The program offers You the opportunity to earn rewards points with eligible VUITY™ prescription fills. The Program is a points accumulation loyalty program administered by RIS Rx on behalf of Allergan, an AbbVie Company (“AbbVie”). You may not seek reimbursement for value received from the Program from any third-party payers. If at any time You begin receiving prescription drug coverage under any federal, state, or government-funded healthcare program, or otherwise reside in a jurisdiction where participation is prohibited by law, You will no longer be able to use the Program, will no longer be eligible for any related benefits, and must call 1-84 to disenroll from the Program. The Program is not available to patients enrolled in any federal, state, or government-funded insurance programs (for example, Medicare, Medicare Advantage, Medigap, Medicaid, TRICARE, Department of Defense, or Veterans Affairs programs) or where prohibited by law or by the patient’s health insurance provider. Available to patients in the United States and Territories of the United States with a prescription for VUITY™ who meet eligibility criteria. *By enrolling in the My Vuity™ Points Program (the “Program”), you (“You”) agree to these Terms and Conditions. Because VUITY™ recently launched, not all coverage and cost information is readily available. Information listed is accurate as of February 01, 2022 and is based on publicly available benefit design information for Medicaid and Medicare Part D out-of-pocket costs for 2022 plan year. Your type of health or prescription insurance plan will determine exactly how much you will pay. The chart above provides cost information based on what a person with the type of coverage listed may pay for one bottle of VUITY™, which typically lasts one month. Important Details About Understanding Your Individual Costs Other Insurance (VOD, DOD, Tricare, Others)īecause coverage varies by plan, call your plan to determine coverage. If covered, out-of-pocket cost for VUITY™ for Medicare patients may vary depending on deductibles, coverage gaps, coverage levels, and your other medication costs. Please confirm whether coverage exists by calling your plan. We anticipate that most Medicare Part D plans will not cover VUITY™. Medicare Part D and Medicare Low Income Subsidy If not covered, out-of-pocket costs for VUITY™ may vary depending on your pharmacy. Please confirm whether coverage exists by calling your Medicaid plan. We anticipate that most Medicaid plans will not cover VUITY™. Out-of-pocket cost information is not available at this time. If you purchase VUITY™ without the MVP program, out-of-pocket costs With the My VUITY™ Points (MVP) program, eligible patients will pay an out-of-pocket price of $79 and earn points towards rewards.* Learn About the MVP Program The MVP card may only be used outside of commercial insurance. With the MVP Program, eligible patients pay $79 for a bottle of VUITY™ and earn points towards rewards.* Learn About the MVP Program Patients who do not have insurance coverage (or who opt not to use their insurance), may participate in the My VUITY™ Points Program. Contact your insurance provider to confirm coverage. We anticipate that most commercial insurers will not cover VUITY™. Generally, you may use your HSA/FSA to pay for VUITY™.
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