If you have previously started enrollment for the LILETTA Patient Savings Program®* (application or rebate request) and have yet to supply the required forms, you can upload them now. Download rebate request form here. You can also submit your EOB within 180 days of insertion if you do not have your EOB at the time of enrollment. Simply return to LILETTAcard.com to upload your EOB when you receive it.
For Patient assistance, please call 1.855.706.4508 Monday through Friday 9 AM-8 PM ET (except holidays). For healthcare provider or pharmacist assistance, please call the 24 hr/7 day a week help desk at 1.866.242.9104.
To learn about AbbVie's privacy practices and your privacy choices, visit https://abbv.ie/corpprivacy.
Program managed by ConnectiveRX on behalf of AbbVie.
LILETTA® (levonorgestrel-releasing intrauterine system) 52 mg is a hormone-releasing system placed in your uterus to prevent pregnancy for as long as you want for up to 8 years. LILETTA also treats heavy periods for up to 5 years in women who choose to use birth control placed in the uterus.
LILETTA does not protect against HIV or STDs.
Available by prescription only.
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.
Please see full Prescribing Information.
Reference: 1. LILETTA (levonorgestrel-releasing intrauterine system) 52 mg [Prescribing Information]. Irvine, CA: Allergan and San Francisco, CA: Medicines360