IMBRUVICA® Copay Program

If you are eligible and have commercial insurance, you may pay as little as $10 per prescription* for IMBRUVICA®.

Restrictions may apply.

Get your IMBRUVICA® Copay Card today!

You can enroll anytime, from anywhere. Simply click below to join this program.

Enroll Online

You can also call 1-877-877-3536 (Menu Option 1) to speak with an Access Specialist
Monday - Friday, 8:00 AM - 8:00 PM and Saturday, 8:00 AM - 5:00 PM ET

*Eligible patients may pay as little as $10 per prescription of IMBRUVICA® until the maximum limit of $24,600 per calendar year is reached. The IMBRUVICA® Copay Program cannot be used with any other federally-funded prescription insurance plan. Federally-funded plans include Medicare Part D, Medicare Advantage Plan, Medicaid, Medigap, VA, DOD, TRICARE, or any other federal or state healthcare plan, including pharmaceutical assistance programs. Additional restrictions can be found by clicking here.

Already enrolled in the new IMBRUVICA® Copay Program?

If you enrolled on or after January 1, 2021, access your new Copay Card by clicking here.

Please read the Important Product Information for IMBRUVICA® and discuss any questions you have with your doctor.

Based on your answers above, you are not eligible for the IMBRUVICA® Copay Program.

Explore the YOU&i™ website to get information, support, and resources designed to help at any stage during your treatment with IMBRUVICA®. For more information about potential financial options, call an Access Specialist at 1-877-877-3536, Menu Option 1 (Monday - Friday, 8:00 AM - 8:00 PM and Saturday, 8:00 AM - 5:00 PM ET).

Explore YOU&i™

Success! You can begin to use the IMBRUVICA® Copay Program immediately.

Download or email your copay program information and present it along with a signed prescription for IMBRUVICA® to your pharmacist for an instant savings that can be applied toward out-of-pocket expenses on your prescription for IMBRUVICA®.

Copay Program

RxBIN: 610524 RxGRP: IMB57962 RxPCN: Loyalty ISSUER: 80840 ID: XXXXXXXXXX
Eligible Patients Pay as Little as $10

Eligible patients may pay as little as $10 per prescription of IMBRUVICA® until the maximum limit of $24,600 per calendar year is reached. The IMBRUVICA® Copay Program applies to commercial insurance copay, deductible, and coinsurance medication costs for IMBRUVICA®. This program cannot be used with any state or other federally-funded prescription insurance program including, but not limited to Medicare Part D, Medicare Advantage Plan, Medicaid, Medigap, VA or DOD or TRICARE, or any other pharmaceutical assistance programs, or where prohibited by law.

Pharmacyclics An AbbVie Company

To the Patient: You must present this card to the pharmacist along with your prescription to participate in this program. If you have any questions regarding your eligibility or benefits, or if you wish to discontinue your participation, call the IMBRUVICA® Copay Program at 1-877-877-3536, Menu Option 1 (Monday - Friday, 8:00 AM - 8:00 PM and Saturday, 8:00 AM - 5:00 PM ET). When you use this card, you are certifying that you understand the program rules, regulations, and terms and conditions. You are not eligible if prescriptions are paid by any state or other federally funded programs, including, but not limited to Medicare Part D, Medicare Advantage Plan, or Medicaid, Medigap, VA or DOD or TRICARE, or where prohibited by law; and you will otherwise comply with the terms above.

To the Pharmacist: When you use this card, you are certifying that you have not submitted and will not submit a claim for reimbursement under any federal, state or other governmental programs for this prescription.

  • Submit transaction to RxC Acquisition Company d/b/a RxCrossroads by McKesson using BIN #610524
  • If primary commercial prescription insurance exists, input card information as secondary coverage and transmit using the COB segment of the NCPDP transaction. Applicable discounts will be displayed in the transaction response
  • Acceptance of this card and your submission of claims for the IMBRUVICA® Copay Program are subject to the LoyaltyScript® program Terms and Conditions posted at www.mckesson.com/mprstnc
  • Patient is not eligible if prescriptions are paid in part or full by any state or federally-funded programs, including but not limited to Medicare Part D, Medicare Advantage Plan, or Medicaid, Medigap, VA, DOD or TRICARE and where prohibited by law
  • The LoyaltyScript® card is not valid for use with any other prescription drug discount or cash cards for IMBRUVICA®. Claims submitted utilizing the program are subject to audit or validation
  • For questions regarding setup, claim transmission, patient eligibility or other issues, call the LoyaltyScript® for IMBRUVICA® program at 1-855-332-6211  (Monday - Friday, 8:00 AM - 8:00 PM ET, excluding holidays)

Pharmacyclics LLC, an AbbVie Company, reserves the right to rescind, revoke or amend this offer at any time.

YOU&i™ is with you along the way.

Get information, support, and resources designed to help at any stage during your treatment with IMBRUVICA®.

Explore YOU&i™

Please read the Important Product Information for IMBRUVICA® and discuss any questions you have with your doctor.

