Comprehensive patient support for Qbrelis® (lisinopril), from office to pharmacy

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Azurity Solutions offers guidance on medication approval, access, and co-pays to help eligible patients get their Azurity medications.
Select a service to begin:
Prior Authorization (PA)
Tools Co-pay Savings Additional Assistance

Prior Authorization (PA)
Tools

Co-pay Savings

Additional Assistance

Qbrelis® Prior Authorization Tools

Advocating for your patients in important prior authorization conversations.

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Three tools for PA

Helping you focus less on paperwork and more on patients.

Option 1:

Start the prior authorization process with CoverMyMeds®, a third-party online resource for prior authorization paperwork

Option 2:

If needed, the prior authorization hotline is an additional resource to advocate for your patients

844-472-2032

Option 3:

If insurance approval takes more than 48 hours, the Bridge Drug Program may help cover the gap

Start a CoverMyMeds® form

Log in to CoverMyMeds® or have your credentials ready before submitting

Call for support

  • Prior Authorization
  • Insurance Verification
  • Bridge Drug Program
  • Patient Assistance and Resources
  • Product Information
844-472-2032

Prior authorization support hotline is provided by a third-party vendor

Forms

Prior Authorization Hotline Form

Download Patient Enrollment and Prescription Form PDF Arrow Down

Patient Assistance Program Form

Download Eligibility Criteria PDF Arrow Down
Learn more about Qbrelis®
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Product packaging and imagery are for representation purposes only and shall constitute the property of Azurity and all applicable affiliates.

The information contained herein, including product information, is intended only for residents of the United States.

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