The
    
LILETTA

Patient Savings
Card

The LILETTA Patient Savings Card may help eligible patients with out-of-pocket costs for LILETTA. Eligible patients may pay no more than $75 for the LILETTA product, up to a maximum savings limit of $500.*

The LILETTA Patient Savings Card may only be used towards the cost of LILETTA itself. It does not cover the cost of insertion of LILETTA or other costs from your healthcare provider’s office.

Please visit www.LILETTAcard.com or call 855.706.4508 for any questions regarding the LILETTA Patient Savings Card. Read on to find out if you’re eligible.

Am I eligible for the LILETTA Patient Savings Card?

To participate in the LILETTA Patient Savings Program, you must:

  • Have commercial health insurance
  • Not participate in Medicaid, Medicare, or any other federal or state healthcare program (including state pharmaceutical assistance programs)
  • Have an out-of-pocket expense for LILETTA that is greater than $75
  • Reside in the U.S. or Puerto Rico
  • Agree to comply with the program Terms and Conditions here

*Depending on insurance coverage, eligible patients may pay no more than $75 for the LILETTA product up to a maximum savings limit of $500. 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. Program expires 12/31/17. Please see Program Terms and Conditions at www.LILETTAcard.com.

LILETTA may be covered under a health insurance plan's medical or pharmacy benefit.


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 3 years.

Important Risk Information About LILETTA

LILETTA does not protect against HIV or STDs.

Available by prescription only.

Please also see full Prescribing Information.