Savings & support:

Help starting QBREXZA and the support to stick with it

Making sense of prescription costs can be complicated—even if you have insurance. What will my insurance cover? How much do I pay? What if I don’t have insurance? Dermira's goal is to ensure that people prescribed QBREXZA™ (glycopyrronium) cloth towelette receive as much information and support as possible.

STEP 1 CHECK YOUR INSURANCE COVERAGE

A simple way to navigate health insurance happens here. By answering a few questions, you can learn in real time whether or not your health insurance covers QBREXZA. You can also check your insurance coverage by calling a DermiraConnect Support Specialist at 1-877-DERMIRA (1-877-337-6472).

STEP 2 DOWNLOAD THE QBREXZA COPAY CARD

To help you manage prescription copay costs, there’s the QBREXZA Copay Card. Eligible patients may save on their QBREXZA prescription.*

Copay Card
$35

Patients with commercial insurance may pay as little as $35 per fill*†‡

Some patients may pay less than $35, depending on their insurance.

* With a maximum savings up to $200 per fill, $2500 maximum program limit until 12/31/19.

Download your Copay Card now. And if you already have one, activate it.

Start Now

If you have lost your activated card, call us at 1-877-DERMIRA (1-877-337-6472) Monday to Friday, 8 am—8 pm ET.

* Depending on eligibility and status of coverage. See Terms and Conditions.
One prescription fill=a 30-day supply (30 pouches).
The QBREXZA $35 Copay Card is valid for patients with commercial insurance. Patients enrolled in Medicare, Medicaid, Medigap, TRICARE, the Department of Veterans Affairs healthcare program, or any federal or state government-funded healthcare program (“Government Programs”) are not eligible. Patients who become enrolled in such Government Programs during their enrollment period will no longer be eligible for the program. Eligible patients must be residents of the United States, excluding territories, and the patient, or the patient’s parent or guardian, must be 18 years or older to receive QBREXZA Copay Card assistance.

STEP 3 GET THE GREEN LIGHT FROM YOUR DERMATOLOGIST

Once you and your dermatologist decide that QBREXZA is right for you, he or she will set you up with a prescription. This may be a good time to inquire if all your insurance needs have been met (in order to avoid a delay at the pharmacy).

Most commercial insurance plans require paperwork (Prior Authorization [PA] or Medical Exception [ME]) to approve coverage of QBREXZA. Plus, this paperwork helps ensure you have access to QBREXZA for a little as $35 per fill.§

Don’t worry, your doctor’s office handles this paperwork.

§ Some patients may pay less than $35, depending on their insurance.

SUPPORT SERVICES BUILT JUST FOR YOU, AVAILABLE WHEN YOU NEED THEM

DermiraConnect is here to help with services to support people using QBREXZA.

Have questions? Call DermiraConnect:

1-877-DERMIRA 1-877-337-6472

(Monday to Friday, 8 am–8 pm ET)

Keep on track with QBREXZA

You can rely on DermiraConnect for help starting QBREXZA and staying with it.

Refill reminders

If you have a QBREXZA Copay Card, you’ll receive regular news and updates via email or mail

Sign up to receive information from QBREXZA and Dermira.

Contact an online dermatologist

Need a doctor? Can’t get an appointment? Connect with one of 300 dermatologists online 24 hours a day, 365 days a week. If prescribed, you can pick up QBREXZA from a pharmacy of your choice. Or, you can have your medication shipped directly to you at no additional cost.

Learn More
Connect to us

Chat online with a DermiraConnect Support Specialist about financial support

You may call us with questions at 1‑877‑DERMIRA (1‑877‑337‑6472) (Monday to Friday, 8 am–8 pm ET).

Please come back Monday through Friday between 8 am–8 pm ET to chat online with a DermiraConnect Support Specialist about financial support.