Reyvow Financial Assistance Guide

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 pay $0 for your first fill of Reyvow. For your second and subsequent fills, your health plan must cover Reyvow to continue to pay $0 per fill. This offer is for up to 12 months of Reyvow and expires on December 31, 2024. The Savings Card is subject to an annual maximum benefit of $3,400. 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

1. Your doctor writes you a prescription for Reyvow.
2. Obtain a Reyvow Savings Card online, by phone or with the Patient Brochure or Savings Leaflet. The Patient Brochure or Savings Leaflet may be distributed to you by your doctor’s office.
3. Activate your Savings Card. You can activate online* at reyvow.com/savings-support or over the phone by calling 1-833-REYVOW1.
4. Take your prescription (if your doctor did not call it in to your pharmacy) and Savings Card to your regular retail pharmacy to be filled. The Savings Card includes important information you need to provide the pharmacist to connect your prescription to the offered savings. If you have any trouble or are ever told you must pay more than $0, please call 1-833-REYVOW1 (1-833-739-8691).

*To download or activate your Savings Card online, visit reyvow.com/savings-support. Choose “Get a Card.” You will then be prompted to complete the following steps:

1. Answer the Savings Card eligibility questions. 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.
2. Provide your contact information.
3. Read and accept the terms and conditions for Electronic Signatures in Global and National Commerce (“E-Sign”) Act Disclosure.
4.  Read and sign the HIPAA (Health Insurance Portability and Accountability Act) authorization**.
5. 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.
6. If you have a physical Savings Card, enter in the card information to complete activation.
7. 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.

For most patients with Medicare Part D coverage, out-of-pocket costs can vary throughout the year depending on which phase of the Part D benefit you are currently in. Overall, about 78% of Reyvow prescriptions cost between $0 – $200, and the remaining prescriptions cost an average of $350.

Some Medicare patients qualify for extra financial support through the Extra Help program. If you are eligible for Extra Help, you can expect to pay $4 to $9 for each prescription.

If you are unsure whether you qualify for Extra Help and would like more information, please visit: ssa.gov/benefits/medicare/prescriptionhelp.

Reyvow has only recently become available, and this cost information is based on a limited sample. Your out-of-pocket costs may change as insurance coverage improves.

For those with Medicaid who meet specific eligibility criteria, Reyvow might be available at no cost through the Lilly Cares Foundation Patient Assistance Program.

For most people on Medicaid, prescription drugs like Reyvow range from $4 – $9 per month. Some states allow even lower copays, or eliminate the copay requirement altogether. 

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:

1. Be a permanent, legal resident of the US or Puerto Rico
2. Have been prescribed Reyvow and be uninsured
3. Not be enrolled in Medicaid, Medicare’s Extra Help program or Veterans benefits
4. Have a household income under the Annual Income Limit

The Patient Advocate Foundation (a CHAMP participant 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; overcoming insurance coverage; and financial burdens that impact patient access to care.

All services are completely free and provided through phone and/or email communication. Visit migraine.pafcareline.org or call 866-688-3625 to speak with a case manager today.