Saphris patient assistance program form

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Patient Assistance Program. Need help figuring out if you qualify? If you have any additional questions, please call us at You are about to leave the AbbVie website The product-specific site Internet site that you have requested is intended for the residents of a particular country or countries, as noted on that site.

Patients may not use this card if they are Medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. This offer is not valid for cash-paying patients. This offer is valid for up to twelve 12 prescription fills.

AbbVie reserves the right to rescind, revoke, or amend this offer without notice. Void if prohibited by law, taxed, or restricted. Patients residing in or receiving treatment in certain states may not be eligible. The Internet site that you have requested may not be optimized to your screen size.

Do you wish to continue to this product-specific site? The link below will take you out of the AbbVie family of websites. Links which take you out of the AbbVie worldwide websites are not under the control of AbbVie, and AbbVie is not responsible for the contents of any such site or any further links from such site.

AbbVie is providing these links to you only as a convenience and the inclusion of any link does not imply endorsement of the linked site by AbbVie. Do you wish to leave this site? For all other medicines, please visit the Find My Medicine page. This notice applies to all persons who view this section of the website and, depending on where you live, it may affect your rights.

This notice may be amended or updated by AbbVie from time to time and it should be read carefully in full each time you wish to view the website. In addition, the content of the website, and its accessibility by certain persons, may be amended at any time in whole or in part at the sole discretion of AbbVie. The Information speaks only at the date of the relevant document or announcement and AbbVie has, and accepts, no responsibility or duty to update any Information other than to the extent such duty arises as a matter of law or regulation.

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