Prescribing Information Important Risk Information

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Follow the LILETTA Patient Savings Program®* application steps below:

Step 1: Patient Information Release

STEP 1: Patient Information Release

In order to participate in the LILETTA Patient Savings Program®, you must meet certain eligibility criteria. During the enrollment process for the program, you will be asked to provide personal information, such as your name, address, phone number, email address, and information related to your insurance and treatment. The information pertaining to you that we collect will be used in accordance with the AbbVie Privacy Statement, which can be found at

By enrolling in the LILETTA Patient Savings Program®, you agree that you would like to receive and that AbbVie and its affiliates and vendor partners may contact you with information related to LILETTA® and the LILETTA Patient Savings Program®, including site updates, education, and other AbbVie products, services, and programs. You may choose to be contacted by mail or email. If you later wish to opt out of receiving this information, you may cancel your enrollment in this program at any time by calling 1.855.706.4508.



*Depending on insurance coverage, eligible patients pay $100, then save up to a maximum of $750, for the first LILETTA product. Offer applies to product only, and does not apply to costs associated with medical examination or product administration. Check with your pharmacist or healthcare provider for your copay discount. Patient out-of-pocket expense may vary. Offer not valid for patients enrolled in Medicare, Medicaid, or other federal or state healthcare programs. Please see full LILETTA Patient Savings Program® Terms, Conditions, and Eligibility Criteria here.

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.

Important Risk Information

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 or call 1-800-FDA-1088.

If you are having difficulty paying for your medicine, AbbVie may be able to help. Visit to learn more.

Please see full Prescribing Information.

Reference: 1. LILETTA (levonorgestrel-releasing intrauterine system) 52 mg [Prescribing Information]. Irvine, CA: Allergan and San Francisco, CA: Medicines360