Help patients get started on ORIAHNN

Your eligible commercially insured patients may pay as little as $5 per month* with the Oriahnn Savings Card

Patients can get started by calling 1-800-ORIAHNN to enroll and activate the Savings Card, if eligible.*

Oriahnn® Savings Card.

Get help with prior authorization requests

CoverMyMeds provides a no-cost digital resource for submitting prior authorization (PA) forms for many specialty drugs covered under most drug plans. Call 1-866-452-5017 or visit

for more information

Downloadable resources for your office

Along with support from CoverMyMeds, you can download the instructions and templates below for helpful guidelines and tips for navigating the prior authorization process.

ORIAHNN Prior Authorization Common Criteria.

Prior Authorization Common Criteria

ORIAHNN Prior Authorization tracker.

Prior Authorization Tracker Template

ORIAHNN Letter of Medical Necessity template.

Letter of Medical Necessity Sample Template

ORIAHNN Appeal Letter template.

Appeal Letter Sample Template

This information is for informational purposes only and is not intended to provide reimbursement or legal advice. The information presented here does not guarantee payment or coverage.

*Terms and Conditions apply. This benefit covers ORIAHNN® (elagolix, estradiol, and norethindrone acetate capsules; elagolix capsules). Eligibility: Available to patients with commercial insurance coverage for ORIAHNN who meet eligibility criteria. Co-pay assistance program is not available to patients receiving reimbursement under any federal, state, or government-funded insurance programs (for example, Medicare [including Part D], 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. If at any time a patient begins receiving drug coverage under any such federal, state, or government-funded healthcare program, patient will no longer be able to use the ORIAHNN Savings Card and patient must call 1-800-ORIAHNN (1-800-674-2466) to stop participation. Patients residing in or receiving treatment in certain states may not be eligible. Patients may not seek reimbursement for value received from the ORIAHNN Savings Card program from any third-party payers. Offer subject to change or discontinuation without notice. Restrictions, including monthly maximums, may apply. Subject to all other terms and conditions, the maximum annual benefit that may be available solely for the patient’s benefit under the co-pay assistance program is $5,000.00 per calendar year. The actual application and use of the benefit available under the co-pay assistance program may vary on a monthly, quarterly, and/or annual basis depending on each individual patient’s plan of insurance and other prescription drug costs. This assistance offer is not health insurance. By redeeming this card, you acknowledge that you are an eligible patient and that you understand and agree to comply with the terms and conditions of this offer. To learn about AbbVie’s privacy practices and your privacy choices, visit