RxBIN: 610524 RxGRP: IMB57962 RxPCN: Loyalty ISSUER: 80840 ID: XXXXXXXXXX

To the Patient: You must present this card to the pharmacist along with your prescription to participate in this program. If you have any questions regarding your eligibility or benefits, or if you wish to discontinue your participation, call the IMBRUVICA® Copay Program at 1-877-877-3536, Menu Option 1 (Monday - Friday, 8:00 AM - 8:00 PM and Saturday, 8:00 AM - 5:00 PM ET). When you use this card, you are certifying that you understand the program rules, regulations, and terms and conditions. You are not eligible if prescriptions are paid by any state or other federally funded programs, including, but not limited to Medicare Part D, Medicare Advantage Plan, or Medicaid, Medigap, VA or DOD or TRICARE, or where prohibited by law; and you will otherwise comply with the terms above.

To the Pharmacist: When you use this card, you are certifying that you have not submitted and will not submit a claim for reimbursement under any federal, state or other governmental programs for this prescription.

  • Submit transaction to RxC Acquisition Company d/b/a RxCrossroads by McKesson using BIN #610524
  • If primary commercial prescription insurance exists, input card information as secondary coverage and transmit using the COB segment of the NCPDP transaction. Applicable discounts will be displayed in the transaction response
  • Acceptance of this card and your submission of claims for the IMBRUVICA® Copay Program are subject to the LoyaltyScript® program Terms and Conditions posted at www.mckesson.com/mprstnc
  • Patient is not eligible if prescriptions are paid in part or full by any state or federally-funded programs, including but not limited to Medicare Part D, Medicare Advantage Plan, or Medicaid, Medigap, VA, DOD or TRICARE and where prohibited by law
  • The LoyaltyScript® card is not valid for use with any other prescription drug discount or cash cards for IMBRUVICA®. Claims submitted utilizing the program are subject to audit or validation
  • For questions regarding setup, claim transmission, patient eligibility or other issues, call the LoyaltyScript® for IMBRUVICA® program at 1-855-332-6211  (Monday - Friday, 8:00 AM - 8:00 PM ET, excluding holidays)

Pharmacyclics LLC, an AbbVie Company, reserves the right to rescind, revoke or amend this offer at any time.

Important:

If you signed up for the IMBRUVICA® Copay Program prior to January 1, 2021, we made a change in our program which will require you to re-enroll. As long as you meet the eligibility requirements, your benefits under the program will not change.

Existing Patient Re-enrollment

If you are enrolling in the copay program for the first time, you can learn more and sign up here.

First-time Enrollment

Already enrolled in the new IMBRUVICA® Copay Program?

If you enrolled on or after January 1, 2021, access your new Copay Card by entering your Member ID below.

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By using this copay program, the patient understands and agrees to comply with these eligibility requirements and terms of use:

Eligibility

  • Covered by commercial or private insurance
  • Reside in the United States (including Puerto Rico, US Virgin Islands, Guam)
  • The IMBRUVICA® Copay Program cannot be used with any federally-funded prescription insurance plan. Federally-funded plans include Medicare Part D, Medicare Advantage Plan, Medicaid, TRICARE, or any other federal or state healthcare plan, including pharmaceutical assistance programs

Terms and Conditions of the IMBRUVICA® Copay Program

  • This offer is good for eligible patients on IMBRUVICA® who are 18 years of age or older, are residents of the United States, Puerto Rico, US Virgin Islands or Guam, and have a valid prescription for IMBRUVICA®
  • This program is not available to individuals enrolled in federal or state subsidized healthcare programs that cover prescription drugs, including Medicare, such as Medicare Part D prescription drug benefit, Medicare Advantage, Medicaid, TRICARE, or any other federal or state healthcare plan, including pharmaceutical assistance programs. Participants certify that they will not seek reimbursement or compensation from any of these programs, including a flexible spending account, a Health Savings Account (HSA), or a Health Reimbursement Account (HRA)
  • This offer may not be combined with any other coupon, discount, prescription savings program card, free trial or other offer
  • Patients are not required to re-enroll in the program. After the initial enrollment, patients will be automatically re-enrolled for each subsequent year in the program, provided that they continue to meet eligibility criteria for the program
  • Before you activate your membership in this program, it is important that you understand that you will be asked to provide personal information that may include identifiers such as your name, address, phone number, and email address, and information related to your insurance, health, and treatment. This information will be used by Pharmacyclics LLC, the manufacturer of IMBRUVICA®, and companies that work with Pharmacyclics LLC, including vendors and affiliates, to provide benefits to you related to the activation and use of your IMBRUVICA® Copay Program Card, and for internal business purposes including research and analytics. The information you provide will be shared with our vendors, collaborators, and affiliates and as required by law. For more information about the categories of personal information collected by Pharmacyclics and the purposes for which we use personal information, please visit www.pharmacyclics.com and click on the privacy policy link
  • The IMBRUVICA® Copay Program Card will be accepted only at participating pharmacies
  • The selling, purchasing, trading, or counterfeiting of this program information is prohibited
  • Pharmacyclics LLC reserves the right to rescind, revoke, or amend this offer without notice at any time. Void where prohibited, taxed, or otherwise restricted by law

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