Ubrelvy U-Save Card Signup

You may pay as little as $10 a month—That's just $1 per pill

Sign up today or activate your UBRELVY U-Save Card below or by texting UBRELVY to 48764*.

UBRELVY Savings Card Image

Step 1 of 2

Please answer the following questions:

*Required

Do you already have a U-Save Card?*
Please select one of the above options
Do you live in either the United States or Puerto Rico?*
Please select one of the above options
Do you have commercial prescription drug insurance? (If you have Medicaid, Medicare, or other government-sponsored prescription insurance, such as VA/DOD, select “No”.)*
Please select one of the above options

Step 1 of 2

*Required

Please enter first name
Please enter last name
Please enter date of birth. You must be at least 18 years old
Please enter a valid ZIP code
*Gender
Please select one of the above options
Please enter a valid mobile phone number (xxx-xxx-xxxx)
Please enter the 11 digit number from the U-Save Card you received from your Healthcare provider
Please check box if you agree
Please check box if you agree
Please check box if you agree

If you have any questions about the UBRELVY U-Save Card Program, please call 1.844.4.UBRELVY (1.844.482.7358), Monday–Friday, 8:00 am to 8:00 pm Eastern Time.

Patient out-of-pocket costs may vary. Terms and Conditions apply. This offer is only valid for commercially insured patients. Offer not valid for patients enrolled in Medicare, Medicaid, or other federal or state healthcare programs. Please see full Program Terms, Conditions, and Eligibility Criteria.

*Standard data charges may apply.