ABSORICA Copay Card Program

Available to ABSORICA patients only

The ABSORICA Copay Card Program offers ABSORICA patients a discount coupon card to help cover the cost of their treatment. Certain eligibility requirements and restrictions apply.

Summary of Program:

  • For commercially insured patients only*
  • Present discount coupon card to pharmacy
  • Call our Help Desk at 1-855-820-9189 for more processing information
  • Valid for five fills and subject to applicable program maximum restrictions

To obtain your ABSORICA Copay Card and begin saving, please provide the following information. If you already have your card, activate it by entering your Card ID and completing the form below.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.