QULIPTA® Resources
Download resources for your office and your patients
HCP Tools
QULIPTA Pharmacy Flashcard
A QULIPTA guide for pharmacists with efficacy data as well as instructions for activating and processing the QULIPTA COMPLETE Savings Card.
Prior Authorization Guide
A resource to educate HCPs, Medical Assistants, and office staff on prior authorization requirements, any documentation that may be needed, and best practices.
Downloadable templates to help your patients get started on QULIPTA
These are for informational purposes only and are not intended to provide reimbursement or legal advice. The information presented here does not guarantee payment or coverage.
Sample Appeals Letter
Appeal a denied claim for QULIPTA.
Letter of Medical Necessity Sample
Establish the medical necessity of QULIPTA.
Formulary Exception Letter
Request a formulary exception to allow coverage for QULIPTA.
Patient Resources
QULIPTA Patient Brochure
A resource for patients you recently prescribed QULIPTA. You can take them through how QULIPTA works to prevent migraine and how they can save on QULIPTA.
Learn about our QULIPTA savings offer.