QBREXZA Copay Card:

HELP WITH PRESCRIPTION COSTS

YOU MAY BE ELIGIBLE TO PAY AS LITTLE AS $35 PER FILL WITH THE QBREXZA COPAY CARD*

If you’ve been prescribed QBREXZA® (glycopyrronium) cloth, this copay card may help you lower your out-of-pocket costs.

Download your QBREXZA Copay Card now.

Copay Card
* This offer is not valid for patients without commercial insurance or whose prescription claims are eligible to be reimbursed, in whole or in part, by any government program. Please see full terms and conditions at QBREXZA.com/copay-terms.

NEED ASSISTANCE?

DermiraConnect offers support services for people using QBREXZA. Reach out to a DermiraConnect support specialist at 1-877-DERMIRA 1-877-337-6472 (Monday to Friday, 8 am–8 pm ET) for help with a variety of topics:

- Inquire about your out-of-pocket costs for QBREXZA

- If you have lost your activated card

- If you have an expired copay card

- Additional copay card or financial questions

You can also chat online with a DermiraConnect support specialist.