation (a CHAMP member organization) can be a helpful resource for patients and caregivers who are
experiencing access challenges. PAF provides a suite of expert tips to help navigate insurance denials, appeals and common barriers at: patientadvocate.org/migrainematters.
PAF also offers one-on-one case management assistance through its dedicated Migraine Careline for people living with migraine who experience access challenges. The Migraine Careline provides assistance with navigating eligibility and enrollment in disability benefits and overcoming insurance coverage and financial burdens that impact patient access to care.